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서종근 ( Jong Keun Seo ),전지승 ( Ji Sung Chun ),강주현 ( Ju Hyun Kang ),이드보라 ( Deborah Lee ),성호석 ( Ho Suck Sung ),황선욱 ( Seon Wook Hwang ) 大韓皮膚科學會 2009 大韓皮膚科學會誌 Vol.47 No.7
Solitary neurofibroma is a benign soft tissue tumor. Clinically, it appeared protuberant to pedunculated, flesh-colored, soft papules or nodules. Although it can appear on any site of the body, finger involvement is rare. Herein, we report the case of a 57-year-old woman with a solitary neurofibroma of the right 4th finger which looked like hemangioma. (Korean J Dermatol 2009;47(7):855∼857)
임신 가려움 팽진 구진 및 판: 22명의 환자에 대한 임상적 고찰
서종근 ( Jong Keun Seo ),전지승 ( Ji Sung Chun ),황선욱 ( Seon Wook Hwang ),성호석 ( Ho Suk Sung ),이드보라 ( Deborah Lee ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.9
Background: Pruritic urticarial papules and plaques of pregnancy is a common benign dermatosis of pregnancy. It occurs mainly in primigravidas in the third trimester, it resolves spontaneously or with delivery, and it is usually responsive to topical treatment. The morphological spectrum of pruritic urticarial papules and plaques of pregnancy includes (1) urticarial papules and plaque (type I), (2) non-urticarial erythematous patches that are discrete or confluent and they are surrounded by tiny papules or vesicles, or clusters or sheets of 1-mm to 2-mm erythematous papules (type II) and (3) a combination of these features (type III). Objective: This study evaluated our clinical experience with 22 Korean patients with pruritic urticarial papules and plaques of pregnancy. Methods: From June 1997 to August 2008, 22 patients with pruritic urticarial papules and plaques of pregnancy were evaluated. The clinical manifestations, the lesion distribution and the obstetric and pediatric findings were retrospectively investigated with using the patients` medical records and clinical photographs. Results: There were 9, 11 and 2 patients with types I to III, respectively. Many patients (n=14) were primigravida and the mean time of onset was a gestational age of 29.8 weeks. There were no pediatric problems such as intra-uterine growth retardation, or a small or large size for the gestational age. Most of the patients (n=20) were treated with topical corticosteroid or antihistamine; there was one case of recurrent pruritic urticarial papules and plaques of pregnancy. Conclusion: Pruritic urticarial papules and plaques of pregnancy usually occur in primigravidas, but this can also occur in multigravida patients. The number of patients with pruritic urticarial papules and plaques of pregnancy and who had obstetric obesity, a multiple pregnancy or pregnancy-induced hypertension was fewer than we expected. Pruritic urticarial papules and plaques of pregnancy can be divided into three categories, although this is rather redundant because the disease prognosis and treatments are not different according to the type. (Korean J Dermatol 2009;47(9):997∼1003)
서종근 ( Jong Keun Seo ),전지승 ( Ji Sung Chun ),설정은 ( Jung Eun Seol ),최준희 ( Joon Hee Choi ),황선욱 ( Seon Wook Hwang ),성호석 ( Ho Suk Sung ),이드보라 ( Deborah Lee ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.1
Retronychia is a process of a nail embedding itself into the proximal nail fold due to an incomplete shedding of the nail, and this usually occurs after physical trauma. Retronychia causes persistent paronychia and defective nail growth on the patients. Simple avulsion of the superimposed nail is curative. A 17-year-old man presented with tender erythema and swelling on the proximal nail fold of the right 3rd and 4th fingers for 2 months after an operation that was performed due to metacarpal bone fracture. The second patient was a 25-year-old male who presented with a 1-month history of persistent paronychia on his right great toe after blunt trauma. For both patients, simple avulsion of the damaged nail was curative and underlying new nails were revealed. We report here on two cases of retronychia that could be easily overlooked and such cases have not been previously reported in the Korean dermatologic literature. (Korean J Dermatol 2010;48(1):39∼42)
최준희 ( Joon Hee Choi ),전지승 ( Ji Sung Chun ),설정은 ( Jung Eun Seol ),황선욱 ( Seon Wook Hwang ),성호석 ( Ho Suck Sung ),이드보라 ( Deborah Lee ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.10
Eruptive vellus hair cyst (EVHC) is a benign epithelial tumor. Clinically, it usually presents as grouped or scattered yellowish to reddish-brown papules. It predominantly appears on the anterior part of the chest and extremities. Facial involvement is uncommon and 4 cases with facial involvement have been reported in the Korean dermatologic literature. However, involvement of the face coexistent with involvement of the trunk and extremities has never been reported in the Korean dermatologic literature. Herein, we report on a 10-year-old girl with multiple asymptomatic papules on her face, back and upper arms. To the best of our knowledge, this is the first report of EVHC that involves not only the face, but also the trunk and extremities in the Korean dermatologic literature. (Korean J Dermatol 2009;47(10):1154∼1157)
지루각화증과 유사한 양상으로 대퇴부에 발생한 Pinkus 섬유상피종 1예
이드보라 ( Deborah Lee ),전지승 ( Ji Sung Chun ),설정은 ( Jung Eun Seol ),최준희 ( Joon Hee Choi ),서종근 ( Jong Keun Seo ),황선욱 ( Seon Wook Hwang ),성호석 ( Ho Suk Sung ) 大韓皮膚科學會 2010 大韓皮膚科學會誌 Vol.48 No.1
Fibroepithelioma of Pinkus (FEP) is an uncommon variant of basal cell carcinoma and this typically appears as single or multiple nodular lesions on the lower back of the elderly. We report here on a case of a 59-year-old woman who presented with an asymptomatic erythematous sessile plaque on the lateral side of her right thigh, and she`d had this lesion for 8 years. Histologic examination showed anastomosing strands of basaloid cells extending from the overlying epidermis into the dermis. The tumor cells with large, oval nuclei and relatively little cytoplasms were grouped in a palisade pattern at the periphery of the tumor mass. The tumor was completely excised with a clear resection margin. The patient showed no recurrence for 10 months. For an elderly patient with a long-standing nodule found anywhere on the body, performing a skin biopsy should be considered to exclude malignancy, including FEP. (Korean J Dermatol 2010;48(1):69∼71)
신장이식 환자에서 발생한 피부 침범을 보인 침습성 아스페르길루스증 1예
서종근 ( Jong Keun Seo ),전지승 ( Ji Sung Chun ),설정은 ( Jung Eun Seol ),최준희 ( Joon Hee Choi ),황선욱 ( Seon Wook Hwang ),성호석 ( Ho Suck Sung ),이드보라 ( Deborah Lee ) 大韓皮膚科學會 2009 大韓皮膚科學會誌 Vol.47 No.10
Aspergillosis is the second most common opportunistic fungal infection in immunocompromised patients yet skin involvement very rarely occurs. Herein, we report on a 22-year-old female renal transplant recipient who presented with multiple subcutaneous nodules. The biopsy and the culture of her cutaneous lesions confirm the diagnosis of invasive aspergillosis with skin involvement. Invasive aspergillosis should be included in differential diagnosis of immunocompromised patient with multiple subcutaneous nodules. (Korean J Dermatol 2009;47(10):1190∼1192)
심현수 ( Hyun Soo Sim ),설정은 ( Jung Eun Seol ),전지승 ( Ji Sung Chun ),최준희 ( Jun Hee Choi ),서종근 ( Jong Keun Seo ),이드보라 ( Deborah Lee ),성호석 ( Ho Suk Sung ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.12
A 68-year-old woman presented with erythematous indurated plaques on both her eyebrows. The skin lesions appeared 3 months after she was tattooed on both eyebrows. On histopathologic examination, a granulomatous infiltration was observed in the dermis with no evidence of any fungal, mycobacterial organisms. She was treated with intralesional injection of triamcinolon acetonide, but there was no improvement. After she started to take allopurinol for 5 months, the skin lesion improved without side effects. To the best of our knowledge, this is the first case of foreign body granuloma that was successfully treated with allopurinol in the Korean dermatologic literature. (Korean J Dermatol 2010;48(12):1108∼1110)
서종근 ( Jong Keun Seo ),정소영 ( So Young Jung ),전지승 ( Ji Sung Chun ),심현수 ( Hyun Soo Sim ),이드보라 ( Deborah Lee ),성호석 ( Ho Suck Sung ) 대한피부과학회 2010 大韓皮膚科學會誌 Vol.48 No.12
Tufted angioma is a rare, slow-growing, benign, vascular tumor that usually occurs in children. It appeared as an erythematous to red-brown, indurated papule on the trunk or neck. Histopathologic examination shows multiple capillary lobules in a cannon ball appearance scattered throughout the dermis. We present here a 32-year-old woman with multiple annular lesions on her right thigh, which started as red papules and they progressed with annular extension and central regression for 3 years. The histopathologic findings were compatible with tufted angioma. The lesions were treated with 3 sessions of sclerotherapy. We report here on an unusual tufted angioma that occurred as multiple lesions which showed annular extension with central regression. (Korean J Dermatol 2010;48(12):1121∼1124)
이드보라 ( De Bo Rah Lee ),홍순권 ( Soon Kwon Hong ),전지승 ( Ji Sung Chun ),최준희 ( Jun Hee Choi ),성호석 ( Ho Suk Sung ),황선욱 ( Seon Wook Hwang ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.4
Benign symmetric lipomatosis is a very rare disease that`s characterized by a symmetric accumulation of excessive amounts of adipocytes. The lesions are located mainly on the neck, trunk and proximal extremities. Although its etiology is unknown, it has been described to be associated with a heavy alcohol intake. A 51-year-old woman presented with a two year history of ill-defined soft masses on both mandibular areas. We made the diagnosis of benign symmetric lipomatosis according to the histopathologic examination. As a difference from other reports of benign symmetric lipomatosis, our patient was non-drinker for her past history. We present here a case of benign symmetric lipomatosis at an unusual predilection site and this developed in a non-drinker. (Korean J Dermatol 2009;47(4):456~458)