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윤준혁,김도원,전재복,정상립 慶北大學校 醫科大學 1995 慶北醫大誌 Vol.36 No.1
목적 : 전풍(Tinea versicolor)은 특히 여름철에 흔한 피부에 표재성 진균 감염증으로 Malassezia furfur에 의해 발생한다^3,5,18). 본 증은 피지선의 활동이 왕성해지는 사춘기 이후 호지성(好脂性) 진균에 의해 지루부위에 호발하기 때문에 피부 표면 지질의 조성이 정상인과 차이가 있을 것으로 생각할 수 있으나, 그 변화는 대체로 없거나 뚜렷하지 않은 것으로 알려져 있으며^6,16) 최근에는 이에 대한 자세한 보고가 없다. 저자들은 여름철에 호발연령군 전풍환자의 호발부위에서 피부 표면 지질을 채취, 분석하여 그 조성 성분을 동일 조건의 정상인과 비교해봄으로써 본 중과 피부 표면 지질조성의 관계를 규명해보고자 본 연구를 시행하였다. 대상 및 방법 : 1993년 6월과 7월에 경북대학교병원 피부과와 칠곡 가톨릭피부과의원을 방문한 전풍환자 중 청년 20명과 정상인 청년 20명에서 Downing 등의 ring/cup 법을 이용하여 피부 표면지질을 채취한 다음 thin layer chromatography(TLC)와 Photodensitometer로 그 조성 성분을 분석하고 정상인과 비교하였다. 결과 : 1) 전풍환자의 피부 표면 지질 조성은 squalene이 21.3±2.3%로 가장 많았으며, cholesterol esters 24.3±2.6%, triglycerides 12.9±4.0%. free fatty aceds 11.7±3.1%, cholesterol 13.0±2.2%, sphingolipids 9.6±2.2%, cholesterol sulfate 1.6±0.8%이었다. 2) 정상인의 피부 표면 지질 조성은 squalene 21.4±4.1%, cholesterol esters 25.2±3.0%, triglycerides 11.3±3.7%, free fatty acids 14.9±3.7% , cholesterol 11.6±1.8%, sphingolipids 8.4±3.9%, cholesterol sulfate 1.7±1.0%이었다. 3) 전풍환자가 정상인에 비해 free fatty acids는 유의하게 낮게(P<0.01), cholesterol은 유의하게 높게(P<0.05) 나타났으며, 나머지 지질성분은 유의한 차이가 없었다. 결론 : 전풍 환자의 피부 표면 지질 조성은 정상인과 큰 차이는 없으나 free fatty acids와 cholesterol은 차이를 보이므로 앞으로 지방산의 성분 분석을 포함한 자세한 연구가 필요하리라 사료된다. To investigate the importance of skin surface lipids in the pathogenesis of tinea versicolor, the compositions of skin surface lipids were analyzed by thin layer chromatography(TLC). Skin surface lipids were extracted from the back of patients with tinea versicolor and normal controls by the ring method using organic solvents(Acetone:Ether=1:1, v/v), TLC was. performed and lipids composition were quantitated by photodensitometer. In the compositions of skin surface lipids in patients with tinea versicolor, free fatty acids were lower(P<0.01) and cholesterol was higher(P<0.05) than those of normal controls respectively. However, other compositions of skin surface lipids including squalene, cholesterol esters, triglyce-rides, sphingolipids and cholesterol were not significantly different in both group. Low free fatty acids in this study may reflects the proliferation of yeast forms of Pityrosporum orbiculare therefore, further investigations will be needed.
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개선 (疥癬) 에 있어서 직접면역형광법 (直接免疫螢光法) 의 관찰
정상립(Sang Lip Chung),오수희(Su Hee Oh) 대한피부과학회 1984 大韓皮膚科學會誌 Vol.22 No.4
There are many reports about the deposition of immunoglobulins and complement by direct immunofluorescence(DIF) in the lesion of scabies. The authors investigated the immunoglobulins and C, for the purpose of studying the immunologic reactivity of the host to scabies mites by DIF. The results are summerized as follows: Total number of the cases investigated were 20 (18 males, 2 females), of whom 11 were in their third decade of age. The clinical forms of the tested lesions were papular type (7 cases), nodular type (12 cases), and Norwegian type (1 case). The durations of the patients were mostly within 2 months, but was 9 months in 1 case of nodular type, Deposition of immunoglobulin and C, was demonstrated by DIF in 10 of 12 cases (83. 3%) of nodular type, and 1 of 7 cases (14. 3%) of papular type. The Norwegian type showed negative results. There seemed to be no relation between the duration of scabies and positive rates. Of 20 cases tested, immunoglobulin and C, were deposited in the vascular wall in 11 lesions (55%), and at the dermoepidermal junction in 3 lesions (15%). While in 1 of 7 cases of papular type both IgM and C, were observed, IgM and C, were noted in 7 and 9, respectively, in 12 cases of nodular type.
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정상립,정문화,김재복 대한피부과학회 1973 大韓皮膚科學會誌 Vol.11 No.2
Angiosarcoma is rare disease not only in Korea but throughout the world; it is all the more so on the skin. We made an observation on a case of angiosarcoma on the scalp of a 57 year-old man. Noteworthy in this case are: (1) the patient was suffered from a head trauma 6 years prior to onset of the disease, (2) the progress of the disease showed an extreme rapidity accompanied by severe headache intolerable by any medication, (3) no effect was resulted from X-ray irradiation, and (4) the patient survived for 7 months with the disease.
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정상립 대한피부과학회 1980 大韓皮膚科學會誌 Vol.18 No.5
Author investigated the deposition of immunoglobulins and complements in thc skin of 56 patients with 19 various dermatoses by direct immunofluorescent (DIF) staining. The biopsied specimens were quick-frozen(by dry ice-acetone) and stained with FITC conjugated antihuman immunoglobulin and complement after cutting in a cryostat at -20℃~30℃. The summary of results are as follows: 1) 11 of 14 patients(78.6%) with SLE demonstrated a deposition of IgM(9 cases), IgG(6), IgA(6) and complement(5) at DEJ as granular pattern and 4 of 5 patients(80%) with DLE had IgM(4) and IgA(1) at DEJ as aggregated pattern. 2) 4 of 5 patients(80%) with pemphigus vulgaris demonstrted IgG(3) and complement(2) in ICS, 2 of 5 patients with dermatitis herpetiformis had only IgA at DEJ as granular pattern and 1 of 2 with erythema multiforme IgM at DEJ. 3) In dermal blood vessel, 1 of 3 patitents with morphea demostrated IgM, 2 of 3 with drug eruption had IgM(1) and complement (1) and 2 of 3 with livedo reticularis had IgM (2), IgA (1) and complement(1). 4) In various vasculitis, 1 of 3 patients with Mucha-Habermann(IgM) and anaphylactoid purpura(IgA) and 1 patient each with Wegener granulomatosis and periarteritis nodosa demonstrated IgA in dermal blood vessel. 5) In the skin of 8 patients with herpes simplex, impetigo herpetiformis, Hailey-Hailey disease, Kimura's diseases, amyloidosis, pernio, and erythema nodosum, deposition of immunoglobulin and complement were not detected.
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