최근 일반 건강인에 대한 매독 혈청검사 성적에 대한 통계적 관찰 ( 1981 ~ 1984 ) - 해외 이민 신체검사자에서의 성적 -

김덕하(Duck Ha Kim),정수화(Soo Wha Joung),박중헌(Joong Hun Park) 대한피부과학회 1986 大韓皮膚科學會誌 Vol.24 No.2

Serologic tests for syphilis including VDRL and TPHA tests were carried out in 5,413 VISA applicants for emigration, from January, 1981 to December, l984 The results are summarized as follows: 1. In 5,413 VISA applicants, the reactive rate of VDRL test was 2,0% totally. The reactive rate of VDRL test of male was 2. 6%, and that of female was 1. 6% 2. The reactive rate of 1983 was 1.4% and that was the lowest in annual incidence, but there was no statistically significant differences in comparing the annual incidences. 3. The reactive rate increased with age, and males above the 5 th decade revealed an especially high reactive rate. 4. The biologic false positive rate of VDRL teet was 16. 5%, in gl VDRL reactive persons, using TPHA as standard. 5. The quantitative test of VDRL showed low titer below 1: 4 in 88. 4%, and high titer above 1: 8 in 11. 6% of the applicants.

만성 태선양 비강진과 소판 유건선의 임상 및 병리조직학적 비교 관찰

김덕하(Duck Ha Kim),박노재(No Jae Park) 대한피부과학회 1991 大韓皮膚科學會誌 Vol.29 No.1

A clinicopathological study of 12 cases of pityriasis lichenoides chronica and 14 cases of small plaque parapsoriasis was performed. Patients with pityriasis lichenoides chranica ranged in age from 15 to 62 years (mean, 30 years) with male predominance. They had erythematous or reddish scaly papules occuring mostly on both trunk and extremities(92%). The lesions were about the size of r ice grains or small peas. Patients with small plaque parapsoriasis ranged in age from 8 to 67 years(mean, 33 years) and presented yellowish or erythematous scaly maculies and patches comrnonly involving the trunk and extremities(64%). The size of the lesions were larger than those of pityriasis lichenoides chronica. Histopatbologically, the distinct feature of pityriasis lichenoides chronica was vacuolar alteration at the dermoepidermal junction characterizing interface dermatitis. The microscopic findings of small plaque parapsoriasis were, although not as distinct as in pityriasis lichenoides chronica, those af either spongiotic dermatitis or superfirial peri vascula dermatitis. We conclude from this study that these two conditions have different clinical and histologic features and we propose that the term guttate parapsoriasis shauld not be used as a synonym of either pityriasis lichenoides rhronica or small plaque parapsoriasis. (Kor J Dermatol 29(1): 41 49, 1991)

Fournier ` s Gangrene

최일석,김덕하,한보현 ( Ill Seuk Choi,Duck Ha Kim,Bo Hyun Han ) 대한피부과학회 1988 대한피부과학회지 Vol.26 No.2

Fournier's gangrene is a fulminating gangrene of the male genitalia. It is associated with severe systemic toxic effect and a high motality rate, and it requires early diagnosis and intensive care with surgical intervention. We report a case of Fournier's gangrene in 33-year-old man, who showed marked swelling and necrosis of the scrotum, and extending cellulitis on the right flank and chest. With prompt excision of all the gangrenous scrotal skin and drainage incisions made on the flank and chest, the healing was successful.

피부형으로 사료되는 결절성 다발동맥염

이원우,황계영,김덕하,조경숙 ( Won Woo Lee,Kae Yong Hwang,Duck Ha Kim,Kyeong Sook Cho ) 대한피부과학회 1991 대한피부과학회지 Vol.29 No.4

A Case of Polyarteritis Nodosa, Possibly of Cutaneous Type Won Woo Lee, M.D., Kae Yong Hwnag, M.D., Duck Ha Kim, M.D., Kyeong Sook Cho, M.D.* Departments of Dermatology and Pediatrics*, Maryknoll Hospital Pusan, Korea Cutaneous polyarteritis nodosa, a distinct clinical entity, is a chronic and benign vascular disease in which cutaneous lesions are predominent with no visceral involvement. We report a case of polyarteritis nodosa, possibly of cutaneous type in a 9-year old boy who on the occasions presented with generalized tender cutaneous or subcutaneous nodules and livedo reticularis. Fever, chilling, and arthralgia were also present. Histopathologic examination of the nodular lesions showed panarteritis of small and medium-sized arteries at the dermal-subcutaneous junction with little evidence of panniculitis. The patient was treated with acetyl salicylate and prednisclone with a good clinical response. (Kor J Dermatol 29(4) : 557-561, 1991)

부산 지방의 백선증

김기홍(Ki Hong Kim),이천열(Chan Yeal Lee),김덕하(Duck Ha Kim) 대한피부과학회 1986 大韓皮膚科學會誌 Vol.24 No.2

This study aims to investigate the recent clinical and mycological trends of dermatophytoses in Pusan area. The number of patients with dermatophytoses diagnosed by KOH examination and culture at Maryknoll Hospital was 1, 213 during past 2 years from November 1982 to October 1984. The incidence rate of dermatopbytoses was 9. 8% out of 12,377 cases of out patients in total. Tinea pedis (33 .7%,) was the most frequent diagnosis, followed by tinea cruris, tinea unguium, tinea corporis, tinea faciale, tinea manus and tinea capitis, in the order of decreasing frequency. The majority of cases were found in the age group from 20 to 39 4, The over all ratio of male to female patients was ] 2: 1 5 The positive rate in KOH examination was 96. 2A, and it was especially low in the areas of scalp, face and toe webs. The positive culture rate was 55, 9g, and it was higher in the covered area than in the exposed area. 6 678 strains out of the 1, 213 patients were isolated and identified. The species isolated were, in the order of decreasing frequency, Trichophyton rubrum (558 strains, 82.3% of total organisms isolated), Tn'chophyton mentagrophytes (55,8, 1 Microsporum canis (48, 7. 1g) Epidermophyton floccosum (12, 1 8g) and Microsporum gypseum (5, 0. 7gp) Trichophyton rubrum was the major causative organism in all the types of dermatophytoses except tinea capitis and tinea faciale. In tinea capitis, Microsporum canis was the main causative organism, and Trichophyton ferrugineum was not isolated, at all, which was a specific point, compared with the past tendency. In tinea faciale, zoophilic organisms were mainly isolated.

제 (臍) 장간막관 (腸間膜管) 용종 (茸腫)

이천열(Chan Yeal Lee),김덕하(Duck Ha Kim),김기홍(Ki Hong Kim) 대한피부과학회 1984 대한피부과학회지 Vol.22 No.5

임부용(姙婦用) 속옷의 착용(着用) 실태(實態) 및 맞음새 선호(選好) 경향(傾向) 연구(硏究)

한승희 ( Seung Hee Han ),김덕하 ( Duck Ha Kim ),석혜정 ( Hye Jung Seok ) 한국패션비즈니스학회 2006 패션 비즈니스 Vol.10 No.4

This study analyzed the purchasing behavior for underwear, with the subjects of pregnant women, and the trend of its fit preference and thereby looks into the practices of their clothing life to provide the basic data for the formation of maternity clothing industry, focusing on the underwear development in response to pregnant women`s body type features. The conclusion were as follows: 1. The analysis of underwear wearing practices for the women in the pregnancy of eight months or longer and those after the delivery within one month showed that about 80-90% of them wore panties or brassieres and about 70% of them did not wear girdles, thus with a lower level for girdles than for panties or brassieres. 2. The surveys of the satisfaction and fit for two designs each with the high wearing frequency did not show any relatively significant difference in assessment by the design. The analysis of the satisfaction by the part with the maternity underwear indicated that in the case of panties the respondents were dissatisfied with the length as to be long, and also dissatisfied with waist circumference, abdomen circumference, private parts, and groin as to be small, reflecting that the circumference coverage of the panties in the market was not effectively managed.

만성 백선증에서의 피부 지연 면역반응 검사 성적

최일석(Ill Seuk Choi),김덕하(Duck Ha Kim) 대한피부과학회 1989 대한피부과학회지 Vol.27 No.1

For the establishment of the association of the chronic fungal infection with cell mediated immunity, delayed cutaneous hypersensitivity was measured for 96 patients with chronic dermatophytosis and 40 healthy adults by means of Multitest CMI. The patient group increased in rates of positivity to candida, trichophyton and diphtheria, but decreased in rates of positivity to proteus, streptococcus and tuherculin. The rate of positivity of the patient group in the antigen of trichophyton(14%) was shown as higher than that of the control group(8%). A big difference in the sum of diameters was shown between patients with nail infection(22.5+- 113mm for male, 16.3+8.93mm for female) and patients without nail infection(17.8+- 7.62rnm for male, 11.44.37mm for female). In conclusion, in the present study, the difference in the delayed cutaneous hypersensitivity between patient group and control group is not provided. Even though the possibility of defect of cell mediated immunity in chronic dermatophytosis is admitted, there are some doubts regarding the Multitest CMI being the adequate method ta check the state of cell mediated immunity of individuals who have trivial or partial defect in immunity.

Atrophoderma of Pasini and Pierini

윤철현(Chul Hyun Yoon),박성욱(Sung Uk Park),이원우(Won Woo Lee),김덕하(Duck Ha Kim) 대한피부과학회 1993 대한피부과학회지 Vol.31 No.1

We report a case of atrophoderma of Pasini and Pierini in which the characteristic soft atrophic patch with cliffdrop border developed on the neck and two well-demarcated indurated atrophic patches were on both shoulders. We took biopsies from centers and margins of each lesion. Histipathologic findings from atrophic center showed marked dermal atrophy comparing to that from margin of the lesion on the neck, but the atrophic center and margin of the lesion on the shoulder showed morphea-like features without, distinct differences between two. (Kor J Dermstol 1993; 31(1): 105-108)

선상 한공각화증과 파종상 표재성 광 한공각화증이 공존한 예

박중헌(Joong Hun Park),최일석(Ill Seuk Choi),정수화(Soo Wha Jung),김덕하(Duck Ha Kim) 대한피부과학회 1987 대한피부과학회지 Vol.25 No.1

The coexistence of the variants of porokeratosis is very rare. We report a case of coexistence of linear porokeratosis with disseminated superficial actinic porokeratosis (DSAP). A 43-year-old wornan first noticed a brownish papule on the left side of groin in early infancy. She developed multiple discrete or confluent keratotic plaques in linear fashion on the left lower extrernity and trunk in childhood. These leaions became pruritic in summer. Two years ago, she developed multiple scattered small annular lesions on the face and forearms. Her family history showed no abnormalities. Biopsy specimene from the groin and trunk showed eornoid lamella.