Trichophyton tonsurans에 의한 Black Dot Ringworm

서순봉 ( Soon Bong Suh ),김성화 ( Sung Wha Kim ),오수희 ( Soo Hee Oh ),최성관 ( Sung Koan Choi ),방용준 ( Young Jun Bang ) 대한피부과학회 1998 대한피부과학회지 Vol.36 No.5

Trichophyton tonsurans is a major causative agent of tinea capitis in the United States, Canada, Mezico and other Latin American countries, but the infection of T.tonsurans has not been reported in Korea. We report a case of tinea capitis caused by T. tonsurans in a 15-year-old student wrestler. He had a 3*3cm sized non-inflammatory alopecia with black dots on the right occipital area of the scalp. The diagnosis was established by a hght microscopic examination of the affected hairs and by mycological studies from cultures. To our knowledge, this is the first case in which T. tonsurans has been isolated in Korea, It is likely that the student acquired the infection through contact with a foreign wrestler during interaational games and practice. We should be concerned about the potential of spread of this infection in our country. (Korean J Dermatol 1998;36(5): 918-923)

완선환자 의복내의 원인균 오염상태

오수희,서순봉,김성화,전재복 ( Su Hee Oh,Soon Bong Suh,Sung Hwa Kim,Jae Bok Jun ) 대한피부과학회 1991 대한피부과학회지 Vol.29 No.5

N/A Contamination of Dermatophytes in the clothes of Patients with Tinea Cruris Su Hee Oh, M.D., Soon Bong Suh, M.D., Sung Hwa Kim, M.D., Jae Bok Jun, M.D.* Catholic Skin Disease Clinic, Taegu, Korea Department of Dermatology, Kyungpook National University School of Medicine*, Taegu, Korea Isolation of causative agents from clothes of patients with tinea cruris was carried out for 126 tinea cruris patients with Sabouradu’s cycloheximide-chlorampenicol agar petri dish. One hundred and thirteen strains were cultured from the panties.; They were Trichophyton rubrum in 108 strains and Epidermophyton floccosum in 5 strains. Seventy seven panties were contaminated over a moderate degree. The panties of patients infected by E. floccosum were more contaminated than by T.rubrum. The panties of females infected by T. rubrum were more contaminated than ones males. Briefs were more contaminated than boxer shorts. The panties worn for a longer period were more contaminated, but tests for causative agents were negative within two weeks following regular treatmen. Causative agents were isolated in 70.0~85.0% of the patients from the parts of the abdomen, thigh and lower leg of the patients’trousers, but the degree of contamination was much lower than that of patients’s panties. (Kor J Dermatol 9(5) : 610-615, 1991)

최근 11년간 대구지방의 성인 두부백선

오수희(Su Hee Oh),김성화(Sung Hwa Kim),서순봉(Soon Bong Suh) 대한피부과학회 1989 대한피부과학회지 Vol.27 No.6

Epiderniologic description of the tinea capitis of adults was made for the cases detected in Taegu city for 11 years from January 1978 to December 1988. 1. Totalnumber of adult patients(20 years or older) were 41(2.0%) out of 2,029 cases of all tiena capitis. Among 41 patients, 34 cases were detected between 1983 and 1988. 2. Clinically 24 patients were superficial tinea capitis and 17 patients were kerion celsi. 3. Age of the patients ranged from 21 to 85 years with an average of 58.5 years and mode interval of 61-70 years. Patients over 50 years of age accounted for 70.7% of all csses. 4. Sex distribution of the cases was 39 females(95.1%) and 2 males(4.9%). 5. Causative agents isolated from the patients were Microsporum canis in 36 cases, Trichophyton verrucosum in 2 cases, T. mentagrophytes, T. ferrugineum and T. rubrum in 1 case, respectively. 6. Solitary lesion was most common and alopecia was not prominent in most of the cases. The most frequent site of involvement was frontal and posterior scalp. At initial exarnination, 5 cases were misdiagnosed as seborreic dermatitis and 1 case as multiple folliculitis. 7. Sources of infection were presurned to be cat in ll cases, cattle in 2 cases and the rests were unidentified. Interfarnilial infection was observed in 5 cases.

소아 족부 및 수부백선에 관한 고찰

서무규(Moo Kyu Suh),성열오(Yeol Oh Sung),오수희(Soo Hee Oh),김성화(Sung Hwa Kim),최성관(Sung Kwan Choi),서순봉(Soon Bong Suh) 대한피부과학회 1993 大韓皮膚科學會誌 Vol.31 No.5

Background : Because of concern about the infrequent occurre icc of tinea pedis & tinea manus, we studied the incidence of them. Objective : The purpose of the study was to investigate clinical and mycological features of tinea pedis & tinea manus. Methods . We reviewed outpatients with tinea pedis & tinea minus at the Catholic Skin Disease Clinic from 1976 to 1991. Results : The incidence was 0.08% out of 1,106,246 outpatients in tinea pedis, 0.02% in tinea manus. Interdigital lesions were the most common in tinea pedis. The ratio of male to female patients was 1.46: 1 in tinea pedis, 1.34:1 in tinea manus. The seasonaI pevalance was highest in summer. The species isolated were, in order of decreasing frequency, Trihohyton(T.) rubrum(89.9%), T. mentagrophytes(8.5%), Microgorum(M.) canis (1.6%) in tinea pedis, T. rubrum(77.8%), T. mentagrophytes(18.2%), M. Canis(2.0%), Epidermophyton(E.) floccosam(2.0% in tinea manus. Conclusion : We find that, the incidence of tinea pedis has been inc easing in recent years. (Kor J Dermatol 1993;31(5):713-720)

Drechslera dematioidea에 의한 Primary Subcutaneous Phaeohyphomycosis

오수희 ( Kosuke Takatori ),서순봉 ( Soo Hee Oh ),김성화 ( Soon Bong Suh ),최성관 ( Sung Hwa Kim ),이헌준 ( Sung Kwan Choi ),( Hun Jun Lee ) 대한피부과학회 1996 대한피부과학회지 Vol.34 No.3

Phaeohyphomycosis refers to subcutaneous and systemic fungal infections characterized by dematiacious septate mycerial elements in tissue, We are discribing the first report of subcutaneous phaeohyphomycosis by Drechslera dematioidea in a 9-year-old boy who presented a slow-growing 4 * 5.5cm erythematous plaque with somewhat verrucous and eczematous lesion on the dorsal aspect of his right foot after receiving a burn by boiling liquid at 2 years of age. Biopsy of the lesion revealed granulomatous inflammation, brownish spores in chain and planate-deviding sclerotic bodies in the epidermis and upper dermis. Findings by microscopic examination and consecutive cultures of scales and biopsy specimen were consistent with Drechslera dematioidea. The lesion was successfully treated with itraconazole. (Kor J Dermetol 1996;34(3): 489-494)

소아에서 발생한 장기 융기성 홍반

최성관(Sung Koan Choi),정상립(Sang Lip Chung),김성화(Sung Hwa Kim),서순봉(Soon Bong Suh) 대한피부과학회 1989 대한피부과학회지 Vol.27 No.1

We report a case of erythema elevatum ditinum in a 6-year-old girl. Th symmetrically distributed skin lesions consisted of elevated purplish annular plaques and nodules on the elbows, knees, ankles and buttocks, and some of the lesions showed vesicles, hemorrhagic crusts, and necroses. Biopsy specimens from the knee and ankle revealed typical leukocytoclastic vasculitis. Ve performed a Multites CMI, a test for delayed r.utaneous hypersensitivity, in which the patient showed positive reaction to streptococcal antigen(Lancefield group C). We tried oral prednisolone and dapsone seperately and could see a remarkable response to both drugs.

Amphotericin B 크림 밀봉요법으로 치유된 색소분아진균증 1예

김성화,오수희,최성관,이영헌,윤준혁,방용준,서순봉 대한의진균학회 2000 대한의진균학회지 Vol.5 No.3

We report a case of chromoblastomycosis in a 65 year-old woman. She had a 3×4 cm sized, annular, erythematous, plaque with crusts and ulcers on the right lower arm. The lesion had grown slowly for 2 years. In fungal and histopathologic examinations, several muriform cells were found in dermis as well as in scales and crusts on the lesional skin surface. Isolated fungus was identified as Fonsecaea pedrosoi. We treated the patient occlusive dressing of amphotericin B (3%) ointment for 8 weeks and achieved a good response without any evidence of recurrence. We propose that the occlusive dressing therapy of amphotericin B cream is a good modality among the various treatments of small localized chromoblastomycosis. [Kor J Med Mycol 5(3): 144-149]

Trichophyton verrucosum에 의한 수발 백선 3예 : Report of 3 Cases

김성화,오수희,최성관,전재복,서순봉 대한의진균학회 1997 대한의진균학회지 Vol.2 No.1

Although there has been recently noted a nation-wide spread of Trichophyton verrucosum infection in cattle associated with promoted stock raising and dairy farming, there were no case reports in Korean dermatologic literature describing the characteristic clinical features of tinea barbae caused by that particular fungus. We report 3 cases of tinea barbae due to T. verrucosum that developed in male stock farmers breeding cattle. One patient aged 37, experienced acutely inflamed boggy tumors on the chin and sub-mandible. The others aged 43 and 46 experienced inflammatory lesions with multiple follicular pustules, crusts and loss of hairs on their upper lips. They were successfully treated with oral griseofulvin and local antifungal ointment combined with short-term oral antibiotics or corticosteroid for about one month.

원내감염을 일으킨 Norwegian Scabies 1예

김성화,서순봉,서기석,오수희 대한피부과학회 1982 大韓皮膚科學會誌 Vol.20 No.6

We reported a case of Norwegian scabies in 14-year-old male with sepsis, pneumonia, pyopneumothorax and auto immune hemolytic anemia which subsequently became a source of ward epidemic of classical scabies, totalling 25 cases including physicians, nurses, other patients in the same ward and their families. The organisms of scabies on the KOH examination began to decrease 3-5 days after treatment, but they were detccted on the nail, elbow and fingerweb 19 days after treatment.

최근 10년간 Microsporum canis의 감염 상태(1983-1992)

최성관,오수희,김성화,서순봉 대한의진균학회 1996 대한의진균학회지 Vol.1 No.1

ackground: Microsporum(M) canis infection was first discovered in 1957 in Korea, but it did not spread and disappeared after 1960. It was discovered again in 1975, and rapidly spread all over the country. In the 1980's, M. canis became one of the most important dermatophytes that infected humans. Objective: The purpose of this study is to evaluate the clinical and epidemiological characteristics of M. canis infections. Methods: We observed the clinical and epidemiological status in 2,256 cases of M. canis infections that were mycologically diagnosed at the Catholic Skin Disease Clinic from 1983 to 1992. Results: The rate of M. canis infections compared to total dermatophytoses(25,907 patients) was 8.7%. The annual number of patients with M. canis infection increased gradually from 1983 and was highest frequency in 1986. Then the number of patients with M. canis infection was markedly decreased till 1992. The ratio of male to female patients was 0.85: 1(male:1,039,female:1,217), but the ratio in children (age≤ 15) was 1.02: 1 and in adults(age≥16) was 0.33: 1. Children were chiefly involved as 82.6% of the patients. There were more patients in winter(35.3%)and followed by fall, summer and spring. M. canis infections were mostly composed of tinea(T.) capitis(64.2%), T.faciale(17.7%) and T. corporis(14.6%). In the seasonal distribution of M. canis infections, T. capitis was the most common in winter(38.8%) and was the lowest in summer(15.4%),but T. corporis was the most common in summer(42%). There was a difference in disease pattern between children and adults in M. canis infections; In children, M. canis infections were T. capitis(73.6%), T. faciale(16.3%), T. corporis(9%), but in adults, those were T. corporis(41.3%), T. faciale(24.5%), T, capitis(19.4%) in the order of decreasing frequency. Conclusion: We observed a gradual decrease in number of patient with M. canis infection after 1986. We suggest that M. canis infections would decrease more and more in the future in Korea.