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국제진료소을 통해 내원한 외국인 환자에서의 피부질환의 역학 및 병리조직학적 고찰
김수홍 ( Kim Su Hong ),김원석 ( Kim Won Seog ),이일수 ( Lee Il Su ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.10
N/A Background : Recently, foreigners among outpatients in dermatologic clinics are increasing as foreigners staying in Korea are increasing. Objective : The purpose of this study was to investigate the epidemiologic and histopathologic characteristics of skin diseases in foreign patients. Methods : Total 277 foreign patients had undergone skin biopsies among patients visiting through international health services, Samsung medical center during 7-year period between January, 1996 and December, 2002. Their clinical data and histopathologic findings were reviewed. Results : 1. The number of skin biopsies taken from foreign patients was 429(4.6%) among total 8779 skin biopsies during 7 years. It showed a tendency to increase with time. 2. The mean age of patients was 42.3 years and the ratio of men to women was about 2:1. Distribution of nationality showed most of the patients came from North America(47.7%) and Europe(22.0%). Patients from USA were most common(41.5%) 3. The distributions of dermatoses were common melanocytic nevi(24.2%), sebonheic keratoses(11.4%), actinic keratoses(8.4%), dysplastic nevi(6.8%), and epidermal or pilar cysts(5.1%). Total 266 cases(62%) were the dermatoses which could be clinically manifested as pigmented lesions. 4. The numbers of cutaneous premalignant lesions and malignant tumors were 20(4.7%) and 68(15.9%), respectively. Conclusion : This study showed epidemiologic and histopathologic characteristics of the skin diseases of foreign patients staying in Korea. In comparison with Korean patients, it seems that foreign patients concern themselves much more about skin cancers and want their pigmented skin lesions to be examined. Dermatologists should consider performing skin biopsies in foreign patients who presented pigmented skin lesions.(Korean J Dermatol 2003;41(10) : 1297~1303)