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Surgical instruments, suture and dressing materials
박건 ( Kun Park ) 대한피부과학회 2017 대한피부과학회 학술발표대회집 Vol.69 No.1
Basic surgical instruments For performing simple surgical procedures, we need scalpel, forceps, and sutures. Needle drivers (needle holders) A Mayo-Hegar needle holder is basic type, similar to hemostat. Castroviejo needle driver is an excellent for wound closure. Skin staplers The advantages of staplers are including, 1) less tissue reaction 2) accelerated wound healing 3) efficiency and 4) less anesthesia and operating roon time. Sutures The suture describes any material used to approximate tissue edges together or ligate blood vessels. · a stick tie. suture attached to a needle · a free tie single strand of suture handed to the surgeon Classifications of suture · suture strands monofilament less drag or resistance than multifilament resists infection multifilament greater tensile strength, pliability, and flexibility of the suture · absorbable and nonabsorbable suture material
Terbinafine에 의해 발생한 급성 전신 발진성 고름물집증
박상현 ( Sang Hyun Park ),채진경 ( Jin Kyung Chae ),권선용 ( Sun Yong Kwon ),박건 ( Kun Park ),박석돈 ( Seok Don Park ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.2
A 12-year-old girl visited our clinic with pruritic non-follicular pustules on reddish bases and scales on her face, trunk, and proximal extremities. She complained of fever and chills. Before she was admitted to our clinic, she had been treated with terbinafine (125 mg/day) for tinea corporis. Three days after beginning the terbinafine treatment, whitish pustules on erythematous bases occurred abruptly in the intertriginous areas. A physical examination showed that the girl’s body temperature was 38oC. Laboratory investigations revealed neutrophil-dominant leukocytosis. A skin biopsy specimen taken from a pustular lesion on the trunk revealed subcorneal pustules. The papillary dermis was edematous, and a superficial perivascular lymphocytic infiltrate with scattered interstitial neutrophils was noted. She was diagnosed as having acute generalized exanthematous pustulosis because of terbinafine use on the basis of her history, and clinical and histopathological findings. Her terbinafine treatment was discontinued promptly, and systemic corticosteroids and antihistamines were administered and topical corticosteroids were applied. Three days later, the skin lesions and constitutional symptoms had improved and there has been no recurrence to date. (Korean J Dermatol 2015;53(2):152∼156)
OK-432 경화요법으로 효과적으로 치료한 다발성 피지낭종
박세영 ( Se Young Park ),남현민 ( Hyun Min Nam ),박건 ( Kun Park ),박석돈 ( Seok Don Park ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.6
Steatocystoma multiplex is a hamartomatous malformation of the pilosebaceous junction and this manifests as multiple, asymptomatic, yellowish or skin-colored cystic papules and nodules located most commonly on the upper anterior portion of the trunk, upper arms and axillae. Various treatment methods such as radical excision, simple surgery, CO2 laser, cryotherapy, needle aspiration and oral retinoids have been reported, but there is currently no standard treatment. OK-432 is a biological preparation consisting of lyophilized powder containing Streptococcus pyogenes Su strain cells (group A, type3) that were treated with benzylpenicillin potassium. This has been used for sclerotherapy in patients with lymphangioma. We herein report on a case of 36-year-old female with steatocystoma multiplex on the trunk and axillary area. She was successfully treated with intralesional infusion of OK-432 after aspiration of the oily contents without recurrence or any complications such as scarring, atrophy and skin necrosis. We suggest that this sclerotherapy is a cosmetically acceptable treatment option for the multiple lesions of steatocystoma multiplex. (Korean J Dermatol 2010;48(6):529∼532)
전지대 현상(Prozone Phenomenon)을 보인 굴껍질모양 2기 매독
박세영 ( Se Young Park ),박건 ( Kun Park ),박석돈 ( Seok Don Park ) 대한피부과학회 2011 大韓皮膚科學會誌 Vol.49 No.6
Rupioid syphilid is a type of pustular syphilis which accounts for <2% of cases of secondary syphilis. In pustular syphilis, pustules undergo central necrosis giving rise to "limpet-like" crusts resembling an "oyster shell." When the clinical findings are atypical, a diagnosis is made based on serologic testing. The prozone phenomenon occurs in <1% of patients with primary or secondary syphilis. This is a false negative reaction that occurs when very high antibodies in the serum prevent the formation of the antibody-antigen lattice needed to visualize a flocculation reaction. We report a case of rupioid syphilid in a pregnant woman accompanied by the prozone phenomenon. An accurate diagnosis was delayed because of atypical clinical findings and false-negative serologic results. (Korean J Dermatol 2011;49(6):557∼560)
표재성 지방흡입술을 이용한 액취증 수술의 치료 효과에 대한 연구
이홍선 ( Hong Sun Lee ),박건 ( Kun Park ),손숙자 ( Sook Ja Son ),김성언 ( Seong Eon Kim ) 대한피부과학회 2007 大韓皮膚科學會誌 Vol.45 No.8
Background: Axillary osmidrosis is characterized by unpleasant odor, profuse sweating and occasionally staining of clothes. Classical surgical treatment of axillary osmidrosis may result in many complications, such as scarring, hematoma and necrosis. Objective: The purpose of this study is to evaluate the effect of superficial liposuction in the treatment of axillary osmidrosis. Methods: Through two 5 mm sized incisional windows, liposuction can be done in a two directional criss-cross pattern. Fifteen patients received this surgery for bilateral axillae on an outpatient basis. The follow-up period ranged from 8 months to 18 months, the mean follow-up period was 12.5 months. Results: Of the 30 axillae, 28 axillae (93%) had excellent to good results. The axillary scars were short and nearly negligible (90%). Complications including one minor wound infection (3.3%) and one hematoma (3.3%), were improved with proper post-operative treatment. Four patients experienced transient fibrotic bands. All of these complications disappeared after 1∼2 months. Conclusion: In axillary osmidrosis, superficial liposuction has the merits of high success rates, short scars, minimal postoperative care with a short term of compressive dressing and rapid recovery to normal life. (Korean J Dermatol 2007;45(8):785∼790)
문형식 ( Hyung Sik Moon ),박건 ( Kun Park ),손숙자 ( Sook Ja Son ),이원미 ( Won Mi Lee ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.3
Hypopigmented mycosis fungoides is a variant of mycosis fungoides. It occurs commonly in younger people and affects those with dark skin. This condition is easily misdiagnosed as vitiligo, postinflammatory hypopigmentation due to its non-specific clinical manifestation. We report a case of hypopigmented mycosis fungoides on both thighs and buttocks in a 44-year-male patient. Histopathologic findings showed Pautrier microabscesses and epidermotropism of atypical lymphocytes in the epidermis. CD8 immunohistochemical staining was positive. After narrow band UVB therapy, the lesions were completely repigmented. There was no evidence of recurrence of lesions after 5 months. (Korean J Dermatol 2008;46(3):362∼364)
김도현 ( Do Hyeon Kim ),박건 ( Kun Park ) 대한피부과학회 2018 대한피부과학회지 Vol.56 No.10
Background: Scabies is a contagious skin infestation primarily observed in poor or overcrowded environments. However, an individual may be affected regardless of hygiene and/or socioeconomic status, and/or age. Objective: To investigate the characteristics and epidemiology of scabies in patients visiting a single tertiary hospital in Jeonbuk province. Methods: We retrospectively reviewed the medical records of 194 patients with scabies who visited the Dermatology clinic at Wonkwang University Hospital between June 2015 and May 2018. Results: Of the 194 patients investigated, 82 (42.3%) were men and 112 (57.7%) were women. The mean age of men was 46.3 years and that of women was 60.1 years. Scabies was diagnosed in patients most commonly in autumn. The most common symptom of scabies was the occurrence of papules (83.5%) followed by the presence of burrows (23.2%). The most common route of infection was a nursing hospital (26.3%), except unknown (29.4%). Medications used to treat scabies included 5% permethrin cream, 10% crotamiton ointment, and 1% gamma benzene hexachloride lotion. The mean duration of treatment was 33.9 days using 5% permethrin cream, 34.8 days using 10% crotamiton ointment, and 34.6 days using 1% gamma benzene hexachloride lotion. Conclusion: This study could help in the prevention and management of scabies, by guiding clinicians in choosing optimal therapeutic agents based on patients’ condition. (Korean J Dermatol 2018;56(10):614∼619)