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)

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)

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)

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.

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]

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.

Trichophyton tonsurans에 의한 두부 독창 3예

최성관,이영헌,오수희,김성화,방용준,서순봉 대한의진균학회 1998 대한의진균학회지 Vol.3 No.2

We report three cases of kerion celsi caused by Trichophyton tonsurans in 16-year-old students of one high school wrestling team. The first case presented a 10×15cm and several 3~4cm sized, markedly inflammatory, boggy lesions on the scalp for 5 months. Other cases showed several 2~4cm sized, erythematous, follicular pustules and nodules with partial alopecia on the scalp for 2months. Histopathology and results of mycologic study were consistent with kerion celsi due to Trichophyton tonsurans. All lesions were successfully treated with griseofulvin 500mg daily for 7~15weeks and short term therapy of low dose of prednisolone and cephadroxil.