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조갑 감입증의 치료법과 중증도에 따른 치료 성공률 비교
소병준 ( Byoung Joon So ),김일환 ( Il Hwan Kim ) 대한피부과학회 2014 대한피부과학회지 Vol.52 No.8
Background: An ingrown nail is a common condition of inflammation and infection that can occur when nails are clipped too much or pressure is applied by tight shoes. In Korea, a study on the success of tube insertion after nail guttering has been reported, but studies including other treatments are lacking. Objective: To evaluate the success rates of three treatments for ingrown nails: 1) nail splinting via a flexible tube; 2) partial nail extraction and electrocautery; or 3) partial nail extraction and phenol cauterization. Methods: Fifty-one patients who underwent nail splinting via a flexible tube or partial nail extraction followed by either electrocautery or phenol cauterization of the nail matrix over a 6-year period at our hospital were evaluated for treatment outcome. The disease severity was classified using the Heifetz grading scale. We evaluated the success rates of the various treatments according to reduced disease severity. Treatment failure was defined as persistence or re-occurrence of disease symptoms. Results: 1. Out of 51 cases of ingrown nails, 31 (60%) showed no recurrence after treatment. 2. There were conflicting results between the severity grade and success rate. 3. Treatment via partial nail extraction and either electrocautery or phenol cauterization was more effective (success rates of 63% and 60%, respectively) than nail splinting via a flexible tube (56% success rate). However, the results were not statistically significant. Conclusion: Selecting the proper therapeutic method is important for successful treatment of an ingrown nail. (Korean J Dermatol 2014;52(8):554∼558)
접촉 피부염 환자에서 모메타손 크림의 피부 장벽 기능에 미치는 영향에 대한 평가
소병준 ( Byoung Joon So ),박재범 ( Jae Beom Park ),천승현 ( Seung Hyun Chun ),손상욱 ( Sang Wook Son ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.5
Background: It is unclear how the usage of topical steroid agents affects skin barrier function. Objective: In order to follow up on previous research into this topic, we sought to investigate the effects of a 3-week application of topical mometasone cream on the alteration of skin barrier function. Methods: Twenty-six patients who had been clinically diagnosed with allergic contact dermatitis were enrolled. Topical mometasone cream was applied to the skin lesions. Clinical symptoms, transepidermal water loss (TEWL), corneometer unit, and pH value were measured on the initial visit, 1 week after treatment, and 3 weeks after treatment, and their values were compared. Results: Clinical symptoms showed improvement after topical mometasone cream was applied (p<0.05), but changes in TEWL, corneometer units, and pH values failed to show statistical significance (p>0.05). Conclusion: This study found that treatment with topical mometasone cream for 3 weeks has no effect on skin barrier function. We believe that this research will help determine the optimal duration and dosage of topical steroid agents used for treating allergic contact dermatitis. (Korean J Dermatol 2015;53(5):347∼350)
유민건 ( Min Gun Yoo ),소병준 ( Byoung Joon So ),김희주 ( Hee Joo Kim ),손길수 ( Gil Soo Son ),박종웅 ( Jong Woong Park ),김일환 ( Il Hwan Kim ) 대한피부과학회 2013 대한피부과학회지 Vol.51 No.4
Subungual melanoma is a variant of acral lentiginous melanoma and is thought to carry a poor prognosis due to difficulties in early diagnosis. Classical management of subungual melanoma is based on the radical surgery of distal phalanx amputation. Instead, conservative treatment with non-amputative wide excision of the nail unit followed by reconstruction has been insufficiently reported, especially in Korea. A 71-year-old woman presented with dark brownish longitudinal bands on her right thumbnail. Punch biopsies from the nail matrix and nail bed showed proliferation of atypical melanocytes without dermal involvement. We describe a case of subungual melanoma in situ of the right thumb, and a non-amputative surgical management which aims to provide adequate clearance of the lesion with minimal morbidity and satisfactory preservation of function for the patient. (Korean J Dermatol 2013;51(4):265∼267).