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신재빈 ( Jae Bin Shin ),김일환 ( Il Hwan Kim ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.11
Background: Rosacea is well recognized as a chronic cutaneous disorder primarily of the convexities of the central face. Despite its apparent high incidence, the nosology of rosacea is not well established in Korea. Objective: The purpose of this epidemiological study was to investigate the clinical manifestations of Korean rosacea patients diagnosed by the US National Rosacea Society guidelines of US. Methods: We performed a clinical study in 90 patients with rosacea who visited the Department of Dermatology, Korea University Ansan Hospital from January 2005 to December 2006. These patients were evaluated with regard to age, sex, primary/secondary features, clinical subtypes and predisposing factors. Results: The ratio of males to females was 1 : 1.3. The age distribution showed a peak incidence in the fifth decade. Primary features of rosacea were telangiectasia (70.0%), nontransient erythema (68.9%), papules and pustules (62.2%) and flushing (61.1%). The most common secondary features of rosacea were burning and stinging (62.2%). Other secondary features were dry appearance (46.7%), edema (35.6%), plaque (20.0%), phymatous changes(18.9%), ocular manifestations (17.8%) and peripheral location (2.2%). The most common subtype was erythematotelangie-ctatic rosacea (51.1%), followed by papulopustular rosacea (34.4%), phymatous rosacea (12.2%) and ocular rosacea (2.2%). The majority of rosacea patients revealed mild symptoms (83.3%). Predisposing or exacerbating factors of rosacea were stress (52.2%), hot baths (46.7%), alcohol (44.4%), hot weather (42.2%), sun exposure (38.9%), exercise (35.6%), cold weather (25.5%), skin-care products (23.3%), spicy foods (21.1%), indoor heat (15.6%), heated beverages (12.2%) and humidity (4.4%). Conclusion: In this study, the National Rosacea Society classification system applied well to Korean patients. We identified female predominance, a peak in the fifth decade and the majority of Korean rosacea patients suffering from the erythrotelangiectatic type of rosacea. Other similarities and differences to previous reports were also discussed. (Korean J Dermatol 2007;45(11):1161∼1169)
만성 상처 치료에서 Nanocrystalline Silver 드레싱의 유용성
신재빈 ( Jae Bin Shin ),김일환 ( Il Hwan Kim ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.8
Background: The successful management of chronic wounds requires adequate dressing materials and methods. Nanocrystalline silver is a recently developed form of silver antimicrobial barrier dressing material which has rapid and sustained anti-bacterial activity, reduces inflammation and promotes wound healing. Objective: This study was done to evaluate the effect of nanocrystalline silver dressing method on the treatment of chronic wounds. Methods: Twenty three patients with chronic wounds of various etiologies were treated with nanocrytalline silver mesh dressing material (ActicoatTM) using an occlusive method. Dressing changes were performed every 2 to 3 days until reepithelization. Results: The treatment with nanocrystalline silver was effective in 21 of 23 cases. This dressing method can significantly reduce the frequency of dressing changes, and thus it was more comfortable to both patients and doctors. Conclusion: Occlusive method using nanocrystalline silver is a useful dressing method for various chronic wounds, particularly in an outpatient setting. (Korean J Dermatol 2007;45(8):772∼777)
신재빈 ( Jae Bin Shin ),최명훈 ( Myeung Hun Choi ),송해준 ( Hae Jun Song ),오칠환 ( Chil Hwan Oh ),박지수 ( Ji Soo Park ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.8
Fibroelastolytic papulosis is proposed as the diagnostic term for cases previously identified as pseudoxanthoma elasticum-like papillary dermal elastolysis and white fibrous papulosis of the neck. Clinical presentation of fibroelastolytic papulosis is asymptomatic to mildly pruritic whitish-yellow papules that may coalesce into cobblestone-patterned plaques resembling pseudoxanthoma elasticum. Histology is characterized by normal, decreased, or absent elastic fibers in the papillary dermis sometimes accompanied by a thickening of collagen fibers. We report a 60-year-old woman with flesh to yellowish colored papules with cobblestone appearance, which were histologically consistent with fibroelastolytic papulosis. (Korean J Dermatol 2007;45(8):825∼828)
Human Tail의 임상양상을 보인 선천성 피부 평활근 과오종
신재빈 ( Jae Bin Shin ),전지현 ( Jie Hyun Jeon ),손상욱 ( Sang Wook Son ),송해준 ( Hae Jun Song ),오칠환 ( Chil Hwan Oh ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.3
A human tail is a rare congenital anomaly, and is characterised by a prominent lesion from the lumbosacrococcygeal region. Human tails are classified into ``true tails`` and ``pseudotails``. True tails are comprised of only mesenchymal tissue. They are presumed to be remnants of the embryologic tail. All other lumbosacrococcygeal protrusions are summarized as pseudotails. Congenital smooth muscle hamartoma usually presents as a well-circumscribed, hypertrichotic, hyperpigmented or skin-colored patch or plaque on the trunk or an extremity at birth. Histologically, numerous thick, long, well-defined bundles of smooth muscle fibers are scattered throughout the dermis in various directions. We report a case of congenital smooth muscle hamartoma in a 15-year-old male patient who presented with a tail-like protruding mass accompanied by hypertrichosis and underlying soft tissue deviation. (Korean J Dermatol 2007;45(3):287~289)
신재빈 ( Jae Bin Shin ),고나영 ( Na Young Ko ),서수홍 ( Soo Hong Seo ),김애리 ( Ae Ree Kim ),계영철 ( Young Chul Kye ),김수남 ( Soo Nam Kim ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.9
Eccrine porocarcinoma is a very rare, locally-aggressive, potentially fatal tumor arising from the intraepidermal ductal portion of the eccrine sweat gland. It develops either spontaneously or from a long standing benign eccrine poroma. It usually affects older people and is located most commonly on the lower extremities. We report a case of eccrine porocarcinoma which developed on the scalp of an 82-year-old woman. There was no evidence of metastasis, and the tumor was successfully removed by Mohs micrographic surgery. (Korean J Dermatol 2006; 44(9):1084~1087)
Acute Diffuse and Total Alopecia of the Female Scalp
손수빈 ( Soo Bin Son ),신재빈 ( Jae Bin Shin ),서수홍 ( Soo Hong Seo ),손상욱 ( Sang Wook Son ),김일환 ( Ill Hwan Kim ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.10
Diffuse alopecia areata is the least common clinical type of alopecia, and this diffuse form lacks the characteristic hairless patches of alopecia and it begins as diffuse hair loss. Diffuse alopecia areata has been poorly characterized. In 2002, there was a suggestion to define this form of alopecia areata as acute, diffuse and total alopecia of the female scalp (ADTAFS). ADTAFS is characterized by a marked female predominance, tissue eosinophilia and a uniquely short clinical course. We report here on one case of ADTAFS. (Korean J Dermatol 2008;46(10):1407∼1410)
안검황색종의 치료에서 Bichloroacetic Acid를 이용한 국소 화학 소작술의 유용성과 안전성
정세영 ( Se Yeong Jeong ),신재빈 ( Jae Bin Shin ),서수홍 ( Soo Hong Seo ),손상욱 ( Sang Wook Son ),김일환 ( Il Hwan Kim ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.4
Background: Xanthelasma palpebrarum is the most common type of xanthoma. Due to its delicate location near the eye, treatment of xanthelasma palpebrarum is rather difficult. The treatment includes surgical excision, local treatment with chemicals, and various laser therapies. Objective: This study was designed to review the various therapeutic modalities and to evaluate the efficacy and safety of bichloroacetic acid (BCA) for the treatment of xanthelasma palpebrarum. Methods: Nine patients, with a total of 19 xanthelasma lesions, were treated with BCA. The efficacy and safety were assessed over a follow-up period of 6 to 24 months (average, 16 months). Results: All lesions were grossly removed completely with a single treatment and the treatment was well-tolerated by patients. Erythema and oozing were observed in six patients but improved after two weeks` dressing. Xanthelasma palpebrarum recurred in three patients, but the mean size of the recurred lesions was smaller in comparison to the primary lesion. Conclusion: BCA is an effective and safe therapeutic modality for xanthelasma palpebrarum. Advantages include simplicity, cost-effectiveness, speed, safety and efficacy. (Korean J Dermatol 2007;45(4):349~353)
조직확장술과 모즈 수술로 치료한 두피의 다발성 융기성 피부섬유육종
정세영 ( Se Yeong Jeong ),신재빈 ( Jae Bin Shin ),서수홍 ( Soo Hong Seo ),손상욱 ( Sang Wook Son ),김일환 ( Il Hwan Kim ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.12
Dermatofibrosarcoma protuberance is a relatively rare malignant soft tissue tumor which is locally invasive and looks like a protruded hardened plaque composed of multiple nodules. It seldom occurs on the scalp and the occurrence rate is less than 5%. Nowadays there is a tendency to choose Mohs surgery as a primary treatment instead of a wide excision, because Mohs surgery can reduce cases of recurrence. We report a case of multiple dermatofibrosarcoma protuberans on the scalp of a 32-year-old man. We planned a delayed operation using tissue expanders. We inserted two skin expanders and successfully expanded scalp tissue more than 150% after 7 months. Mohs surgery was performed with a 4 cm distance from borderline of lesions and then the large scalp skin defect was covered by the expanded skin which had been prepared by tissue expanders. It has been 9 months since the operation was performed and there have been no signs of recurrence. (Korean J Dermatol 2007;45(12):1270∼1274)
독립된 소규모 군부대에서 대량 발생한 신종인플루엔자의 특징
주현준 ( Ju Hyun Jun ),윤성환 ( Yoon Sung Hwan ),이명원 ( Lee Myung Won ),이재준 ( Lee Jae Jun ),신재빈 ( Shin Jae Bin ) 국군의무사령부 2010 대한군진의학학술지 Vol.41 No.1
Objective: The purposes of this study are to estimate that the outbreak of influenza A (H1N1) in a company affects the military forces. Methods: The company was composed of 118 persons. If any of them had the acute respiratory symptoms with fever, they were sent to our medical department and checked on chest x-ray. Results: We examined 27 soldiers(incidence rate: 23%) and administered to them oseltamivir(tamifluⓇ) and antipyretics. The contactors with patients were 91 persons and then were isolated. Conclusion: The outbreak of novel influenza A(H1N1) in the military unit was so rapid and had a bad influence on maintaining military power.