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이도영 ( Do Young Rhee ),이우진 ( Woo Jin Lee ),장성은 ( Sung Eun Chang ),이미우 ( Mi Woo Lee ),최지호 ( Jee Ho Choi ),문기찬 ( Kee Chan Moon ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.7
Lichen sclerosus et atrophicus is a benign, chronic lymphocyte-mediated dermatosis that causes substantial discomfort and morbidity, most commonly in adult women. It has predilection for the anogenital region, but extragenital lesions also occur, mainly on the upper trunk, axillae and buttocks, as slightly sclerotic white scar-like lesions with a wrinkled surface. Extragenital lesions are clinically similar to genital lesions, but due to their rarity and lack of symptoms, clinicians often make a misdiagnosis. We herein present a case of extragenital lichen sclerosus et atrophicus, which began on the upper back and spread to other areas displaying typical wrinkled, white scar-like lesions. (Korean J Dermatol 2007;45(7):720∼723)
정운경 ( Woon Kyong Chung ),이도영 ( Do Young Rhee ),장성은 ( Sung Eun Chang ),이미우 ( Mi Woo Lee ),최지호 ( Jee Ho Choi ),문기찬 ( Kee Chan Moon ),고재경 ( Jai Kyoung Koh ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.5
Mucoepidermoid carcinoma is the most common primary salivary gland malignancy. About 60% of mucoepidermoid carcinomas occur in the major salivary glands and 35% in the minor glands, in which the palate and buccal mucosa are the most frequent sites. Histologically, tumor cells, composed of intermediate, mucous, epidermoid, and clear cells in widely varying proportions, form numerous sheets, islands, duct-like structures and cysts. Many foci of mucin production are prominent. Herein, we report a case of a 37-year-old man who presented a nodule on left buccal mucosa. After the diagnosis, he was referred to a dental surgeon, by whom the tumor was radically excised. But, tumor cells were observed at one of the resection margins. As a result, he received radiation therapies (6 weeks, 60 Gy). He is now undergoing regular follow ups without any signs of recurrence. (Korean J Dermatol 2008;46(5):699∼702)
오상현 ( Sang Hyun Oh ),이도영 ( Do Young Rhee ),정운경 ( Woon Kyoung Chung ),장성은 ( Sung Eun Chang ),이미우 ( Mi Woo Lee ),최지호 ( Jee Ho Choi ),문기찬 ( Kee Chan Moon ),고재경 ( Jai Kyoung Koh ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.9
Mucormycosis is an opportunistic fungal infection frequently associated with diabetes mellitus or an immunocompromised status. Rhinocerebral mucormycosis, the most frequent form of mucormycosis, is characterized by facial pain, swelling, fever, blood-tinged rhinorrhea and shows a rapidly progressive course. Herein, we describe an immunocompromised and diabetic woman with rhinocerebral mucormycosis initially misdiagnosed as herpes zoster. (Korean J Dermatol 2006;44(9):1119~1121)
오상현 ( Sang Hyun Oh ),이도영 ( Do Young Rhee ),장성은 ( Sung Eun Chang ),이미우 ( Mi Woo Lee ),최지호 ( Jee Ho Choi ),문기찬 ( Kee Chan Moon ),고재경 ( Jai Kyoung Koh ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.10
Verrucous carcinoma is a slowly-growing, well-differentiated, low grade squamous cell carcinoma with little tendency to metastasize. There have been several case reports of this tumor but its occurrence at a young age is extremely rare. Herein we report a case of verrucous carcinoma arising on the anogenitalia of a young woman with pancytopenia. (Korean J Dermatol 2006;44(10):1225~1227)
오상현 ( Sang Hyun Oh ),이도영 ( Do Young Rhee ),이우진 ( Wo Jin Lee ),장성은 ( Sung Eun Chang ),이미우 ( Mi Woo Lee ),최지호 ( Jee Ho Choi ),문기찬 ( Kee Chan Moon ) 대한피부과학회 2007 大韓皮膚科學會誌 Vol.45 No.5
Xanthogranuloma is a benign, fibrohistiocytic lesion that presents as a yellowish, cutaneous papule or nodule. Although the head, neck, and trunk are the most common sites for xanthogranuloma, it can appear at any site on the body. We report a rare solitary xanthogranuloma on the palm of 24-year-old man. (Korean J Dermatol 2007;45(5):507~508)
건강한 한국인 성인 남자에서 성호르몬과 대사증후군과의 연관성
김석 ( Seok Kim ),이은정 ( Eun Jung Rhee ),석효선 ( Hyo Sun Seok ),최영길 ( Young Gil Choi ),정원길 ( Won Gil Chung ),이도영 ( Do Young Lee ),김세연 ( Se Yeon Kim ),정찬희 ( Chan Hee Jung ),박철영 ( Cheol Young Park ),이원영 ( Wo 대한내과학회 2007 대한내과학회지 Vol.73 No.6
목적: 여러 연구에서 남성호르몬의 감소가 제2형 당뇨병, 인슐린저항성, 고인슐린 혈증, 이상지질혈증, 대사증후군과 관련이 있다고 보고되었다. 그러나 아직까지 국내에서는 남성호르몬과 심혈관계에 위험인자로 알려진 이상지질혈증, 인슐린저항성과 대사증후군 등에 대한 연구가 부족한 실정이다. 본 연구는 한국인 성인 남성에서 성호르몬 농도와 대사증후의 연관성에 대해 알아보기 위해 시행되었다. 방법: 2003년 6월부터 2003년 7월까지 강북삼성병원검진센터에서 건강 검진을 받은 289명의 성인 남성을 대상으로 하였다. 연구는 검진센터에서 기록된 자료를 기초로 하였고, 수정된 국제 콜레스테롤 교육 프로그램 성인치료 패널 III 기준에 근거하여 대사증후군을 정의하였다. 혈중 총 테스토스테론 농도는 방사면역 측정법을 이용해서 측정하였고, 혈중 성호르몬 결합글로불린은 면역방사계측정법을 이용해서 측정하였다. 결과: 총 대상군에서 대사증후군의 유병율은 15.6%였고, 건강한 남성에서 연령과 체질량지수를 보정한 후에 총 테스토스테론의 농도는 고밀도 지단백 콜레스테롤, 공복 인슐린, 요산과 상관관계를 보였으며, 성호르몬 결합글로불린은 이완기 혈압, 요산, 중성지방, 공복 인슐린, 인슐린저항성 지표와 상관관계를 보였다. 나이, 흡연력, 음주력과의 상호작용을 통제한 후에도 총 테스토스테론과 성호르몬 결합글로불린의 감소와 에스트라디올의 증가는 대사증후군의 유병율과 유의한 상관관계를 보였다. 결론: 건강한 한국인 성인 남성에서의 성호르몬 결합글로불린의 감소와 에스트라디올의 증가는 대사증후군에 유병율에 유의한 영향을 미쳤고 이상지질혈증에도 관련이 있었다. 앞으로 테스토스테론 보충 요법 후의 여러 대사 지표들의 변화에 대한 연구도 흥미로울 것으로 생각된다. Background: Recent studies report an association of decreased testosterone levels with type 2 diabetes mellitus, insulin resistance, hyperinsulinemia, dyslipidemia and metabolic syndrome. However, studies on correlations of testosterone with dyslipidemia, insulin resistance and metabolic syndrome in Koreans are scarce. We analyzed the relationship between levels of sex hormones and metabolic syndrome, lipid profiles and insulin resistance in Korean adult males. Methods: A total of 289 males were selected among the participants in a medical health check-up from June to July 2003 at Kangbuk Samsung Hospital Health Promotion Center. Metabolic syndrome was defined according to the Modified National Cholesterol Education Program-Adult Treatment Panel (NCEP-ATP) III. The serum total testosterone level was measured using a radioimmunoassay and sex hormone binding globulin (SHBG) was measured using a radioimmunometric assay. Results: The prevalence of metabolic syndrome was 15.6% and the total testosterone level showed a significant correlation with the levels of high-density lipoprotein cholesterol, fasting insulin, and uric acid even after adjustment for age and body mass index (BMI). Serum SHBG showed a significant correlation with diastolic blood pressure, uric acid, triglyceride, fasting insulin and insulin resistance indices. In logistic regression analysis in which age, drinking history, and smoking status were adjusted, decreased total testosterone and SHBG levels as well as increased estradiol levels showed significant correlations with an increased prevalence of metabolic syndrome. Conclusion: This study shows that decreased total testosterone and SHBG levels and an increased estradiol level were significantly correlated with increased metabolic syndrome prevalence and dyslipidemia in healthy Korean male adults. Further studies are suggested for the association of sex hormone replacement and the changes in the metabolic status. (Korean J Med 73:565-574, 2007)