고도의 부정치열에 기인한 칸디다 구순염

김한욱(Han Uk Kim),한재희(Jae Hee Han),임철완(Chull Wan Ihm) 대한피부과학회 1993 대한피부과학회지 Vol.31 No.3

Persistent burning and derythema were present for 10 months cin he lower lip of a 55-year-old woman, who had extreme melalignment of the anterior maxillary teeth. Candida albicans was identified not only from the surface material of the lower lip but also from tl.e malaigned dental cleft, which was thought to be the source of the organisms. We feel that the impor.ance of malaligned theeth as a source of candida albicans miist be kept in mind when we face persis ent cheilitis in a patient whose teeth arrangement is bad. (Kar J Dermatol 1993; 31(3): 392-396)

급성 담마진 환자에서 말초 혈액의 백혈구수 관찰

김한욱(Han Uk Kim),서재일(Jae Il Suh),임철완(Chull Wan Ihm) 대한피부과학회 1986 대한피부과학회지 Vol.24 No.4

In dermatologic practice, acute urticaria showing leukocytosis and fever suggesting syatemic bacterial infection is often observed. The clinician in dealing with such patients is tempted to use antibiotics in addition to corticosteroids and antihistamines before the patient can be sure that there is no bacterial infection. Authors observed the degree of the leukocytosis with its differential counts in 106 cases of acute urticaria to evaluate what percentages of acute urticaria patients are showing similar data with the changes seen in leukocyte counts of patients of erysipelas, and evaluated the effect of aqtibiotics-administered group with non-administered group of acute urticaria patients. The results were as follows: 1. In 106 acute urticaria patients, 42% showed higher total leukocyte count ( >12, 500/cu mm) than the mean total leukocytes of 20 erysipelas patients(12, 412/cu mm) and 29% showed greater neutrophilia(>70%) than the mean neutrophil differential count of the erysipelas (69.1%). In the cases showing both leukocytosis (>12,500/cu mm) and fever (>37. 5C) there was no difference in the course of treatment between the antibiotics- administered group and non-administered group. 3. The corticosteroid hormone reduced the total WBC count toward normal level generally within a week.

선단각화 (先端角化) 유탄력섬유증(類彈力纖維症) 4예

김한욱(Han Uk Kim),곽은희(Eun Hee Kwark),서재일(Jai Il Suh),임철완(Chull Wan Ihm) 대한피부과학회 1986 대한피부과학회지 Vol.24 No.4

Four cases of acrokeratoelastoidosis are reported. All four patients had symmetrically situated asymptomatic keratotic plaques along the margin of first interdigital space of the hand, The patients were all elderly korean farmers. Elastic stain showed aggregated thickened black elastotic materials occupying mainly the upper dermis. Epidermis showed marked hyperkeratosis and acanthosis. Although this cutaneous condition is not well known to physicians in the country, we think it may be not an uncommon condition in the rural part of Korea.

피부근염 3예의 치료경험

김한욱,조욱,임철완 ( Han Uk Kim,Wook Cho,Chull Wan Ihm ) 대한피부과학회 1991 대한피부과학회지 Vol.29 No.5

Three cases of dermatomyositis are reported in two woman and one man, all about fifty-years old. Clinical symptoms responded well in two cases with the usual dosage of prednisolone, while one case needed additional intravenous methotrexate and methylprednisolone to suppress the symptoms. Muscle biopsy was valuable in one case and non-specific in two cases. Internal malignancy was found in one case. Because of the relative rarity of the disease and subsequent ?ack of reports on detailed therapeutic experience in Korea, we report the three cases with their clinical course and changes in the laboratory data due to the therapeutic regimens.

범발성 색소이상증 1가족 예

김한욱,조욱,임철완 ( Han Uk Kim,Wook Cho,Chull Wan Ihm ) 대한피부과학회 1991 대한피부과학회지 Vol.29 No.6

환자와 정상인의 귀에지형의 분포 및 귀에지형에 따른 Malassezia Furfur의 형태학적 분포

최창준,김한욱,임철완 ( Chang Jun Choi,Han Uk Kim,Chull Wan Ihm ) 대한피부과학회 1994 대한피부과학회지 Vol.32 No.5

지질 친화성 효모균인 Pityrosporum ovale와 Pityrosporum orbiculare는 인체 피부에 상존하고 있으며 현재는 이 두 균종을 모두 Malassezia furfur로서 명명하고 있다. M.furfur가 전풍을 유발할 때는 KOH검사상 많은 포자와 균사를 관찰할 수 있는데 이 중 균사가 전풍 병변 발생과 밀접한 관계가 있다. 전풍의 유발 요인은 선천적 요인, 온도, 습도, 부신피질 호르몬제와 면역 억제제의 전신투여, 영양실조 등이 있다. 귀에지(cerumen, earwax)는 크게 건성형과 습성형의 2가지로 구분되며 이는 유전적을 결정된다. 귀에지는 이구선(ceruminous gland)인 아포크린선과 피지선의 분비물 및 탈락 상피 세포로 구성되며 건성형과 습성형 사이에는 지질과 이미노산의 정성적 및 정량적 차이가 다소 존재한다. 전풍 환자에서 습성 귀에지의 동반율이 일반인의 습성 귀에지 동반율보다 높다는 보고가 있으나 국내 문헌은 발견할 수 없었다. 또한 귀에지의 유형에 따른 귀에지 내 M.furfur의 포자 및 균사에 대한 존재 빈도와 양적 분포의 연구도 아직까지 밝혀져 있지 않다. 따라서 저자들은 전풍과 습성 귀에지의 상관 관계를 알아 보고자 전풍 환자에서 습성 귀에지의 동반율 및 건성 귀에지 군과 습성 귀에지 군의 귀에지 내 M.furfur의 포자와 균사의 존재 빈도와 그들의 양적 분포의 차이를 관찰하였다. Background:Although the wet earwax has been known to be related with the incidence of tinea versicolor, very little has been revealed on how they are correlated with each other. The incidence of Malassezia furfur, the etiological organism of tinea versicolor, and its population densities as yeast and mycelial form in the different types of earwax, the dry and the wet, have not been studied. Objective:The purpose of this study is to clarify the relationship between tinea versicolor and earwax type. Methods:The type of earwax in 65 patients with tinea versicolor were classified into 2 types, dry and wet, by its appearence and the subjective complaints of the patients. The dry and wet cerumens were obtained from 142 and 49 individuals without tinea versicolor respectively. The cerumens were stained with 10% Parker ink-KOH solution. The incidence and its population densities of yeast and mycelial M.furfur in the wet cerumens were compared with those in the dry cerumens according to a new grading method using bacterial index(BI) of lepra bacilli. Results: 1. Dry and wet earwax were observed in 58.5%(38 cases) and 41.5%(27 cases) of 65 patients respectively. 2. The incidence of yeast M. furfur in the dry and wet cerumens were 100% and 63.3%(31 of 49 cases) respectively, and that of mycelial M.furfur, 28.2%(40 of 142 cases) and 32.7%(16 of 49 cases) respectively. 3. The population densities(from 3+ to 6+) of yeast M.furfur in the dry and wet cerumens were observed in 93.0%(132 of 142 cases) and 49.0%(24 of 49 cases), and those(3+) of mycelial M.furfur, 21.1%(30 of 142 cases) and 24.5%(12 of 49 cases) respectively. Conclusion:The incidence(41.5%) of wet earwax in tinea versicolor patients is significantly higher than that(0.8%) in The Korean control group. The ratio between the incidence of mycelial M.furfur and that of yeast M.furfur in the wet cerumens is higher than in the dry cerumens, and the ratio of population densities in the wet cerumens is also higher. These observations suggest that the skin surface conditions of the wet earwax group may be more suitable for yeast-mycelial transformation of M.furfur than those of the dry earwax group. The comparison of chemical compositions of the skin surface between dry and wet earwax groups is needed to elucidate the correlation between tinea versicolor and the types of earwax in the future.(Kor J Dermatol 1994;32(5):795~801)

경화성 지방층염

김성민 ( Seong Min Kim ),이진호 ( Chin Ho Rhee ),남경화 ( Kyung Hwa Nam ),윤석권 ( Seok Kweon Yun ),김한욱 ( Han Uk Kim ),임철완 ( Chull Wan Ihm ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.4

Sclerosing panniculitis is a subcutaneous disorder characterized by marked woody induration, erythema, edema, telangiectasia, and hyperpigmentation on the lower legs. It often occurs in patients who have venous insufficiency. The histologic features of sclerosing panniculitis are lobular panniculitis with membranocystic fat necrosis and variable septal fibrosis. We report a case of sclerosing panniculitis on the medial side of the left lower leg in a 51-year-old woman. (Korean J Dermatol 2009;47(4):444~446)

원형탈모증 병변내 주사 치료에서 완충 리도카인 - 트리암시놀론 용액의 주사통증의 감소와 치료효과

손계영,김홍용,김한욱,임철완 ( Ge Yeong Son,Hong Tong Kim,Han Uk Kim,Chull Wan Ihm ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.1

Background: Intralesional injection of corticosteroids has widely been used for the t,reatment of alopecia areata. The pair produced during the repeated multiple injection procedures is an actual therapeutic obstacle in both adult and child patients. Buffering of the local anesthetics is known to reduce the pain. Objective : The purpos; of this study was to evaluate the degree of pain reduction and hair regrowing effect by the use of buffered lidocain-triamcinolone acetonide suspension(BLT) compared with nonbuffered lidocairi triamcinolone acetonide suspension(LT) in the intralesional injection of alopecia areata. Methods : We evaluat d the degree of pain reduction by the use of BLT compared with LT in the intralesional injection in 40 cases of alopecia areata. The pain was ineasured by patients verbal pain score from zerc to ten and simultaneously observed if there were be any differences in hair regrowing bet,ween the two groups. Results : 1. Remarkable reduction of the pain du~ring the inject,ion was noted by the buffering agent and the pain was further reduced by the vertical insertion of the needle. The pain score of BLT was 1.5 by vertically inserted injections and 2.4 by ~30 degree angle injections while the pain score of LT was 4.4 by the vertical and 5.6 by t.he 30 degree, Z. The mean time for appearance of regrowing hairs was 3.6 weeks in the BLT area and 4.0 weeks in the LT area. The use of BLT area showed a statistically faster response than the LT area. Conclusion : The use ot BLT is recommended not only by it,s remarkable effect on pain reduction but also by its sigriificantly accelerated hair regrowing effect in the trea~tment of alopecia areata. (Kor J Dermatoi 1997;35(1): 41-48)

대상포진 후 발생한 구진 고리육아종 Isotopic 반응

김성민 ( Seong Min Kim ),이승용 ( Seung Yong Lee ),이진호 ( Chin Ho Rhee ),이종선 ( Jong Sun Lee ),윤석권 ( Seok Kweon Yun ),김한욱 ( Han Uk Kim ),임철완 ( Chull Wan Ihm ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.6

Isotopic response describes the occurrence of a new skin disorder on the site of another, unrelated, and already healed skin disease. The most common cause of isotopic response in the skin is the herpes zoster virus. Variable cutaneous lesions including granulomatous reactions may occur at sites of herpes zoster infections. We report a case of papular granuloma annulare occurring on the site of herpes zoster. (Korean J Dermatol 2008;46(6):818∼820)

두피 및 눈썹 부위의 반흔에서 시행한 미세색소침착술 결과

김성민 ( Senog Min Kim ),윤석권 ( Seok Kweon Yun ),김한욱 ( Han Uk Kim ),임철완 ( Chull Wan Ihm ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.3

Background: Scars on hair-bearing skin such as the scalp and eyebrow produce an unsightly cosmetic appearance because of the absence of hairs on the areas. Recently micropigmentation of the scar area has been practiced to improve this defect. Objective: To evaluate the result of the micropigmentation accomplished to improve the cosmetic appearance of the scars on hair bearing skin. Methods: Follow-up assessment of micropigmentation was made in 18 patients with scars on their scalp or eyebrows. Besides the clinical evaluation, histopathological observation at intervals of over a one year period was made to observe the remained pigments in the skin tissue after the procedure. Results: 17 patients out of the 18 patients (94%) showed excellent or good results. No complications were seen. Painful sensation of the treated site was present for two days after the procedure. Histopathologically the pigments initially occupied down to the deep dermis but three weeks later the pigments remained only in superficial dermis and, thereafter, did not change significantly between four weeks and one year. onclusion: Micropigmentation of the scalp and eyebrow scars is a safe procedure with satisfying cosmetic results. Histopathologically the pigments were removed from the deep dermis within three weeks of the procedure and remained in superficial dermis thereafter. (Korean J Dermatol 2008;46(3):305∼309)