제53차 춘계학술대회 : 일반 포스터 ; 화상후 세균배양 양상과 항생제 감수성에 관한 연구

전진곤,민형근,김종민,이규만 대한피부과학회 2001 초록집 Vol.39 No.10

安東市 未就學兒童의 寄生蟲感染

全震坤,李相範,具滋薰,安斗洪 慶北大學校 醫科大學 1977 慶北醫大雜誌 Vol.18 No.2

安東市 美就學兒童의 寄生蟲感染

全震坤,李相範,具滋薰,安斗洪 慶北大學校 醫科大學 1977 慶北醫大誌 Vol.18 No.2

1977年 4月부터 8月까지 安東市 未就學兒童(0∼6才) 452名(男兒 238名, 女兒 214名)을 對象으로 便檢査를 한 結果 檢便에서 연충류 1種 以上이 檢出된 實人員數는 166名(36.8%)으로 男兒 82名(34.5%) 女兒 84名(39.3%)였다. 영아기에서는 낮은 感染率(9.5%)을 나타내나 生後 3個月부터 회충. 生後 8個月부터 편충의 충란이 檢出되기 시작하였으며 영아기 後부터는 上昇一路의 感染率을 나타내었다. 男女別로는 各群에 있어서 큰 差異는 보이지 않았으며 회충이 男女 各各 25.2% 및 27.6%로 가장 높은 感染率을 나타내었고 편충이 男女 各各 12.2% 및 14.0%로 나타났으며 이외 구충(2例) 모양선충류(3例) 肝디스토마(2例)가 檢出되었다. 원충류에 있어서는 연충류에서와 같은 特徵的 樣相은 볼 수 없었고 感染率도 낮았다. 둔한 腹痛을 간헐적으로 호소하는 兒童k의 65.1%에서 충란이 檢出되었다. Clinical observation was performed on the prevalence rate of parasitic infestation among preschool children in An Dong city area, Kyungpook, Korea. Total 452 children (male 238, female 214) were enrolled in th study, age ranging from 0 to 6 years and period from April to August, 1977. The following results were obtained; Stool test showed that 36.8% of children (male 34.5%, female 39.3%) were infested with one or more species of helminth. The population could be devided into two groups. The first group (under 1 year of age) had a low prevalence rate (9.5%) determined by parasitic eggs. The infestation of ascaris was noticed form as early as three months of age, which means quite early infestation soon after birth, and Trichuris trichiura from eight months of age. The second group ( 1 to 6 years of age) showed a progressively increasing infestation rate with advancing age. There was no significant difference between both sex. The most prevalent infestation was ascaris (male 25.2%, female 27.6%), followed by Trichuris trichiura (male 12.2%, female 14.0%), hookworm (2 cases), Trichostrongylus species (3 cases) and Clonorchis sinensis (2 cases). Protozoan infestation rate was 3.5% and did not show the characteristic increasing tendency as observered in helmithic infestation. Two third (65.1%) of the children who had a history of intermittent abdominal pain, showed a positive result of stool test.

Trichophyton rubrum에 의한 육아종 1예

전진곤,백용관,이호균,김종민 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.2

We report a patient with an unusual manifestation of Trichophyton rubrum infection. A 75-year-old male presented an erythematous patch with painless crusted and non-crusted nodules on the left elbow which had persisted for 5 weeks. Histologic findings of the erythematous nodule showed epidermal hyperplasia and granulomatous change in the lower dermis. Trichophyton rubrum was isolated on the fungus culture of the biopsy specimen. The patient was treated with itraconazole (100㎎/day) for 8 weeks, resulting in the clearing of the skin lesion and there has been no recurrence of any skin lesion over a 3-month' follow-up period.

피부 전이를 보인 남성 유방암 1예

전진곤,방형돈,김광호,김광중 대한피부과학회 2003 大韓皮膚科學會誌 Vol.41 No.5

Male breast cancer is a rare disease, accounting for approximately 1% of all breast cancer. We report a case of cutaneous, osteolytic, pulmonary, and hepatic metastases of male breast cancer in a 40-year-old male who presented 4 × 2.5 ㎝ erythematous plaque with ulceration and bloody discharge on the areolar area of the left anterior chest. The histopathologic findings of the lesion showed nests and strands of invasive carcinoma forming ductlike structures and cellular arrangement in single-row line, referred to as Indian filing, between collagen bundles. The tumor cell showed positive reaction for estrogen receptor, but negative reaction for progesterone receptor. He was treated with tamoxifen, 5-fluouracil, adriamycin, and cyclophosphamide. Six months after initiation of the treatment, skin lesion was improved. Also, number and size of the metastatic cancer nodules decreased in the computer tomographic imaging. (Korean J Dermatol 2003;41(5) : 660~663)

결합조직형성 모낭상피종 1예

전진곤,김종민 대한피부과학회 2002 대한피부과학회지 Vol.40 No.8

Desmoplastic trichoepithilioma is a rare benign adnexal tumor with female preponderance, most commonly located on the face. Clinically, the tumor measures from 3 to 8㎜ in diameter, and has a raised, annular border and a depressed nonulcerated center, The three characteristic histologic features are narrow strands of tumor cells, horn cysts, and a desmoplastic stroma. We report herein a case of desmoplastic trichoepithelioma in a 25-year-old woman who had an asymptomatic hard annular nodule with a raised border and depressed center on the left cheek.

Pulsed Doppler Echocardiography를 이용한 심실중격결손의 진단

전진곤,손진상 대한순환기학회 1986 Korean Circulation Journal Vol.16 No.1

심방중격 걸손 환이에 대한 Doppler 심초음파도의 이용도

전진곤,박재홍,마인열 대한순환기학회 1989 Korean Circulation Journal Vol.19 No.2

소아Mycoplasma Pneumoniae 폐렴의 임상적 고찰

강미화,전진곤 영남대학교 의과대학 1989 Yeungnam University Journal of Medicine Vol.6 No.1

1986년 3월부터 1989년 2월까지 영남대학병원 소아과에 폐렴으로 진단받고 입원한 315명 중 M.pneumoniae에 의한 폐렴으로 진단된 환아 71명을 대상으로 임상적 고찰 결과 다음과 같은 결론을 얻었다. 1. M. pneumoniae에 의한 폐렴은 전체 폐렴 환아중 22.5%에 해당하였으며, 그 중 5-9세사이가 31.7%로 가장 많았다. 또한 M. pneumoniae에 의한 폐렴의 연령별로는 5-9세 사이가 53.5%로 가장 많았다. 2. 월별 분포는 10월에서 1월 사이가 59.2%로 늦가을 및 겨울에 높은 발생빈도를 보였다. 3. 성별 발생빈도는 1.3대 1로 남아에서 다소 높았다. 4. 임상 증상으로는 기침이 98.6%로 가장 많았으며 발열 49.3%, 콧물 19.7%등의 빈도를 보였으며 입원전 기침을 한 기간은 개개 21주 이내였다. 5. 이학적 소견으로는 수포음이 95.7%로 가장 많았으며 인후발적인 43.7%, 천명음이 18.3%에서 나타났다. 6. 혈액 검사상 백혈구 수는 47.9%에서 정상범위였으며 혈구 침강 속도(57.7%)및 CRP양성(87.3%)이 많았다. 7. 방사선 소견상 간질성 폐렴과 소엽성 폐렴이 각각 45.5%, 39.4%로 대부분을 차지하고, 대엽성 폐렴이 15.5%였고, 늑막 삼출이 5.6%에서 나타났다. 8. 동반질환 또는 합병증으로는 중이염4례(5.6%), 간염 3례(4.2%), 급성사구체 신염, 기관지 천식, 부비동염이 각각 2례(2.8%)에서 동반되었고 1례에서는 혈소판 감소증이 있었다. A clinical study was made on 71cases of Mycoplasma pneumoniae pneumonia from March, 86 to February, 89. The results were as follows; 1.Among the 315 cases of pneumonia,the incidence of mycoplasmal infection was 22.5% 2.The peak incidence of age was between 5 to 9years of age(53.5%) 3.The Sex ratio of male to female was 1.3:1 4.Monthly distribution showed relatively high frequency from October to January(59.2%) 5.Most common clinical symptoms were cough(98.6%)and then followed by fever(49.3%), coryza(19.7%).Rales were the most common finding(95.7%)and followed by pharyngeal injection(49.3%) and wheezing(18.3%) 6.The leukocyte counts in peripheral blood were most common in the range of 5000-10000/㎣(49.97%)and the ESR was increased in 57.7%,and positive CRP cases were 87.3% 7.The most common radiologic finding of pulmonary infiltration was interstitial infiltration(45.1)and then followed by disseminated lobular(39.4%) and lobar pneumonia(15.5%) 8.There are a few cases associated disease or complication:otits media(5.6%),hepatitis(4.2%)acute glomerulonephritis,bronchial asthma and sinusitis(2.8%),thrombocytopenia(1.4%) Key words : Mycoplasma pneumoniae pneumonia

Kawasaki병에 있어 아스피린 단독 투여시와 정맥내 감마 글로불린 병용시에 치료효과에 대한 연구

황영희,김춘동,전진곤 영남대학교 의과대학 1992 Yeungnam University Journal of Medicine Vol.9 No.1

1985년 9월부터 1990년 8월까지 만 5년간 영남대학교 의과대학 부속병원 소아과에 입원하여 가와사끼병으로 진단된 환아를 대상으로 아스피린 단독 치료한 A군과 아스피린과 정맥내 면역글로불린을 병용 치료한 B군으로 나누어 발열기간, 혈액검사소견 및 심초음파 검사소견을 비교 분석하여 다음과 같은 결론을 얻었다. 1) 발열기간은 A군과 B군에서 치료 시작전까지의 기간에서는 별 차이가 없었으나, 치료 시작후 발열기간은 B군이 2.5±1.2일로서 A군 5.2±3.5일보다 의미 있게 짧았다(p<0.01). 2) 백혈구수와 혈소판수는 입원시는 두 군간의 차이가 없었으나 입원 3주째 B군에서는 정상으로 회복되고 A군보다 의의 있는 감소를 보였으며(p<0.01), CRP는 A군에서는 서서히 회복되어 입원 3주째 정상화로 되었으나 B군에서는 입원 1주째 부터 유의할 만한 감소를 나타내었다(p<0.01). 3) 심초음파 검사상 입원시 관상동맥 확장은 A군은 24%, B군은 27%로 별 차이가 없었으나 6개월 째는 A군(11%)보다 B군(7%)의 발생빈도가 다소 감소 되었으며, 약간의 유의성이 있었다(p<0.05). 결론적으로 가와사끼병에서 면역글로불린과 아스피린 병용사용이 급성 염증 치료효과 및 관상동맥류 발생억제에 도움이 되었다. We compared the efficacy of each modality of treatment group in reducing the frequency of coronary artery abnormalities and changes of clinical courses in children with kawasaki disease in the children of 81 cases who were admitted in pediatric department of Yeungnam University Hospital from September 195 to August 1990. Group A(37 cases)-aspirin alone, Group B(44 cases)-inravenous gammaglobulin(400mmg/㎏/day) for 5 consecutive days, plus aspirin. We studied the frequency of echocardiographic abnormalities, the duration of fever, and changes in the total white blood cell counts, platelet counts, ESR and CRP value at 1, 2 and 3 weeks of the illness and compared the results between the two groups. The results were as follows, 1) Three was no significant intergroup difference in age and sex ratio. 2) The duration of the febrile period after the initiation of the therapy was significant shorter in group B(2.5±1.2 days) than in group A:(5.2±3.5 days)(p<0.01). 3) No significant difference was noticed in the WBC and platelet counts in two groups as measured at admssion day, 1 and 2 weeks of the illness, However, at 3weeks of illness significant difference was noted. 4) The CRP values measured at 1,2 and 3 weeks after treatment were significantly lower in group B(2.42±1.8, 2.00±1.2, 1.16±1.0) than in group A(7.22±5.3, 5.25±3.9, 1.85±1.2) respectively (p<0.01). 5) In 2D-Echocardiogram, coronary artery dilataton was more frequent in Group A than in Group B at 6month of illness(p<0.01). In conclusion, intravenous gammaglobulin therapy was effective in the shortening of the duration of fever and in the antiinflammatory action and somewhat effective in prevention of coronary artery aneurysm.