http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
모즈 미세도식 수술의 수술 시간에 대한 분석: 단일 기관의 경험
문제호 ( Je Ho Mun ),박현제 ( Hyun Je Park ),김수한 ( Su Han Kim ),정도상 ( Do Sang Jung ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),김훈수 ( Hoon Soo Kim ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.7
Background: Mohs micrographic surgery (MMS) is a precise method of treating skin cancer. There have been many studies about the advantages and disadvantages of MMS. However, no study has yet been carried out regarding the length of surgery. Objective: The purpose of this study was to report our experience with MMS for the treatment of skin cancers and to analyze the operative time of MMS. Methods: We analyzed 50 cases of skin cancers treated by MMS at the Dermatosurgery Clinic in Pusan National University Hospital between April 2009 and November 2009. Results: The minimum and maximum operative times of MMS were 88 and 356 minutes, respectively, and the mean operative time was 171.4 minutes. The mean number of stages was 1.7 (range, 1~4). The mean operative time per stage was 93.9, 62.9, 57.2, and 53 minutes for the 1st, 2nd, 3rd, and 4th stages, respectively. The time percentages for a pathologic consult to the Department of Pathology per stage was 42%, 50%, 52%, and 57% for the 1st, 2nd, 3rd, and 4th stages, respectively; therefore, the consultation to the Department of Pathology occupied a high percentage of the operative time. The mean operative time of repair for surgical defects was 44.4 minutes. Limitations: The results of this study are based on the experience of a single surgical team in a single institution. Conclusion: The results of our study reveal that MMS is a time-consuming operation. Further studies are required to shorten the operation time of MMS.
결핵 PCR로 확진된 부신 결핵에 의한 Addison병
문제호 ( Je Ho Mun ),김훈수 ( Hoon Soo Kim ),김수한 ( Su Han Kim ),정도상 ( Do Sang Jung ),고현창 ( Hyun Chang Ko ),김문범 ( Moon Bum Kim ),권경술 ( Kyung Sool Kwon ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.9
Addison`s disease, or primary adrenal insufficiency, results from progressive destruction of the adrenal glands. The common causes of Addison`s disease are idiopathic autoimmune atrophy and tuberculosis of the adrenals glands. Adrenal insufficiency caused gradual adrenal destruction is characterized by an insidious onset of fatigability, weakness, anorexia, nausea, weight loss, and cutaneous manifestations, such as hyperpigmentation of the skin, especially in sun-exposed areas, palmar creases, frictional areas, recent scars, and oral mucosa, and longitudinal pigmented bands in the nails. After diagnosing Addison`s disease, determining the underlying adrenal abnormality is important for the appropriate treatment of the disease. To date, there have been no reports regarding the cause of Addison`s disease confirmed in the Korean dermatologic literature. We report here a case of Addison`s disease secondary to adrenal tuberculosis confirmed by a tuberculosis-polymerase chain reaction (TB-PCR). (Korean J Dermatol 2009;47(9):1048∼1053)
문제호 ( Je Ho Mun ),김수한 ( Su Han Kim ),정도상 ( Do Sang Jung ),고현창 ( Hyun Chang Ko ),권경술 ( Kyung Sool Kwon ),김문범 ( Moon Bum Kim ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.5
Amelanotic melanoma is a subtype of malignant melanoma that lacks clinically visible pigmentation. The absence of recognizable pigmentation obscures the clinical hallmark of the more typical form of malignant melanoma. Because it mimics various non-pigmented benign and malignant skin diseases, clinicians have difficulty diagnosing this lesion. An incorrect or delayed diagnosis can result in a worse outcome because the prognosis of melanoma depends on the tumor thickness and tissue invasion at the time of diagnosis. Therefore, early diagnosis is crucial for treating amelanotic melanoma. Dermoscopy is a useful non-invasive technique for diagnosing not only pigmented skin lesions, but also non-pigmented skin lesions because this modality can visualize vascular structures that are not discernible to the naked eye. Analyzing the dermoscopic vascular structures of amelanotic melanoma helps make an early diagnosis. We report here on a case of amelanotic melanoma for which the diagnosis was aided by performing dermoscopy as an adjuvant tool. (Korean J Dermatol 2009;47(5):554~557)
박정민 ( Jung Min Park ),문제호 ( Je Ho Mun ),좌승욱 ( Seung Wook Jwa ),송마가렛 ( Margaret Song ),김훈수 ( Hoon Soo Kim ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.6
Cutaneous piloleiomyoma is a benign, often painful, smooth muscle tumor, originating from arrector pili muscle. It is usually present as red-brown nodules on the extensor extremities, and it can be multiple in 80% of patients. A 51-year-old man with multiple papules, nodules and plaques on his left cheek, left chin and left submandibular area visited our department. He had noted papules on his left submandibular area for the past 30 years, which had spread to the left cheek and chin. These lesions caused intense pain on exposure to cold air. Histopathological examination showed a neoplastic aggregation composed of irregular interlacing bundles of smooth muscle cells, in the whole dermis. Immunohistochemical staining with smooth muscle actin was positive in tumor cells. The clinical and histopathological findings led to a diagnosis of segmental piloleiomyomatosis. To our knowledge, this case is a first report of extensive segmental piloleiomyomatosis on the face and neck in Korea.
스파르가눔증 스파르가눔증 진단에서 초음파 검사의 유용성
진현주 ( Hyun Ju Jin ),문제호 ( Je Ho Mun ),좌승욱 ( Seung Wook Jwa ),송마가렛 ( Mar Ga Ret Song ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),김훈수 ( Hoon Soo Kim ) 대한피부과학회 2014 대한피부과학회지 Vol.52 No.12
Sparganosis is a kind of parasitic skin disease caused by sparganum, the plerocercoid larvae of the taper worm of the genus Spirometra. Sparganosis usually manifests as migrating or fixed subcutaneous nodules; therefore, it should be differentiated from lipoma, cysts, and cutaneous malignancies. Although the final diagnosis of sparganosis in humans depends on the identification of the worm in an infected tissue, suspicion for the presence of the parasite and careful history taking are important before making the diagnosis. However, it might be difficult for a clinician to suspect the existence of sparganosis because the incidence of this disease is extremely low. Therefore, an effective method for differentiating sparganosis from other skin disorders is needed. We suggest that ultrasonography could be an answer to this problem, on the basis of our experience of a case of cutaneous sparganosis in a 65-yearold woman showing very characteristic ultrasonographic findings. (Korean J Dermatol 2014;52(12):907∼910)
김태욱 ( Tae Wook Kim ),문제호 ( Je Ho Mun ),좌승욱 ( Seung Wook Jwa ),송마가렛 ( Margaret Song ),김훈수 ( Hoon Soo Kim ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.9
Pterygium unguis occurs as a result of the scarring process between the proximal nail-fold and matrix and lichen planus is a typical example, although it has also been reported to occur in patients with sarcoidosis or leprosy. Lichen striatus is a childhood linear inflammatory dermatitis of unknown etiology. Many nail changes such as nail-bed hyperkeratosis, nail pitting, longitudinal ridging, onycholysis, and longitudinal fissures have been described in patients with lichen striatus, but pterygium unguis is very rare. It has been suggested that the onset and resolution of onychodystrophy correlates well with the course of skin eruption, but pterygium unguis results in permanent nail changes regardless of skin eruption. A 3-year-old boy presented with a linear papular eruption on the right hand and pterygium on the index finger. He was diagnosed with lichen striatus by histopathological findings, and the papular eruption was resolved with topical tacrolimus ointment, but the pterygium did not improve.
Epstein-Barr 바이러스에 의한 이식후 림프구증식병과 연관된 분지상울혈반
김태욱 ( Tae Wook Kim ),문제호 ( Je Ho Mun ),좌승욱 ( Seung Wook Jwa ),송마가렛 ( Margaret Song ),김훈수 ( Hoon Soo Kim ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ) 대한피부과학회 2013 대한피부과학회지 Vol.51 No.4
Livedo racemosa (LR) is characterized by a striking violaceous netlike patterning of the skin similar to the livedo reticularis, from which it differs by its localization (more generalized), and shape (irregular, broken circular segments). LR is probably caused by patchy impairment of cutaneous arteriolar circulation, resulting in venous dilatation and stasis of blood. LR is always associated with a pathological condition, including hematologic/hypercoagulable disease, vasculitis, connective tissue diseases, neoplasm, lymphoma, infection, cerebrovascular disease, adverse response to a drug, and etc. Hence, clinical, pathological and laboratory examinations are important for excluding these underlying diseases. To date, there have been few reports of LR secondary to posttransplant lymphoproliferative disease (PTLD) in dermatologic literatures. Herein, we report a case of LR associated with Epstein-Barr virus-induced PTLD of cervical lymph node in a 19-year-old female, who had generalized reticular erythematous to violaceous patch on the entire body after allogenic peripheral blood stem cell transplantation. (Korean J Dermatol 2013;51(4):261∼264).
박정민 ( Jung Min Park ),문제호 ( Je Ho Mun ),송마가렛 ( Margaret Song ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),김훈수 ( Hoon Soo Kim ) 대한피부과학회 2013 대한피부과학회지 Vol.51 No.10
Anetoderma is characterized by a loss of normal elastic tissue, and is clinically presented as atrophic patches located mainly on the upper trunk. It may be primary or secondary, occurring in the course of various dermatoses. The most common diseases among them are acne and varicella, but there are several reports about other skin diseases causing anetoderma. A 16-year-old girl visited our clinic for the evaluation of asymptomatic atrophic macules on the head, upper trunk and lower extremities. She had a 10-month history of yellowish brown papules located on the same area fifteen years ago. Histopathologic findings at that time showed histiocytic infiltration with foam cells and Touton giant cells in the dermis, which were consistent with juvenile xanthogranuloma (JXG). Skin biopsy was carried out at an atrophic macule; histologic findings revealed a decrease in dermal elastic fibers. All these findings were compatible with anetoderma. To our knowledge, this case is the first report of anetoderma developed in JXG in Korea. (Korean J Dermatol 2013;51(10):829∼832)
김태욱 ( Tae Wook Kim ),문제호 ( Je Ho Mun ),김훈수 ( Hoon Soo Kim ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),송마가렛 ( Margaret Song ) 대한피부과학회 2013 대한피부과학회지 Vol.51 No.12
Unilateral forehead paralysis is a well-documented symptom which follows the superficial temporal branch of the facial nerve injury. The temporal branch holds the highest risk of injury during head and neck surgery among facial nerve branches because it runs superficially above the level of the zygomatic arch, and is not protected by the galea-parietotemporal fascia. Injury to the nerves prior to its innervations into the frontalis muscles will result in unilateral frontalis paralysis which leads to a flattened forehead, eyebrow ptosis and an inability to raise the eyebrow. However, the postoperative forehead paralysis does not always leave permanent sequale. The restorations for motor functions of the nerves sometimes occur without any interventions from several days to several months after the injury. This transient forehead paralysis may result from inhibitory effects for local anesthetics of motor nerve function, neural edema, or direct nerve injury during the operation. Therefore, it is important to predict clinical courses and take appropriate management of postoperative facial nerve paralysis through the understanding neuroanatomy for temporal branch of facial nerves and sophisticated surgical techniques. Herein, we report a case of transient unilateral forehead paralysis which follows Mohs` micrographical surgery for basal cell carcinoma of left temple regions where the superficial temporal branch of the facial nerve runs. (Korean J Dermatol 2013;51(12):975∼978)
김정민 ( Jeong Min Kim ),문제호 ( Je Ho Mun ),송마가렛 ( Margaret Song ),김훈수 ( Hoon Soo Kim ),고현창 ( Hyun Chang Ko ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ) 대한피부과학회 2013 대한피부과학회지 Vol.51 No.8
Kawasaki disease (KD) is an acute, systemic vasculitis of unknown etiology that occurs predominantly in infants and young children. The diagnosis of KD is based on the presence of fever lasting longer than 5 days and at least other four of the five clinical criteria. Patients with incomplete presentations of KD have a higher complication rate which is likely related with delayed diagnosis and treatment. We report the first Korean case of incomplete KD in which cutaneous change on a previous BCG vaccination site play an important role as a diagnostic clue. (Korean J Dermatol 2013;51(8):631∼634)