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RISS 인기검색어
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- 저자 : 권순효 ( Soon-hyo Kwon ) (검색결과 29 건)
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연대 의무중대, 사단 의무근무대, 전방병원 피부과 환자의 비교 분석
권순효 ( Soon Hyo Kwon ),성재용 ( Jae Yong Sung ) 국군의무사령부 2016 대한군진의학학술지 Vol.47 No.1
Objectives; The purpose of the study is to analyze the patients visiting dermatology clinics in a regiment, division, and military hospital to check the current evacuation system. Methods; Medical records of the patients from May 2015 to April 2016 were analyzed retrospectively to reveal the most frequent 25 diagnoses in the three dermatology clinics. The number of the patients evacuated from the regiment or division to hospital and the reasons for evacuation were further investigated. Results; The number of patients visiting dermatology clinic in the regiment, division, and military hospital was 550, 437, and 8,660, respectively. Acne vulgaris, folliculitis, seborrheic dermatitis, viral warts, clavus, eczema, xerotic eczema, hand eczema, atopic dermatitis, allergic contact dermatitis, alopecia areata, acute urticaria, chronic urticaria, furuncle, epidermal cyst, benign tumor of soft tissue, tinea pedis, and onychomycosis were the most diagnosed dermatoses commonly in the three clinics. While the percentage of the patients diagnosed as insect bite, burn, pitted keratolysis, irritant contact dermatitis, cellulitis, onycholysis, paronychia, ingrowing nails, pompholyx were higher in the clinics of regiment and division, military hospital had more patients diagnosed as tinea cruris, scar, androgenic alopecia, herpes zoster, tinea versicolor and tattoo pigmentation. 7.8% of the patinets were evacuated to military hospital because of insufficiency of therapeutic instruments (38%), drug insufficiency (20%), a need for further evaluations (18%), surgical consultation (13%), and patients' request (10%). Conclusions; Our study is a basis to provide military doctors more selective and focused dermatology education on inflammatory dermatoses (e.g., eczema, xerotic eczema, hand eczema, allergic contact dermatitis), fungal dermatoses (tinea pedis, onychomycosis) and acute urticaria, and the right to decide evacuation of the patients to correct current evacuation system.
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권순효 ( Soon Hyo Kwon ) 국군의무사령부 2018 대한군진의학학술지 Vol.49 No.1
Objectives; Serological tests for food and inhalant allergy in patients with urticaria were evaluated in the study. Methods; Multiple allergen simultaneous test (MAST) and food-specific IgG4 test results from patients with acute (< 6 weeks) or chronic ( > 6 weeks) urticaria were obtained retrospectively. Results; A total of 35 male urticaria patients aged 19-25 was involved in the study. 57.1% of the urticaria patients, 23.1% of the acute urticaria patients, and 77.3% of the chronic urticaria patients presented positivity on at least one allergen in MAST. D. pteronyssinus was the most frequently sensitized allergen (40.0%), followed by d. farinae (31.4%), cat (28.6%), house dust (20.0%), and birch (14.3%). 97.1% of the patients had positive results in the food-specific IgG4 test. Positive IgG4 result was found most frequently in milk (82.6%), followed by casein (77.1%), yogurt (71.4%), cheese (71.4%), egg white (48.6%), egg yolk (45.7%), garlic (42.9%), wheat (37.1%), peanut (28.6%), and mustard seed (22.6%). Conclusions; MAST, especially inhalent MAST is informative in identifying allergen in young patients with urticaria. Food-specific IgG4 test lacks clinical utility for the diagnosis of food allergy because IgG4 could play a role as blocking antibodies.
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임상 연구 : 다중검출 컴퓨터 단층촬영으로 측정한 한국 성인의 정상 신장 용적과 길이
권순효 ( Soon Hyo Kwon ),이호영 ( Ho Young Lee ),김나리 ( Na Ri Kim ),전진석 ( Jin Seok Jeon ),노현진 ( Hyun Jin Noh ),김용배 ( Yong Bae Kim ),김정훈 ( Jung Hun Kim ),한동철 ( Dong Cheol Han ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.6
목적: 신장의 크기는 급성 및 만성 콩팥병의 진단에 중요하다. 신장크기 측정의 가장 정확한 방법은 신장의 용적 측정이나, 국내에서 신장 길이와 비교한 신장 용적에 대한 조사는 없었다. 이에 저자들은 다중검출 컴퓨터 단층촬영 (multidetector-row computed tomography, MDCT)을 이용하여 신장용적과 길이를 측정하였다. 방법: 순천향대학교 병원에서 123명을 대상으로 시행한 복부 MDCT의 단면 사진들을 이용하여 3차원 재구성 프로그램 (VoxelPlus 2.0, Mevisys, Daejeon, Korea)으로 신장 용적을 측정하였다. 관상면 사진에서 양쪽 신장의 길이를 측정하였으며, 단층 영상의 신장 크기는 신장의 문부 (hilum)가 보이는 단층영상에서 신장의 외연을 포함하는 직사각형의 넓이와 높이의 합으로 측정하였다. MDRD 공식에 의하여 90 ml/min/1.73m2 이상인 경우를 대상 환자로 하였다. 결과: 신장 용적은 남자 177±34 mL, 여자 146±28 mL이었으며, 나이별 신장 용적은 차이가 없었다. 신장의 길이는 왼쪽 10.5±0.9 cm, 오른쪽은 10.0±0.8 cm이었다. 신장의 단층영상의 크기는 왼쪽은 10.8±1.1 cm, 오른쪽은 10.7±1.0 cm이었다. 신장 용적은 단층영상의 신장의 크기와 매우 높은 상관관계를 보였다 (r=0.80). 결론: MDCT를 이용하여 한국인의 정상 신장 용적과 길이를 제시할 수 있었다. 단순히 신장 길이를 측정하는 것보다 신장 용적을 측정하는 것이 만성 콩팥병의 진단과 치료에 도움이 될 것으로 생각된다. Purpose: Kidney length and volume are important parameters in the diagnosis of kidney disease. There has been no study for kidney volume in Korea. Therefore, we investigated the normal kidney volume and length using multidetector-row computerized tomography (MDCT). Methods: One hundred and twenty-three Koreans were scanned for various medical reasons by MDCT. We measured kidney volume with three dimensional reconstruction programs. In the coronal section, we measured the craniocaudal length of both kidneys. Cross sectional kidney size was defined the sum of both sides of the rectangle enclosing the kidney at the level of the renal (hilum) vessel. Patients were excluded when they have the estimated GFR, calculated by modification of diet in renal disease, less than 90 ml/min/1.73m2, diabetes, any urinary abnormalities, renal anatomical abnormality, renal artery disease, more than three cysts and larger than 3 cm of cyst. Results: Kidney volumes were 177±34 mL for men and 146±28 mL for women. There were no volume differences among age groups. Kidney lengths were 10.5±0.9 cm for left and 10.0±0.8 cm for right. The cross sectional kidney size was 10.8±1.1 cm for left and 10.7±1.0 cm for right. There was a high correlation between the kidney volumes and the cross sectional sizes (r=0.80). Conclusion: We suggest the reference values for kidney volume and length using MDCT. Measurement of kidney volumes may be more helpful to determine diagnosis and treatment of chronic kidney disease as compared with that of simple measuring kidney length.
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특집-만성 콩팥병, 적극적 치료가 필요하다 : 만성 콩팥병의 진단 및 검사
권순효 ( Soon Hyo Kwon ),한동철 ( Dong Cheol Han ) 대한내과학회 2009 대한내과학회지 Vol.76 No.5
A simple definition of chronic kidney disease (CKD) is necessary to establish clinical practical guidelines. The Kidney Disease Outcomes Quality Initiative (K/DOQI) defined CKD as kidney damage or a glomerular filtration rate (GFR) <60 mL/min/1.73 m2 for 3 months or more, irrespective of cause. In addition, the Kidney Disease: Improving Global Outcome (KDIGO), provided evidence-based understanding of CKD and established global consensus while identifying a collaborative research agenda and plan for the practical definition and classification of CKD. To identify CKD, estimation of the GFR from the serum creatinine and the presence of albuminuria are essential. The GFR estimation needs the application of appropriate equations, such as the Modification of Diet in Renal Disease Study equation or the Cockcroft-Gault formula, and calibration of the serum creatinine. Albuminuria can be detected using an albumin-to-creatinine ratio >30 mg/g in two of three spot urine collections. With the CKD guidelines of K/DOQI and KDIGO, the diagnosis and early detection of CKD, which may need a Korean estimation equation, are improving and should help to reduce the prevalence and incidence of end-stage renal disease in Korea. (Korean J Med 76:515-520, 2009)
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권순효 ( Soon Hyo Kwon ),나선재 ( Sun Jae Na ),염꽃보라 ( Kkot Bora Yeom ),허선영 ( Sun Young Huh ),나정임 ( Jung Im Na ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.8
Multiple congenital melanocytic nevi (MCMN), defined as the distribution of more than three small- or medium-sized congenital melanocytic nevi (CMN) on the body without a giant CMN, is a rare disease comprising about 4% of patients with CMN. Because MCMN accompanies neurodevelopmental delay, including seizures in 25% of patients as well as the risk of malignant melanoma, it must be carefully followed-up. We report a case of MCMN with developmental delay in a 19-month-old Korean boy. He had a history of febrile seizure when he was 18 months old. He showed a speech delay after the 1-year-follow up, even though there was no evidence of neurocutaneous melanosis (NCM) on brain magnetic resonance imaging (MRI) at the first visit. As MRI has a low sensitivity for detecting NCM in patients with MCMN older than 4-months, close neurodevelopmental assessments should be considered to provide a chance for early rehabilitation. (Korean J Dermatol 2011;49(8):753∼756)
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