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두경부 표피낭종 치료에서 펀치 절개술과 방추형 절제술의 효과 및 재발률에 관한 비교 연구
권태광 ( Tae Gwang Kwon ),손현호 ( Hyun Ho Son ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2014 大韓皮膚科學會誌 Vol.52 No.2
Background: The removal of epidermal cysts from the head and neck can sometimes be challenging for dermatologists, due to the associated cosmetic effects. Punch incision is an alternative method to the traditional elliptical excision for the removal of epidermal cysts. It is simple to perform with commonly available instruments, and easy to learn. However, there is currently no randomized study directly comparing the long-term results of these two methods in Korea. Objective: The purpose of this study was to evaluate the usefulness of punch incision as compared to elliptical excision for the removal of epidermal cysts, and to identify the characteristics of the lesions most suitable for punch incision. Methods: We conducted a prospective randomized study. A total of 109 patients with non-infected epidermal cysts on the head and neck were randomly assigned to treatment with either punch incision or elliptical excision, between January 2012 and January 2013. Statistical analysis was performed to compare the differences between the two procedures with respect to the demographic data of the patients; size and location of the lesions; operative time; complications; recurrence; cosmetic results; and patient satisfaction. Results: The mean operative time for the punch incision group was significantly shorter than for the elliptical excision group (p<0.05). The cosmetic result scores at 6 months after the operation were significantly higher in the punch incision group, compared to the elliptical excision group (p<0.05). No significant differences were observed between the groups with regards to age, sex, disease duration, location, size, prevalence of complications, and recurrence rate (p>0.05). Conclusion: Punch incision requires less time than elliptical excision, and is associated with superior cosmetic results. Regardless of different demographic characteristics, duration, location, and size, any epidermal cyst on the head and neck can be effectively treated with punch incision. Thus, we suggest that punch incision may be a useful method for removing epidermal cysts of the head and neck.
권태광 ( Tae Gwang Kwon ),문승현 ( Seung Hyun Moon ),정세원 ( Se Won Jung ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.3
Atypical lymphocytic lobular panniculitis (ALLP) is a recently described entity characterized by self-limiting plaques that manifest a waxing and waning course. Although ALLP is known as a benign condition, it needs adequate follow-up to determine the risk of progression to subcutaneous panniculitis-like T-cell lymphoma (SPTCL) because ALLP has morphologic and biologic similarities with SPTCL. We report a case of ALLP in a 13-year-old girl who presented with an unusual tumor-like erythematous mass on the left thigh but without systemic symptoms or laboratory abnormalities. The histopathologic findings showed a dense and diffuse infiltration of the fat lobules by small-to-medium-sized atypical lymphocytes including focal atypical mitosis. Some cells showed characteristic peripheral rimming of individual adipocytes. However, prominent lymphoid atypia, fat necrosis, vasculitis, vascular thrombosis, erythrophagocytosis, mucin deposition, and the striking dominance of CD8+ lymphocytes seen in SPTCL were not detected. The lesion resolved spontaneously in 6 months and there was no recurrence over a 24-month follow-up period. (Korean J Dermatol 2015;53(3):222∼225)
Hydroxychloroquine 투여로 호전을 보인 궤양성 지방생괴사
손현호 ( Hyun Ho Son ),권태광 ( Tae Gwang Kwon ),심현수 ( Hyun Soo Sim ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.11
Necrobiosis lipoidica (NL) is a chronic granulomatous skin disease of unknown etiology, which can be seen in patients with diabetes mellitus. Typical lesions of NL appear on the pretibial skin as painful yellow-brown inflammatory plaques with raised borders and atrophic centers. Ulceration occurs in approximately 35% of cases, leading to increased risk of secondary bacterial infection and scarring. Although there have been many proposed therapies for ulcerative NL, the response to treatment is often met with limited success. Here, we report a case of a 19-year-old girl with ulcerative NL, which showed improvements with oral hydroxychloroquine, an antimalarial agent. (Korean J Dermatol 2012;50(11):994∼997)
부산 지역 여드름 환자의 보완대체의학 이용 실태에 관한 설문 조사 연구
문승현 ( Seung Hyun Moon ),권태광 ( Tae Gwang Kwon ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2017 대한피부과학회지 Vol.55 No.7
Background: There is growing interest in the role of complementary and alternative medicine (CAM) in treating patients with acne owing to an inadequate treatment response or adverse effects associated with use of conventional modalities to treat this skin condition. However, there is no literature available or reports of studies performed in Korea describing use of CAM in treatment of acne. Objective: To assess the usage and awareness regarding the role of CAM in the treatment of acne, among acne patients. Methods: A questionnaire was used to interview 159 patients with acne regarding their use of CAM for the treatment of acne. This survey was conducted in 1 tertiary medical center, 1 general hospital, and 2 dermatology clinics. Results: We found that 139 of 159 (87.4%) acne patients reported previous or current use of CAM. Among the 139 CAM users, acne-related cosmetics (71.2%) was the most frequently used category of products, followed by dietary therapy (58.3%), cleansing techniques, and a bath regimen (55.4%). Reportedly, the `Internet` (62.6%) was the most common medium used as a source of information regarding use of CAM. The most common reason for using CAM was reported as the `desire to try everything` (40.3%). Adverse effects related to the use of CAM were reported in 27 (19.4%) patients. The most common type of adverse effect reported was `aggravation of acne`. A majority of patients were not favorable for subjective therapeutic effect and satisfaction with CAM (60.0% and 84.2%, respectively). Conclusion: Our results indicate that a majority of acne patients use CAM with or without conventional treatment. Nonetheless, there is no study or evidence to prove the effectiveness of CAM in acne patients. Therefore, it is important for dermatologists to be aware of the risks and adverse effects associated with use of CAM for effective management of patients who consult them for treatment of acne. (Korean J Dermatol 2017;55(7):401∼409)
Self-healing Juvenile Cutaneous Mucinosis 1예
문승현 ( Seung Hyun Moon ),정우석 ( Woo Seok Jeong ),이택근 ( Taek Geun Lee ),권태광 ( Tae Gwang Kwon ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2016 大韓皮膚科學會誌 Vol.54 No.10
Self-healing juvenile cutaneous mucinosis (SHJCM) is a rare disorder of unknown origin that affects healthy children. It is characterized by multiplication of transient papules and nodules on the head and periarticular area. Histopathologically, lesions show mucin deposition in the dermis or subcutis. A 9-year-old male patient presented with multiple skin-colored papules and nodules on the face and both hands. These papules and nodules had appeared over the preceding months and had been increasing in number. He was otherwise healthy and had no underlying systemic disorders. Skin biopsy in the right thenar nodule revealed deposition of amorphous material stained positively with Alcian blue (pH 2.5) within the dermis and subcutis. Spontaneous resolution occurred over several months without sequelae. (Korean J Dermatol 2016;54(10):814∼818)
투메슨트-지방흡입술과 Pull-Through Technique으로 치료한 여성형유방
이영석 ( Young Seok Lee ),서종근 ( Jong Keun Seo ),권태광 ( Tae Gwang Kwon ),심현수 ( Hyun Soo Sim ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.8
Gynecomastia is the most common condition affecting the male breast due to enlargement of both ductal and stromal tissue. Growth of the male breast can be manifested at any age, but 40% of cases present in adolescent boys. The condition depends mainly on the balance between serum estrogens and androgens. Gynecomastia represents a source of embarrassment, and optimal correction is difficult to achieve. Numerous methods of gynecomastia repair are available. Our method is a combination of liposuction and the pull-through technique. The purpose of this treatment is to resect excess tissue and restore the normal chest contour with minimal scarring. We report a case of gynecomastia treated with a combination of tumescent liposuction and the pull-through technique. (Korean J Dermatol 2011;49(8):748∼752)