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서선교 ( Seon Kyo Seo ),나건연 ( Gun Yeon Na ) 대한피부과학회 1998 대한피부과학회지 Vol.36 No.5
An 80-year-old woman was admitted because of ag avation of preexisting dyspnea and was refened to the dermatology deparbnent for evaluation of three tender nodules on her extremitiom. A chest X-ray and CT scan suggested pulrnonaxy tuberculosis wikh an endobromchial sprtad, Her past medical histary showed congeative heart failure, treated pulmonery tuberculosis and corticstertoid medication for arthralgia. Acid-fast bacilli were observed in tissue smears and a biopsy specimen. Mycobacterium tubereulosis was recovered from cultures. We suggest that this case was a tuberculous gumma following pulmonary tuberculosis and that a tissue or pus smear for acid-fast bacilli is a very useful diagnostic toal in tuberculous gumma because tubercle bacilli are copious in numbcr. (Korean J Bermatol 1998;36(5): 956-958)
염정섭(Jung Sub Yeum),신동주(Dong Ju Shin),서선교(Seon Kyo Seo),나건연(Gun Yeon Na) 대한피부과학회 2001 大韓皮膚科學會誌 Vol.39 No.12
N/A A total of 748 newborns delivered at the Fatima Hospital, Taegu, Korea, over period of 8 months were examined for the presence of skin lesions within 48 hours of birth. The frequencies of the type of birthmarks were: salmon patch, 61.8%; portwine stain, 0.7%; mongolian spot, 99.1%; cafe-au-lait spot, 0.5%; congenital nevomelanocytic nevus, 0.5%; milia, 44.5%; sebaceous hyperplasia, 76.9%; nevus sebaceus, 0.9%; erythema toxicum neonatorum, 29.3%; genital hyperpigmentation, 49.7%. Erythema toxicum neonatorum was less common in premature infants and more frequent on the second day of life than first one. Genital hyperpigmentation was observed predominantly in the male neonate. There was positive relationship between genital hyperpigmentation and birthweight. (Korean J Dermatol 2001;39(12):1377~1382)
서진천(Jin Chun Suh),염정섭(Jung Sub Yeum),신동주(Dong Ju Shin),서선교(Seon Kyo Seo),나건연(Gun Yeon Na),서무규(Moo Kyu Suh) 대한피부과학회 2001 大韓皮膚科學會誌 Vol.39 No.6
N/A Background: There have been few clinical studies of halo nevi. Objective : The purpose of this study was aimed at evaluating the clinical and histopathologic features of halo nevi and correlation between halo nevi and vitiligo. Methods : The medical records of 40 patients with halo nevi and biopsy specimens of 30 patients with halo nevi were reviewed. Results and Conclusion . 1. The ratio of male to female patients was 1:1.5. 2. The mean age of the onset was 20.1 years (male: 11.5, female : 25.9). 3. Multiple halo nevi were present in 32.5%(male : 25%, female : 37.5%). 4. The areas in which the lesions developed were head 8c neck(39.1%), back(32.8%), anterior chest(12.5%), abdomen(10.9%), groin(3.1%), and lower extremity(1.6%) in descending order. 5. The mean duration of each color in central nevus was as follows: black(2.7 years), pink(3.5 years), gray(4.9 years) 6. The most common pathology of the central nevus was intradermal(80%). 7. The halo nevi associated with vitiligo were 21 cases(52.5%) out of 40 patients. Among them, the eases with non-segmental vitiligo were 13(61.9%), the cases with segmental vitiligo were 8(38.1%). 8. Out of the 21 cases with halo nevi associated with vitiligo, the cases with halo nevi prior to vitiligo were 4(19.1%), concurrent onset 12(57.1%) and the cases with halo nevi after vitiligo were 5(23.8%). (Korean J Dermatol 2001;39(6): 648~653)
체간에 발생한 Congenital constricting band 1 예
염정섭(Jung Sub Yeum),서진천(Jin Chun Suh),신동주(Dong Ju Shin),서선교(Seon Kyo Seo) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.3
Congenital constricting band of the trunk is a rare malformation with a wide spectrum of associated congenital anomalies. A 3-year-old boy with a congenital constricting band around the waist and anterior thigh and clubfoot deformity is reported. Laboratory test and chest and abdominal X-ray examination were within normal limits and unremarkable. Histopathologic examination revealed compact fibrocollagenous bundles in deep dermis. The compact fibrocollagenous bundles are parallel to the skin surface and have thin wavy nuclei. We think these bundles caused annular constriction on the trunk. We follow up the patient regularly without specific treatment because the constricting band caused no functional impairment and hypertrophic scar had developed at the biopsy site. (Korean J Dermatol 2002;40(3): 246~270)
Exophiala jeanselmei에 의한 흑색진균증 1예
이헌준,김연진,하경임,김정애,나건연,서무규,방장석,서선교,서진천 대한피부과학회 1999 大韓皮膚科學會誌 Vol.37 No.3
We report a case of subcutaneous phaeohyphomycosis caused by Exophiala(E,) jeanselmei in a 66-year-old female, who showed a mild tender, 4.5x3.5cm sized, erythematous cystic mass with satellite lesions on the left forearm for 4 months. Histopathologically, suppurative granulomatous inflammation, brownish conidia in a chain and hyphae were observed. Fungal culture grew out the typical black-gray velvety colonies of E. jeanselmei after 2 weeks. The isolate grow well at 25 C, but very poorly at 37 C. No growth could be observed at 40 C. Sporulation adequate for evaluation was present on the malt extract agar. We confirmed E. jeanselmei by colony and microscopic morphology, temperature tolerance and sugar assimilation tests. The patient had been treated with itraconazole for 6 momths. Complete remission was observed.