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김동훈 ( Dong Hoon Kim ),김정은 ( Jeong Eun Kim ),황의경 ( Eui Kyung Hwang ),정주양 ( Ju Yang Jung ),진현정 ( Hyeon Jeong Jin ),김주희 ( Joo Hee Kim ),예영민 ( Young Min Ye ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2011 천식 및 알레르기 Vol.31 No.4
Background: Petroleum-based solvents have been widely used for dry cleaning in Korea. Although there has been a few reports of irritant contact dermatitis induced by petroleum- based dry cleaning solvents, this is the first case of contact dermatitis with peripheral eosinophilia in Korea. Case History: A 53 year old man had suffered from itching sensation, erythema and bullae in both arms. The onset time was 1 hour after wearing a jacket which had been dry cleaned the day earlier. The skin lesions were localized to the area in contact with the jacket, and the Nikolsky sign was seen. The patient had no history of previous allergic diseases. Results: Serum total IgE levels, peripheral eosinophil counts, eosinophil cationic protein levels and liver function test results (aspartate and alanine transaminase) were elevated. Histopathological examination of the skin biopsy specimen showed epidermal necrosis with superficial perivenular lymphocytic and eosinophilic infiltration. He was negative for the patch test with maximum 1% of the solvent used at that laundry, which was composed of paraffin and naphten. Therefore, we thought that his skin lesion may be attributed to irritant reactions to this solvent. Conclusion: We report herein a case of contact dermatitis induced by a petroleum-based dry cleaning solvent. (Korean J Asthma Allergy Clin Immunol 2011;31:295-299)
옻에 의한 급성 전신성 발진성 농포증이 Anti-TNFα로 호전된 2예
김인성 ( In Sung Kim ),김주희 ( Joo Hee Kim ),강은정 ( Eun Jung Kang ),장은정 ( Eun Jung Jang ),진현정 ( Hyeon Jeong Jin ),박해심 ( Hae Sim Park ),예영민 ( Young Min Ye ) 대한내과학회 2011 대한내과학회지 Vol.81 No.4
Acute generalized exanthematous pustulosis (AGEP) is characterized by the rapid occurrence of many sterile, nonfollicular pustules on an edematous erythema accompanied by leucocytosis and fever. It is usually attributed to drugs, including herbal medications such as rhus in Korea. We report two cases of AGEP due to rhus hypersensitivity treated with anti-tumor necrosis factor (TNF)-α. The patients developed a generalized erythematous rash and edema, particularly on the face, with high fever and leukocytosis several days after ingesting rhus chicken or contacting rhus extract. Following treatment with a systemic steroid, the skin rash spread to the entire body and pustules arose on an edematous erythema. After stopping the systemic steroid and administering a subcutaneous injection of Etanercept, the pustular rashes, fever, and edema improved within 4 days. These results suggest that anti-TNF-α treatment may be effective for rapidly improving AGEP. (Korean J Med 2011;81:537-542)