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최성관(Sung Koan Choi),정상립(Sang Lip Chung),김성화(Sung Hwa Kim),서순봉(Soon Bong Suh) 대한피부과학회 1989 대한피부과학회지 Vol.27 No.1
We report a case of erythema elevatum ditinum in a 6-year-old girl. Th symmetrically distributed skin lesions consisted of elevated purplish annular plaques and nodules on the elbows, knees, ankles and buttocks, and some of the lesions showed vesicles, hemorrhagic crusts, and necroses. Biopsy specimens from the knee and ankle revealed typical leukocytoclastic vasculitis. Ve performed a Multites CMI, a test for delayed r.utaneous hypersensitivity, in which the patient showed positive reaction to streptococcal antigen(Lancefield group C). We tried oral prednisolone and dapsone seperately and could see a remarkable response to both drugs.
최인철(In Chul Choi),최성관(Sung Kwan Choi),정상립(Sang Lip Chung),김성화(Sung Hwa Kim) 대한피부과학회 1989 대한피부과학회지 Vol.27 No.3
We report 2 cases of eosinophilic pustular folliculitis, one in s 29-year-old woman and the other in a 24-year-old man. Crops of papules and pustules developed on well demarcated, walnut-sized, erythematous plsques on the cheeks and forehead. Eruptions were more pronounced on the periphery of the plaques with central clearing. Blood eosinophilia was evident in case 1. Histologic findings showed a dense inflammatory infiltration and abscesses composed mainly of eosinophils in and around hair follicles, sebaceous glands and around blood vessels. We could see beneficial responses by administration of dapsone in both cases, but its effect was just suppressive and temporary.
서무규(Moo Kyu Suh),성열오(Yeol Oh Sung),오수희(Soo Hee Oh),김성화(Sung Hwa Kim),최성관(Sung Kwan Choi),서순봉(Soon Bong Suh) 대한피부과학회 1993 大韓皮膚科學會誌 Vol.31 No.5
Background : Because of concern about the infrequent occurre icc of tinea pedis & tinea manus, we studied the incidence of them. Objective : The purpose of the study was to investigate clinical and mycological features of tinea pedis & tinea manus. Methods . We reviewed outpatients with tinea pedis & tinea minus at the Catholic Skin Disease Clinic from 1976 to 1991. Results : The incidence was 0.08% out of 1,106,246 outpatients in tinea pedis, 0.02% in tinea manus. Interdigital lesions were the most common in tinea pedis. The ratio of male to female patients was 1.46: 1 in tinea pedis, 1.34:1 in tinea manus. The seasonaI pevalance was highest in summer. The species isolated were, in order of decreasing frequency, Trihohyton(T.) rubrum(89.9%), T. mentagrophytes(8.5%), Microgorum(M.) canis (1.6%) in tinea pedis, T. rubrum(77.8%), T. mentagrophytes(18.2%), M. Canis(2.0%), Epidermophyton(E.) floccosam(2.0% in tinea manus. Conclusion : We find that, the incidence of tinea pedis has been inc easing in recent years. (Kor J Dermatol 1993;31(5):713-720)
Drechslera dematioidea에 의한 Primary Subcutaneous Phaeohyphomycosis
오수희 ( Kosuke Takatori ),서순봉 ( Soo Hee Oh ),김성화 ( Soon Bong Suh ),최성관 ( Sung Hwa Kim ),이헌준 ( Sung Kwan Choi ),( Hun Jun Lee ) 대한피부과학회 1996 대한피부과학회지 Vol.34 No.3
Phaeohyphomycosis refers to subcutaneous and systemic fungal infections characterized by dematiacious septate mycerial elements in tissue, We are discribing the first report of subcutaneous phaeohyphomycosis by Drechslera dematioidea in a 9-year-old boy who presented a slow-growing 4 * 5.5cm erythematous plaque with somewhat verrucous and eczematous lesion on the dorsal aspect of his right foot after receiving a burn by boiling liquid at 2 years of age. Biopsy of the lesion revealed granulomatous inflammation, brownish spores in chain and planate-deviding sclerotic bodies in the epidermis and upper dermis. Findings by microscopic examination and consecutive cultures of scales and biopsy specimen were consistent with Drechslera dematioidea. The lesion was successfully treated with itraconazole. (Kor J Dermetol 1996;34(3): 489-494)
최근 10년간 Microsporum canis의 감염 상태(1983-1992)
최성관,오수희,김성화,서순봉 대한의진균학회 1996 대한의진균학회지 Vol.1 No.1
ackground: Microsporum(M) canis infection was first discovered in 1957 in Korea, but it did not spread and disappeared after 1960. It was discovered again in 1975, and rapidly spread all over the country. In the 1980's, M. canis became one of the most important dermatophytes that infected humans. Objective: The purpose of this study is to evaluate the clinical and epidemiological characteristics of M. canis infections. Methods: We observed the clinical and epidemiological status in 2,256 cases of M. canis infections that were mycologically diagnosed at the Catholic Skin Disease Clinic from 1983 to 1992. Results: The rate of M. canis infections compared to total dermatophytoses(25,907 patients) was 8.7%. The annual number of patients with M. canis infection increased gradually from 1983 and was highest frequency in 1986. Then the number of patients with M. canis infection was markedly decreased till 1992. The ratio of male to female patients was 0.85: 1(male:1,039,female:1,217), but the ratio in children (age≤ 15) was 1.02: 1 and in adults(age≥16) was 0.33: 1. Children were chiefly involved as 82.6% of the patients. There were more patients in winter(35.3%)and followed by fall, summer and spring. M. canis infections were mostly composed of tinea(T.) capitis(64.2%), T.faciale(17.7%) and T. corporis(14.6%). In the seasonal distribution of M. canis infections, T. capitis was the most common in winter(38.8%) and was the lowest in summer(15.4%),but T. corporis was the most common in summer(42%). There was a difference in disease pattern between children and adults in M. canis infections; In children, M. canis infections were T. capitis(73.6%), T. faciale(16.3%), T. corporis(9%), but in adults, those were T. corporis(41.3%), T. faciale(24.5%), T, capitis(19.4%) in the order of decreasing frequency. Conclusion: We observed a gradual decrease in number of patient with M. canis infection after 1986. We suggest that M. canis infections would decrease more and more in the future in Korea.
Trichophyton verrucosum에 의한 수발 백선 3예 : Report of 3 Cases
김성화,오수희,최성관,전재복,서순봉 대한의진균학회 1997 대한의진균학회지 Vol.2 No.1
Although there has been recently noted a nation-wide spread of Trichophyton verrucosum infection in cattle associated with promoted stock raising and dairy farming, there were no case reports in Korean dermatologic literature describing the characteristic clinical features of tinea barbae caused by that particular fungus. We report 3 cases of tinea barbae due to T. verrucosum that developed in male stock farmers breeding cattle. One patient aged 37, experienced acutely inflamed boggy tumors on the chin and sub-mandible. The others aged 43 and 46 experienced inflammatory lesions with multiple follicular pustules, crusts and loss of hairs on their upper lips. They were successfully treated with oral griseofulvin and local antifungal ointment combined with short-term oral antibiotics or corticosteroid for about one month.