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백승철(Seung Churl Paik),이정기(Jeong Ki Rhee),김시용(Si Yoing Kim),김형옥(Hyung Ok Kim),김정원(Chung Won Kim) 대한피부과학회 1988 대한피부과학회지 Vol.26 No.4
POEMS syndrome is an unusual plasma cell dyscrasia with multisystemie manifestations featuring polyneuropathy, organomegaly, endocrinopsthy, M protein and skin changes. We have seen a 49-year-old woman presenting with hyperpigmentation, hypertrichosis, hyperhidrosis, and taut thickened skin of the extremities as a skin manifestation of this syndrome. We review the literature and report a case.
Ixodes nipponensis에 의한 참진드기 교상
백승철(Seung Churl Paik),오영진(Young Jin Oh),김시용(Si Yong Kim),조백기(Baik Kee Cho),허원(Won Houh) 대한피부과학회 1989 대한피부과학회지 Vol.27 No.1
A 53-year-old woman developed a psinful erythematous papular skin eruption around the biting site by a tick on the left lower abdomen. A excision biopsy specimen from the skin lesion showed perivsscular infiltration of inflammatory cells composed mainly of neutrophiles, lymphocytes, and a few eosinophiles and histiocytes throughout the dermis. Some of the vessels were dilated with protruding and proliferated endothelial cells. The tick was identified as an adult female of Ixodes nipponensis by the scanning electron microscopic examination.
이호표,백승철,조백기,이정기,홍남수 ( Ho Pyo Lee,Seung Churl Paik,Baik Kee Cho,Jung Gee Lee,Nam Soo Hong ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.3
The pubic louse, Pthirus pubis is a blood-sucking ectoparasite adapted to hold onto pubic, axillary and body hairs. It is usually confined to the pubic and inguinal region. However, it may also rarely involve the scalp and eyelashes. We report two cases of phthiriasis occurring on unusual sites, the first case occurring on the scalp of a 5 month-old male infant, and the second case on the eyelashes of a 49-year-old fe- male. (Kor J Dermatol 1997;35(3): 579-583)
양종규,김성욱,백승철,김정원,김석영 ( Jong Kyu Yang,Sung Wook Kim,Seung Churl Paik,Chung Won Kim,Suk Young Kim ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.3
Iatrogenically developed immunosuppression-associated Kaposis sarcoma is the result of immunosuppressive therapy after an organ transplantation, particularly after a renal transplantation. Since the advent of powerful immunosuppressive agents such as cyclosporine, recently the incidence of Kaposis sarcoma has been increased. In addition to immunosuppression, other factors, such as genetic predisposition, environmental and geographic factors, and oncogenic viruses, may play a role in the pathogenesis of this tumor. Ilerein we report a case of Keposis sarcoma with multiple organ involvement of the skin, lung, small intestine and mesenteric lymph node in a renal allograft recipient who received cyclosporine and prednisolone. Reduction of the dosage of immunosuppressant for 1 month resulted in improvement of the cutaneous lesions. (Kor J Dermatol 1997;35(3): 551-555)
양종규,김성욱,백승철,김정원,박석영 ( Jong Kyu Yang,Sung Wook Kim,Seung Churl paik,Chung Won Kim,Suk Young Park ) 대한피부과학회 1997 대한피부과학회지 Vol.35 No.4
Angiocentric T-cell lymphoma is a subtype of peripheral T-cell lymphoma and histologically characterized by angiocentric and angioinvasive infiltration of lymphoid cells with varying degrees of cytological atypia, leading to angiodestruction. This disease represents the malignant end in the histological spectrum of angiocentric immunproliferative lesions. This malignancy is commonly a disease with considerable morbidity and is often fatal. However, primary cutaneous angiocentric T-cell lymphoma has a tendency to give a favorable prognosis. Epstein-Barr virus can be identified in involved tissue by immunostaining or by in situ hybridization and it is considered significant in the prognosis. We report a case of cutaneous angiocentric T-cell lymphoma, where the Epstein-Barr virus was identified within neoplastic cells. CVP(cyclophosphamide, vincristine, prednisone) chemotherapy was instigated and an initial complete remission was achieved. (Kor J Dermatol 1997;35(4): 772-777)
조갑진균증 진단에서 중합효소 연쇄반응 방법의 의의 : 진균배양 및 KONCPA 검사와의 비교
권오찬(Oh Chan Kwon),백승철(Seung Churl Paik),조백기(Baik Kee Cho) 대한피부과학회 1999 대한피부과학회지 Vol.37 No.10
N/A Background : It has been known that the polymerase chain reaction(PCR) test of clinical specimens including blood, sputum, urine, and cerebrospinal fluid collected from patients with systemic fungal infection is a highly sensitive diagnostic method. Recently, the PCR test was applied to the diagnosis of onychomycosis. Objective : This study was aimed to explore whether the PCR test would be a more sensitive diagnostic tool than the KOH smear, fungus culture and KONCPA(KOH±Nail Clipping+PAS(periodic acid-Schiff) stain) test in diagnosing the onychomycosis. Methods : Using 50 nail sample from 50 patients with onychomycosis, the result of the PCR test was compared with those of the KOH smear, fungus culture and KONCPA test. Results : The results were as follows : 1. The positive rates for detecting the causative fungi from the KOH smear, fungus culture, KONCPA test and PCR test were 64.0%, 46.0%, 90.0%, and 100.0% respectively. 2. The fungus culture identified the causative fungi from 23 samples, of which 21(91.2%) were T. rubrum, 1(4.4%) Candida sp. and 1(4.4%) C. albicans. KONCPA test yielded higher positivity by detecting the pathogenic fungi in 45 samples : dermatophytes 2(4.4%). The PCR test yielded the highest positivity by detecting the pathogenic fungi in all samples ; T. rubrum 44(88.0%) and unclassified 6(12.0%). 3. Compared with the results of fungus culture and KONCPA test, that of PCR test showed some differences. The case of Candida sp. in fungus culture was identified as T. rubrum in PCR ; the case of C. albicans in fungus culture as unclassified in the PCR. Five cases of mixed infection and 2 cases of mold infection in the KONPCA test were diagnosed as T. rubrum infection in the PCR test. Conclusion : The PCR test is useful in dianosing the onychomycosis because of its highest positive rate in detecting the causative fungi compared with fungus culture and the KONCPA test. Furthermore, a more accurate diagnostic method such as the PCR test will be necessary in case (Korean J Dermatol 1999 : 37(10): 1457∼1465)
감염성 심내막염에서 보인 전형적인 Janeway Lesion
박현정 ( Hyun Jeong Park ),이동원 ( Dong Won Lee ),백승철 ( Seung Churl Paik ),조백기 ( Baik Kee Cho ) 대한피부과학회 1996 대한피부과학회지 Vol.34 No.6
Infectious endocarditis is associated with five cutaneous findings.'subungal hemorrhages, Roth spots, Oslers nodes, the Janeway lesion and petechiae, which are infrequently reported in the current antibiotic era. The Janeway lesion, first described by Edward Janeway in 1899, is an erythematous or hemorrhagic, non-t.ender macule or nodule several centimeters in diameter occurring on the palms or soles. We report a case of a Janeway lesion in a 30-year-old woman, who had pruritic nontender macules with fever of unkown origin. Our case demonstrates the importance of careful skin examinat,ion in systemic diseases such as infectious endocarditis. The findings of the Janeway lesion in this woman were important in securing t.he early clinical diagnosis of infectious endocarditis (Kor J Dermatol 1996;34(6): 9~93-997)
양종규 ( Jong Kyu Yang ),이현정 ( Hyun Jeong Lee ),백승철 ( Seung Churl Paik ),조백기 ( Baik Kee Cho ) 대한피부과학회 1996 대한피부과학회지 Vol.34 No.5
Delusions of parasitosis is a type of monosymptomatic hypochondrial psychosis and is defined as the fixed belief that one is infested with living organisms, in t.he abscence of any objective evidence that such infestation exists. A 43 year-old woman had a 2-month history of generalized pruritus and skin ulceration on the buttock representing dermatitis artefacta. She also complained of seeing small black insects crawling on her whole body skin, especially on the pubic area without evidence of cutaneous invasion by the parasites. She had no evidence of other medical diseases. She was treated with oral pimozide, starting with 1mg/day to 3mg/day. In two weeks, clinical symptoms and false belief that she is infested with parasites subsided. (Kor J Dermatol 1996;34(5): 856-860)
김성욱,김정원,백승철,양종규,양지호 대한피부과학회 1997 Annals of Dermatology Vol.9 No.1
Cobb syndrome is a rare neurocutaneous angiomatosis characterized by a vascular skin nevus associated with a spinal cord angioma of the same metamere. A 14-year-old girl had an asymptomatic large cutaneous hemangioma distributed from the T1 dermatome downward to the L3 dermatome since birth and complained of a gait disturbance and urination difficulty for 1 year. A biopsy specimen in the skin lesion revealed the findings of capillary hemangioma. From C7 downward to L4 posterior epidural hemangioma composed of arteriovenous and cavernous components was diagnosed by radiological examination and surgical exploration. Because of very extensive cord hemangioma, only partial removal of the tumor at T11, T12 and L1 level was performed and postoperatively she was transferred to a special facility for rehabilitative therapy.
김재홍,김한중,노영석,김영태,김중환,황규홍,이정덕,백승철,김건우,조상현,김준영,김석민,김영호,김상순,이승한,김방순,전덕규,하상근 대한화학요법학회 1992 대한화학요법학회지 Vol.10 No.2
The prevalence of PPNG among pretreated gonorrhoeae cases isolates at the VD clinic of Choong-ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1990, 162 strains of N.gonorrhoeae were isolated, among which 80 were PPNG. The prevalence of PPNG in Seoul showed increased tendency till 1987, thereafter, it has been stationary.