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대상포진 환자에서 동반되는 통증과 환자의 우울, 불안 증상의 상관성에 관한 연구
사공찬 ( Chan Sagong ),여광열 ( Kwang Yeoll Yeo ),김정수 ( Joung Soo Kim ),유희준 ( Hee Joon Yu ),김대호 ( Dae Ho Kim ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.4
Background: Acute and persistent pain are the most significant clinical manifestations of herpes zoster. It has been suggested that the demographic and clinical characteristics of patients with herpes zoster at the time of presentation predict the duration and severity of pain on long-term follow-up. However, the association between pain in herpes zoster and emotional factors such as depression and anxiety has been less well investigated. Objective: The purpose of this study was to correlate the characteristics of pain with clinical, demographic, and emotional factors in herpes zoster patients. Methods: Ninety-seven patients with herpes zoster and 105 healthy controls were recruited from the department of dermatology at a university-affiliated hospital. Depression and anxiety levels were assessed using the Beck Depression Inventory and Beck Anxiety Inventory. We compared severity of initial pain and duration of pain by age, depression, and anxiety. Results: The levels of depression and anxiety were higher in herpes zoster patients compared to controls (p<0.05). There were no significant differences by age, depression, or anxiety. The duration of pain increased with increasing age, depression, and anxiety (p<0.05). Stratified analyses showed that the association between pain duration and increasing depression and anxiety was significant in the young age group (p<0.05), but not significant in the old age group. Conclusion: This study suggests that age, depression, and anxiety are the main correlates of pain duration in patients with herpes zoster. Therefore, depression and anxiety should not be ignored in the management of herpes zoster patients. (Korean J Dermatol 2009;47(4):403~410)
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Pentoxifylline으로 치료한 Kaposi 육종
주민숙 ( Mihn Sook Jue ),찬사공 ( Sa Gong Chan ),여광열 ( Kwang Yeoll Yeo ),김정수 ( Joung Soo Kim ),유희준 ( Hee Joon Yu ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.7
Kaposi sarcoma is a lympho-angioproliferative disease of the skin and viscera. Because the natural history of Kaposi sarcoma is variable, the assessment of therapy may be difficult and optimal therapy has yet to be determined. Pentoxifylline has been used to treat various dermatologic diseases, but its effectiveness in Kaposi sarcoma has not been reported. We now report a case of Kaposi sarcoma in a 76-year-old man who improved after treatment with oral pentoxifylline. (Korean J Dermatol 2009;47(7):811~814)
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이정우 ( Jung Woo Lee ),오대헌 ( Dae Hun Oh ),여광열 ( Kwang Yeoll Yeo ),김정수 ( Joung Soo Kim ),김상석 ( Sang Seok Kim ),유희준 ( Hee Joon Yu ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.2
Background: With the emergence of problems with conventional acne vulgaris treatments, the demand for safe and effective treatment has been increasing. Recently, many studies have shown that phototherapy can be an alternative treatment for acne. Objective: This study was designed to investigate the efficacy and safety of red light phototherapy for mild to moderate acne vulgaris. Methods: Thirty-nine patients with mild to moderate facial acne vulgaris were recruited. The patients were instructed to use an ordinary light emitting diode (LED)-attached device on left facial acne and a red light-emitting device on right facial acne for 16 minutes, twice a day, for 6 weeks. Acne was assessed at baseline and at weeks 2, 4, and 6. Results: A significant reduction of Burton scale and lesion count was observed on the red light emitting side, compared with the LED-emitting side. Improvement of satisfaction of patients and efficacy assessment on the red light emitting side were 82.05% and 84.62%, respectively, compared with 41.03% and 38.46%, respectively, on the LED emitting side. One patient complained of cheilitis, but it was temporary. Conclusion: This study shows that 650 nm red light therapy can be an effective and safe treatment for mild to moderate acne vulgaris. (Korean J Dermatol 2010;48(2):101∼108)
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여광열,박정환,김정수,노영석 대한피부과학회 2003 대한피부과학회지 Vol.41 No.9
Long?standing atopic dermatitis Patient frequently predispose to ocular complications such as blepharitis, keratoconjunctivitis, uveitis, cataract, and retinal detachment. Among these, cataract and retinal detachment are the most serious complications that may cause visual disturbance. Glaucoma has not been reported as the complication of atopic dermatitis, but it is believed that long-term use of topical corticosteroid on face may cause glaucoma. A 26-year-old nan presented with generalized severe atopic dermatitis and gradual loss of vision in both eyes. Because of eczema involving the skin of the face including the eyelids, he had been applying various topical corticosteroids since he was 4 years old. Eight years ago, cataracts developed on both eyes and extracapsular cataract extraction and intraocular lens implantation were done. Ophthalmologic examination revealed that his intraocular pressures were 46mmHg right and 38mmHg left, suggesting glaucoma. Three months following presentation, the patient became totally blind in both eyes. (Korean J Dermatol 2003;41(9) : 1253~1255)
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부신피질 호르몬 병변내 주입으로 호전을 보인 소방성 혈관종 2예
권혁만,여광열,황동규,유희준 대한피부과학회 2002 대한피부과학회지 Vol.40 No.7
Tufted angioma is a rare, acquired vascular tumor, most commonly presenting in the first year of life, which was first described by Wilson Jones in 1979. Spontaneous resolution of this tumor are known to be very rare and local recurrence often occurs unless the tumor is excised completely. We present two cases of tufted angioma developed in two 1-year-old girls. Skin biopsy in a case showed compatible findings with tufted angioma and the other was diagnosed at an other hospital. The lesions were treated with intralesional injections of triamcinolone acetonide and showed marked improvement. During follow up period, the lesions kept improving.
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황동규,유희준,권혁만,여광열 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.1
Churg-Strauss syndrome is a clinicopathologic disorder of severe asthma, fever, and eosinophilia together with systemic vasculitis involving various organ systems. Characteristic cutaneous lesions include erythematous maculopapules resembling erythema multiforme, hemorrhagic lesions, and cutaneous and subcutaneous nodules. Histologically, extravascular granuloma and leukocytoclastic vasculitis are the most common findings. We report a case of 40-year-old woman who presented with generalized multiple hemorrhagic bullae that had developed 1 month ago. Previously, She had allergic rhinitis and asthma. Laboratory studies revealed peripheral blood eosinophilia, and positive p-ANCA. Skin biopsy revealed eosinophilic infiltrates and leukocytoclastic vasculitis.
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