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오창근,임진수,O, Chang-Geun,Im, Jin-Su 대한흉부심장혈관외과학회 1989 Journal of Chest Surgery (J Chest Surg) Vol.22 No.5
Intralobar pulmonary sequestration is rare congenital lung disease characterized by a cystic portion of the lung that derives its arterial blood supply though aberrant vessel directly of systemic circulation. Intralobar pulmonary sequestration is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. We experienced a case of pulmonary sequestration postoperatively confirmed. The patient was 48-year-old female whose complaints were cough and left chest pain. Chest film showed large homogenous opacity in left lower lung field. By operation, adult fist sized mass at the lower lobe were noted. An aberrant artery, measuring 1.0 cm. in diameter and 2.0 cm. in length, arose from the descending thoracic aorta just above the diaphragm. The anomalous systemic artery was ligatures and resection, and associated with left middle, lower bilobectomy was done. The postoperative course was uneventful, and 10 days later discharged.
다발성 점막 신경종을 동반한 제 3형 다발성 내분비 선종 1예
오창근,권경술,정태안,장호선,이채욱 대한피부과학회 1999 大韓皮膚科學會誌 Vol.37 No.4
Multiple endocrine neoplasi~a type 3 is a rare, heritable or sporadic, multiple neoplastic disorder that is charracterized by thyroid medullary careinoma, pheochromocytoma, multiple mucosal neuroma, and marfanoid habitus. The most important disorder of the syndrome is mucosal neuroma that is an early diagnostic sign of multiple endocrine neoplasia type 3. Early diagnosis of MEN type 3 determines prognosis of the disease. We present a case of multiple endocrine neoplasia type 3 of the sporadic pattern in a 27-year-old man who had typical medullary thyroid carcinoma, mucosal neuroma, marfanoid habitus, and megacolon.
오창근,권경술,장호선,이채욱 대한피부과학회 2000 大韓皮膚科學會誌 Vol.38 No.4
Patients with lichen planus may present with nail changes. The nail changes often present are ridging, longitudinal grooving and splitting of the nail plate, and atrophy of the nail. Pterygium formation is to be rare. Lichen planus limited to the nails without skin or mucous membrane involvement is rarely reported in the literature. A case of pterygium due to lichen planus limited to the nails in a 32-year-old man is reported.
오창근,권경술,장호선,차정훈 대한피부과학회 2001 大韓皮膚科學會誌 Vol.39 No.1
We report a case of tuberculosis verrucosa cutis in a 64-year-old male patient, who had multiple verrucous plaques on his right hand for twenty years. His past history revealed a previous history of injury on his lesion site. Histologic features consisted of hyperkeratosis, acanthosis in the epidermis with inflammatory infiltrate and tuberculoid granuloma in the dermis. It was suspected that the patient had tuberculosis verrucosa cutis, but no bacilli was found in the lesion in the AFB stain. Then we performed PCR, which showed a positive result. We started antituberculosis medication, and the lesions cleared up after 6 months of treatment with isoniazid, rifampicin, pyrazinamide, and ethambutol. The lesions were later confirmed to be tuberculosis by the AFB culture. We suggest that early diagnosis of tuberculosis verrucosa cutis can be made by using PCR.
오창근,박정흠,권경술,정태안,장호선,최석주 대한피부과학회 1999 大韓皮膚科學會誌 Vol.37 No.2
Baekgraund : Vitiligo, the pigmentary disorder of the skin and hair, affects patients of various ages from neonates to old adults. According to flee onset age, vitiligo is classified as adult or childhood type. Previous clinical studies on childhood vitiligo are rare in Korea. Objective : Our purpose was to evaluate the clinical characteristics of childhood vitiligo. Method : A clinical investigation was made of 381 outpatients with childhood vitiligo (between 6months and 15years of onset) who had visited the Department of Dermatology, Pusan National University Hospital from January 1988 till December 1997. Results : The results a stunmariaed as follows 1. The subjects consisted of 206(54.1%) females and 175(45.9%) males. 2. The mean age of onset was 7.7 years(males : 8.0, female : 7.5). 3. The mean duration of the disease was 2.6 years(male : 2.5, female : 2.7). 4. Familial history was obtained in 30 cases(7.9%) and the most common precipitating factor was trauma(40.0%). 5. Both vulgaris(43.3%) and segmental type(30.4%) were common clinical types in the classification of Ortone et al. Trigeminal distributuon(53.4%) was the most common segmental types in Koga's classification. 6. The most commmon site of initial involvement was the face and neck(52.2%) 7. The most common degree of depigmented lesion was within 5%(84.6%). 8. The progression of vitiligo was present in 68.2% of patients and the incidence of poliosis was 11.5%. 9. Kaebner phenomenon was present in 12 cases(3.1%). 10. The most common associated diseases were acne arid halo nevus (18.0%). Conclusion : Childhood vitiligo is relatively unique in the clinical findings such as the clinical type(high incidence of segmental type), precipitating factor(trauma is the main factor), depigmented area(small involvement in the extent of the lesion) and the progression of the disease.
Keratosis follicularis squamosa ( Dohi ) 1 예
오창근,권경술,장호선,김문범,조주현 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.1
Keratosis follicularis squamosa(Dohi) is an acquired keratinizing disorder, which is particularly common among Japanese and rarely reported in other countries. It is characterized by multiple small brownish atrophic patches with follicular plug and collarette scales on the trunk and thighs. The scaly patches, which look like lotus leaves on the water as described by Dohi in the first report, is very characteristic. We report a case of keratosis follicularis squamosa(Dohi) in a 39-year-old woman, who showed a clearance of the skin lesion after 4-week minocycline administration.