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광선각화증에 대한 임상 및 병리조직학적 소견 - 대한피부과학회 피부병리연구분과위원회 공동연구 -
장성남,전수일,김수남,조백기,전재복,김낙인,서기석,조광현,김수찬,고재경,김방순,이승철,원영호,김종민 ( Sung Nam Chang,Soo Il Chun,Soo Nam Kim,Baik Kee Cho,Jae Bok Jun,Nack In Kim,Kee Suck Suh,Kwang Hyun Cho,Soo Chan Kim,Jai Kyoung Koh,Bang Soon 대한피부과학회 1997 대한피부과학회지 Vol.35 No.5
Background: Although actinic keratoses is the most common precancerous cutaneous lesion, there has been no clinical and histopathological study about actinic keratoses in Korea. Objective : Our purpose was to carry out a clinical and histopathological study about actinic keratoses in Korea. Methods : 158 patients, diagnosed with actinic keratoses from 1987 to 1995 in Korea, were analyzed clinically and histopathologically. Results 1. The ratio of males to females was 1:2.4 and the most frequent age groups were the 6th(29.1%) and 7th decade(33.5%). 2. The duration of the lesions was more than 1 year in most cases. 3. The most commonly involved sites were the face, in which the cheek, nose and forehead were the most common sites. 4. Clinically, the size of the lesions was less than 1cm in many cases(66.8% ). The color was erythematous in 57.9%, brownish in 26.7%, and dark brownish in 15.3%. Crust and scale were noted in 28.7% and 25.2%, respectively. In 4% of patients, cutaneous horn also was noted. 5. Squamous cell carcinoma was associated with actinic keratoses in 5.7%, basal cell carcinoma in 3.2%, and keratoacanthoma in 1.3%. 6. Histopathologically, hypertrophic types of actinic keratoses were noted in 25.0%, atrophic types in 21.3%, hypertrophic and atrophic types in 18.1%, bowenoid types in 17.6%, acantholytic types in 13.3%, and pigmented types in 4.7%. 7. The most commonly used methods of treatment for actinic keratoses were cryotherapy, surgical excision, 5 FU ointment, and electrodesiccation with good effect. Conclusion : Actinic keratoses in Koreans was present on the face most commonly over 50 years of age. It showed a more frequent incidence in females than males. The clinical course of the lesions was chronic and the association with other cutaneous malignancies was noted to be less than 6%. The various histopathological types were noted, including hypertrophic, atrophic, hypertrophic and atrophic, bowenoid, acantholytic, and pigmented. The most commonly used methods of treatment. for actinic keratoses were cryotherapy, surgical excision, 5-FU ointment, and electrodesiccation. (Korean J Dermatol 1997;35(5): 931-939)
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서울 강남지역 피부질환의 통계적 고찰 ( 1983 - 1992 )
장성남,이종서,이승헌,박윤기 ( Sung Nam Chang,Jong Seo Lee,Seung Hun Lee,Yoon Kee Park ) 대한피부과학회 1994 대한피부과학회지 Vol.32 No.5
Background:There has been no statistical study of dermatoses in the Gangnam area of Seoul which has been rapidly developing in the last 10 years. Objective:We evaluated the recent distributions of dermatoses in the Gangnam area of Seoul and compared them with the previous reports in Seoul and other provinces of Korea. Methods:47,015 new outpatients who visited the Yongdong Severance Hospital from 1983 to 1992 were analyzed statistcally. Results:The study results are summarized as follows: 1. Among the 47,015 outpatients, the total number of male patients were 20,180(42.9%) and female patients 26,835(5701%) 2. In age distribution, the most frequent age groups were the 3rd decade(21.3%), the 1st decade(19.5%), and the 4th decade(19.2%) amounting to 60% of the total outpatients. 3. The most common 15 dermatoses were dermatophytosis, atopic dermatitis, urticaria, irritant contact dermatitis, acne vulgaris, allergic contact dermatitis, seborheic dermatitis, other eczemas, warts, vitiligo, and syphilis. Dermatophytosis and bacterial infection showed a decreasing tendency. 5. Seasonal distribution showed that those diseases occurring most frequency during the summer were dermatophytosis, urticaria, allergic contact dermatitis, vitiligo, herpes zoster, and bacterial infection. The incidence of atopic dermatitis and psoriasis increased during the winter season. 6. In sexual distribution, acne, allergic contact dermatitis, and irritant contact dermatitis were more frequent in femals, and the remainding common dermatoses did not show any difference. 7. In age distribution, atopic dermatitis and bacterial infection were most frequent in the 1st decade. Urticaria, allergic contact dermatitis,acne, drug eruption, psoriasis, and syphilis were most frequent in the 3rd decade, with warts and vitiligo in the 2nd decade and herpes zoster in the 6th decade. 8. The distributions of dermatoses as disease groups were eczema(24.9%), urticaria-drug eruption(13.2%), dermatophytosis(10.7%), skin appendage disorder(10.?%), vital infection(10.1%), pigmentary disorders(4.5%), and papulosquamous diseases(4.0%) which constituted 78% of the total. 9. In patients dwelling in apartments, atopic dermatitis and molluseum contagiosum showed a more frequent tendency in comparison to those living in houses. 10. The most common 10 dermatoses among children were atopic dermatitis, urticaria, contact dermatitis, molluscum contagiosum, bacterial infection, dermatophytoses , vitiligo, other viral infections, and nevo-cellular nevi. On the other hand, the most common 10 dermatoses among the elderly were dermatophytosis, other eczemas, urticaria, herpes zoster, pruritus, contact dermatitis, drug eruption, lichen simplex chronicus, seborrheic dermatitis, and vitiligo. Conclusion:In contrast to an earlier published report from Seoul, the infectous dermatoses, sepecially parasitic infestation, showed a decreasing tendency, The distribution pattern of the skin diseases did not differ from other provinces of Korea in general. (Kor J Dermatol 1994;32(5):872~885)
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