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정경은 ( Kyoung Eun Jung ),남궁선 ( Sun Namkoong ),정지민 ( Ji Min Chung ),박종욱 ( Jong Wook Park ),김명화 ( Myung Hwa Kim ),신용우 ( Yong Woo Cinn ),윤세영 ( Se Young Yoon ),노기웅 ( Ki Woong Ro ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.4
Zinc deficiency is characterized by acrodermatitis enteropathica like eruption such as periorificial dermatitis, diarrhea and mental irritability. This syndrome occurs due to decreased supplementation, increased consumption or decreased bowel absorption of zinc. We report here on a case of acquired zinc deficiency in a patient who was receiving total parenteral nutrition due to ischemic colitis. She showed denuded patches on the perinasal, perioral and perineal area and tense bullae on both hands. She was suffering from diarrhea and mental irritability. Her blood zinc level was 4.9 μg/dl. Subsequent intravenous zinc supplementation cleared up her clinical manifestations. (Korean J Dermatol 2009;47(4):479~482)
High Fluence 색소 레이저를 이용한 조갑주위 사마귀의 치료 효과
정경은 ( Kyoung Eun Jung ),박병철 ( Byung Cheol Park ),신용우 ( Yong Woo Cinn ),김명화 ( Myung Hwa Kim ) 대한피부과학회 2010 大韓皮膚科學會誌 Vol.48 No.5
Background: Viral warts are benign epithelial proliferations induced by the human papillomavirus (HPV) and they affect 7~10% of the population. Some warts such as periungual warts are resistant to various treatment modalities, including cryotherapy, surgical excision, carbon dioxide laser therapy and immune therapy. Thus, some studies have reported that pulsed dye laser has been effectively used for treating recalcitrant warts. Objective: The purpose of this study was to evaluate the therapeutic response and safety of pulsed dye laser using high fluence for the treatment of periungual warts. Methods: 66 periungual warts on 28 patients were treated with pulsed dye laser. The treatment parameters were a spot size of 5.0 mm, a pulse duration of 0.45~1.5 ms and a fluence of 14.0~15.0 J/cm2. The warts were evaluated at 2~3 week intervals to assess the clearance rate and side effects. Results: Complete clearance was achieved for 47 out of 66 periungual warts (71.2%). The average number of treatment sessions was 2 (range: 1~6). After the first session, complete clearance was achieved for 24 out of 66 warts (36.4%). No significant side effects were observed except for pain during and after the procedure. During a median follow up period of 7 months (range: 3~15 months), 10 periungual warts on 3 patients recurred. Conclusion: Pulsed dye laser using high fluence could be used as a safe and successful treatment for recalcitrant periungual warts. (Korean J Dermatol 2010;48(5):366~372)
정경은 ( Kyoung Eun Jung ),남궁선 ( Koong Sun Nam ),정지민 ( Ji Min Chung ),박종욱 ( Jong Wook Park ),김명화 ( Myung Hwa Kim ),신용우 ( Yong Woo Cinn ),노기웅 ( Ki Woong Ro ) 대한피부과학회 2009 大韓皮膚科學會誌 Vol.47 No.5
Milker`s nodule is a harmless skin lesion that`s caused by the paravaccinia virus (also called pseudocowpox virus), which is a member of the genus Parapoxviridae. It occurs worldwide, but it is prevalent only in individuals who are in close contact with cattle. We report here on a woman who presented with a dusky purpuric center surrounded by a white or gray ring and an outer red halo on the back of the right hand. Histologically, intracytoplasmic inclusion bodies were evident in the upper epidermis, and these revealed cylindrical virus particles on electron microscopy. Parapoxvirus was identified by polymerase chain reaction with using pan-parapoxvirus primer 1 (PPP-1) and PPP-4. (Korean J Dermatol 2009;47(5):625~628)
국소 피부경화증에서 발생한 경표피배출을 보이는 이상증 피부석회증
정경은 ( Kyoung Eun Jung ),계지원 ( Ji Won Gye ),남궁선 ( Sun Nam Koong ),정지민 ( Ji Min Chung ),박병철 ( Byung Cheol Park ),김명화 ( Myung Hwa Kim ) 대한피부과학회 2010 大韓皮膚科學會誌 Vol.48 No.8
Localized scleroderma is a connective tissue disorder characterized by thickening and fibrosis of the skin due to excessive collagen deposition in the dermis. Dystrophic calcinosis occurs when calcium is deposited in the previously damaged skin tissue, and calcium and phosphorous levels in the blood are within normal limits. It occurs secondary to connective tissue disease, infection, inflammatory processes, chronic venous stasis, cutaneous neoplasm, and trauma. We report a rare case of dystrophic calcinosis cutis with transepidermal elimination secondary to localized scleroderma. (Korean J Dermatol 2010;48(8):711~713)
치아 결손과 나비뼈 섬유성 이형성증을 동반한 Becker 모반 증후군
정경은 ( Kyoung Eun Jung ),남궁선 ( Koong Sun Nam ),정지민 ( Ji Min Chung ),박종욱 ( Jong Wook Park ),김명화 ( Myung Hwa Kim ),신용우 ( Yong Woo Cinn ),노기웅 ( Ki Woong Ro ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.5
Becker nevus syndrome is a phenotype characterized by the presence of a Becker nevus in association with unilateral hypoplasia of the breast or other cutaneous, muscular or skeletal defects. We report an interesting case of Becker`s nevus syndrome associated with fibrous dysplasia of the sphenoid bone, tooth abnormalities and facial asymmetry. (Korean J Dermatol 2009;47(5):596~599)
이은정 ( Eun Jung Lee ),김현진 ( Hyun Jin Kim ),정경아 ( Kyoung Ah Jung ),임병렬 ( Ryong Ryol Lim ),김태효 ( Tae Hyo Kim ),이옥재 ( Ok Jae Lee ),주영태 ( Young Tae Joo ) 대한내과학회 2007 대한내과학회지 Vol.72 No.2
위장관내 이물은 대부분 자연적으로 배출되지만 길고 날카로우며 단단한 금속성 물질은 다양한 합병증을 유발한다. 따라서 신속하게 내시경으로 제거를 하는 것이 최선이다. 그러나 초기에 이물 제거에 실패하면 복부 방사선 검사로 주의깊게 경과관찰을 해야 한다. 이물이 우하복부에 고정되어 변화가 없으면 대장내시경을 이용하여 제거를 시도해야 하며 이러한 방법에도 실패하면 복강경을 이용한 수술 제거가 시행되어야 한다. 저자들은 치과 치료 중 우연히 치근관 파일을 삼켜 내원한 환자에서 이물이 충수 돌기에 저류된 것을 확인하고 합병증이 발생하기 전에 복강경을 통한 충수 돌기 제거술로 이물을 제거한 예를 경험하였기에 문헌고찰과 함께 보고한다. Once ingested foreign bodies pass through the stomach, 80 to 90 percent of them will exit via the gastrointestinal tract and they are excreted naturally in 7-10 days; surgical treatment is not required in most case. But once foreign bodies permeate the appendix, it is difficult for them to be excreted again to the cecum; therefore, this can possibly cause appendicitis or perforation. Especially in case of long, pointed, thin, stiff, sharp and/or metalic objects, the risk of perforation will increase. We attempted to remove an endodontic file in the appendix by colonoscopy. This was done in a patient who came to hospital because he swallowed an endodontic file during endodontic therapy. But we failed to retrieve it, and so we got rid of the foreign body by performing elective surgery before the occurrence of complications. We report here on surgical removal of an apppendiceal foreign body along with a review of the literature. (Korean J Med 72:209-212, 2007)