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입술 Venous Lake에 대한 경화요법의 치료 효과
현동녘 ( Dong Nyeok Hyun ),원종훈 ( Jong Hoon Won ),박준수 ( Joon Soo Park ),정현 ( Hyun Chung ),장효찬 ( Hyo Chan Jang ) 대한피부과학회 2007 大韓皮膚科學會誌 Vol.45 No.11
Background: Although venous lake is asymptomatic, treatment is usually performed for cosmetic purposes or to prevent bleeding after trauma. The treatment is diverse and includes surgical excision, compression and cryotherapy. Above all, sclerotherapy is a useful and effective procedure for the treatment of venous lake on the lip. Objective: This study was undertaken to assess the effectiveness and complications of the sclerotherapy of venous lake on the lip. Methods: Fifteen lesions from eleven patients with venous lake on the lip were treated with sclerotherapy using sodium tetradecyl sulfate, detergent sclerosant. According to the size of lesions, the volume of infused solution was varied and the effectiveness of treatment was evaluated after four weeks. Results: After a single treatment, fourteen of the fifteen lesions(93.3%) were cleared completely. The remaining lesion was treated one additional time. There were no reported complications during treatment. Conclusion: Sclerotherapy is highly effective and safe for the treatment of venous lake on the lip and may be a promising treatment option. (Korean J Dermatol 2007;45(11):1149∼1153)
Palisaded Neutrophilic and Granulomatous Dermatitis (Rheumatoid Papule)
현동녘 ( Dong Nyeok Hyun ),박준수 ( Joon Soo Park ),정현 ( Hyun Chung ),장효찬 ( Hyo Chan Jang ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.8
Palisaded neutrophilic and granulomatous dermatitis is a newly described disease associated with connective tissue disorders, such as rheumatoid arthritis or lupus erythematousus. Cases associated with rheumatoid arthritis are also termed rheumatoid papules. We report a 27-year-old woman who presented with two erythematous, tender papules on her left elbow. She had rheumatoid arthritis and was being treated with an oral steroid, methotrexate and nonsteroidal antiinflammatory drugs. Histopathologic examination showed degenerative collagen with basophilic fibrinoid materials and neutrophils surrounded by palisaded epithelioid cells in the upper dermis. (Korean J Dermatol 2007;45(8):847∼850)
현동녘 ( Dong Nyeok Hyun ),원종훈 ( Jong Hoon Won ),박준수 ( Joon Soo Park ),정현 ( Hyun Chung ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.10
Pthiriasis is a sexually transmitted disease, and in most cases this is caused by Pthirus pubis (pubic or crab lice) that mainly infest the pubic hair of adults. Eyebrows, eyelashes and axillary hair are also relatively common sites of infestation, but the scalp is an uncommon site of manifestation, and especially in adults. We report here on a case of pthiriasis that was confined to the scalp, without involving any other parts of the body of a 55-year-old woman. (Korean J Dermatol 2008;46(10):1381∼1383)
현동녘 ( Dong Nyeok Hyun ),김희정 ( Hee Jeung Kim ),이성우 ( Sung Woo Lee ),장효찬 ( Hyo Chan Jang ),정현 ( Hyun Chung ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.11
We report a case of 45 year old man with a porokeratosis of Mibelli on his scrotum. He presented with 4 year history of an annular pruritic skin lesion on his scrotum. The skin lesion showed an initial rapid growth, but then stabilized without further change. Histologic examination revealed a typical cornoid lamella consisting of packed parakeratotic cells. Porokeratosis in the genital area is rare, but can occur in a generalized form with genital area involvement or a localized form confined to the genital area. (Korean J Dermatol 2006;44(11):1357~1359)
가성가성 부갑상선 기능저하증 환자에서 발생한 올브라이트 유전성 골이영양증 2예
원종훈 ( Jong Hoon Won ),현동녘 ( Dong Nyeok Hyun ),박준수 ( Joon Soo Park ),정현 ( Hyun Chung ),정의달 ( Eui Dal Jung ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.7
A 36 year-old man and his 6 month-old daughter presented with multiple, slightly depressed, skin-colored, hard nodules and plaques on the abdomen, back, and both extremities. They also showed abnormal physical appearance, including short stature and neck, round face, and short digits, which suggested Albright`s hereditary osteodystrophy (AHO). Histopathologically, various sized bony spicules were present in the dermis. The laboratory results showed normal serum calcium, phosphorus and parathyroid hormone levels. On the basis of clinical, laboratory and histologic findings, we diagnosed these cases as Albright`s hereditary osteodystrophy with cutaneous ossification occurring in pseudopseudohypoparathyroidism. (Korean J Dermatol 2009;47(7):820~824)
원종훈 ( Jong Hoon Won ),현동녘 ( Dong Nyeok Hyun ),박준수 ( Joon Soo Park ),정현 ( Hyun Chung ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.6
Angiokeratoma of Fordyce is a relatively common type of angiokeratoma that is characterized by small, multiple, purplish to dark red papules on the scrotum. Pathogenesis is unknown, but it has been suggested that increased venous pressure caused by varicocele, hernia or tumor of the epididymis can induce angiokeratoma of Fordyce. We report a case of unilateral angiokeratoma of Fordyce with varicocele in a 30 year-old man. He presented with approximatly 2 mm sized, purplish to dark red, and multiple hyperkeratotic papules on the left scrotum. The lesions were strictly limited to the left side of the scrotum and associated with varicocele on the same side. Histopathologically, hyperkeratosis, acanthosis with elongation of rete ridges and dilated papillary vessels are presented. Based on this clinical and histologic finding, we diagnosed this case as unilateral angiokeratoma of Fordyce with varicocele. The patient was treated with varicocelectomy for left varicocele and then cryotherapy for skin lesions. (Korean J Dermatol 2008;46(6):831∼834)
장효찬 ( Hyo Chan Jang ),김희정 ( Hee Jeung Kim ),현동녘 ( Dong Nyeok Hyun ),이성우 ( Sung Woo Lee ),정현 ( Hyun Chung ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.10
Poliosis circumscripta describes a localized patch of white hair due to deficiency of melanin in the hair follicles. It is a feature of various conditions such as piebaldism, Vogt-Koyanagi-Harada syndrome, tuberous sclerosis, vitiligo, recent herpes zoster infection, or overlying a scalp neurofibroma. We report a rare case of poliosis circumscripta associated with halo nevus of the scalp. A 24-year-old woman presented with a 10 year history of an asymptomatic, pinkish nodule on the scalp which had overlying poliosis. On histopathological examination, dermal nevus cells were observed and the hair follicles of the depigmented patch were found to be devoid of pigment. (Korean J Dermatol 2006;44(10):1250~1252)
Cyclosporine 투여로 호전을 보인 Ofuji 구진성 홍피증
장효찬 ( Hyo Chan Jang ),김희정 ( Hee Jeung Kim ),현동녘 ( Dong Nyeok Hyun ),이성우 ( Sung Woo Lee ),정현 ( Hyun Chung ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.1
Papuloerythroderma of Ofuji is an uncommon dermatological disorder of unknown etiology and is characterized by a pruritic eruption of widespread confluent papules in vast sheets over the skin, but spares the skin folds (the so-called `deck-chair` effect). We present a case of a patient with papuloerythroderma of Ofuji of unknown cause. Treatment with oral and topical corticosteroids, antihistamines, and narrow-band UVB phototherapy proved to be ineffective in helping the condition but considerable clinical improvement was obtained with cyclosporine. (Korean J Dermatol 2007;45(1):37~39)