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P239 : Efficacy and safety of oral acitretin in chronic hand eczema
( Margaret Song ),( Won Ku Lee ),( Gun Wook Kim ),( Hyun Ho Jo ),( Won Jeong Kim ),( Je Ho Mun ),( Hoon Soo Kim ),( Hyun Chang Ko ),( Moon Bum Kim ),( Byung Soo Kim ) 대한피부과학회 2014 대한피부과학회 학술발표대회집 Vol.66 No.2
Background: Chronic hand eczema (CHE) may severely reduce patient``s quality of life. CHE refractory to topical corticosteroids currently have limited treatment options suited for chronic use. In demand of safe new therapy, oral alitretinoin, 9-cis retinoic acid, was proposed, but the economic burden limits its broad use. Acitretin is a well-known second generation vitamin A derivative, widely used in palmoplantar psoriasis with less cost. Objectives: To assess the efficacy and safety of oral acitretin in chronic hand eczema patients. Methods: A total of 38 patients diagnosed with CHE were enrolled in the prospective open-label study. All patients were administered with oral acitretin, start dose of 10mg twice daily and tapered to 10mg once daily for up to 24 weeks. CHD severity was evaluated using a 5-grade physicial global assessment (PGA) scale and the modified total lesion symptom score (mTLSS). Results: Clinical responses, defined as clear or almost clear, were achieved in up to 34% (10/29) of patients. The proportion achieving PGA of clear, almost clear or mild was 58% (17/29). The improvement was more remarkable in hyperkeratotic type than other types of hand eczema. No serious side effects were reported except of cheilitis in 2 patients and abdominal discomfort in 3 patients. Conclusion: Oral acitretin is well-tolerated with effectively improving chronic hand eczema, especially in hyperkeratotic type.
Surgical Treatment of Subungual Glomus Tumor: A Unique and Simple Method
SONG, MARGARET,KO, HYUN-CHANG,KWON, KYUNG-SOOL,Kim, MOON-BUM Blackwell Publishing Inc 2009 Dermatologic surgery Vol.35 No.5
<P>BACKGROUND</P><P>The glomus tumor, described as a painful subcutaneous nodule, commonly occurs in subungual regions and is accompanied by tenderness and temperature sensitivity. In treatment of subungual glomus tumor, surgical excision is known to be the only curative method. Under surgical approach, it is challenging to minimize postoperative nail deformity and to reduce tumor recurrence.</P><P>OBJECTIVE</P><P>To evaluate the efficacy and safety of surgical treatment of subungual glomus tumor using simple blunt dissection.</P><P>MATERIALS AND METHODS</P><P>Twenty-three patients diagnosed with subungual glomus tumor underwent surgical procedure using a dorsal transungual approach. A single linear incision was made above the tumor, and the exposed mass was meticulously dissected with the opposite end of a single-end probe, and the tumor “popped up.” Recurrence of symptom, tumor recurrence, and local complication were evaluated through long-term follow-up.</P><P>RESULTS</P><P>After a mean follow-up period of 30 months, only one case recurred, and partial-thickness skin necrosis occurred around the tourniquet site. There was no postoperative nail deformity.</P><P>CONCLUSIONS</P><P>In treatment of subungual glomus tumor, meticulous simple blunt dissection using a transungual approach led the tumor to “pop up” from the tumor bed. This unique and simple method of treating subungual glomus tumor showed low recurrence and minimal complications.</P>
( Margaret Song ),( Hyang Suk You ),( Hyunho Jo ),( Jeho Mun ),( Hyun Chang Ko ),( Byung Soo Kim ),( Moon Bum Kim ),( Hoon Soo Kim ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2
Background: Surgical treatment is considered as the treatment of choice in extrammary Paget`s disease(EMPD),but there still are demands of alternative treatment due to anatomic location of tumor and extensive surgical defect. Photodynamic therapy (PDT) is promising but limited alternative treatment with inconsistent efficacy in EMPD Objectives: To assess the efficacy of laser ablation followed by photodynamic therapy with methyl-aminolevulinate(MAL) in EMPD Methods: Thirteen patients diagnosed with noninvasive EMPD without distant metastasis were enrolled in the study. All patients received photodynamic therapy with MAL as a photosensitizer and intense pulsed light as a light source, following CO2 laser ablation. Photodynamic therapy after laser ablation was performed 1 to 13 times depending on the presence of remnant lesion Results: Nine male and 4 female patients with mean age of 68.2 were included in the analysis. Reduction in size of EMPD was observed in all patients except one even after first treatment. At 6 months, clinical complete response(CR) was observed in 5 patients (38.5%) and partial response in 7 patients,but only 2 patients eventually reached CR Conclusion: Photodynamic therapy alleviates symptoms and is effective in reducing the size of tumor. Although, it holds limitation in achieving clinical and histological cure, even after multiple treatment, with very long downtime. It should be considered as a conservative or preoperative treatment of EMPD rather than curative treatment.
Korean Red Ginseng Powder in the Treatment of Melasma
Margaret Song,Je-Ho Mun,Hyun-Chang Ko,Byung-Soo Kim,Moon-Bum Kim(김문범) 고려인삼학회 2011 Journal of Ginseng Research Vol.35 No.2
Exposure to the sun, ultraviolet radiation, and oxidative stress are the chief etiologic factors responsible for melasma. The ingredients of Korean red ginseng powder, which include ginsenoside and phenolic compounds, have antioxidative effects and reduce ultraviolet B-induced pigmentation. This study was designed to evaluate the effectiveness and safety of Korean red ginseng powder in patients with melasma. In 25 female patients, 3 g of Korean red ginseng powder was orally administered for a 24 week period. The level of pigmentation and erythema were determined and clinical improvement was evaluated by the melasma area and severity index (MASI), melasma quality of life scale (MELASQoL), and patient- and investigator-rated global improvement scale. After 24 weeks, the MASI score decreased from 8.8 to 5.6, and MELASQoL showed improvement in 91% of patients (p<0.05). The mean level of pigmentation decreased from 184.3 to 159.7 and erythema levels decreased from 253.6 to 216.4 (p<0.05). Additionally, 74% of the patients showed some improvement in both patient- and investigator-rated global improvement scales at week 24. Korean red ginseng powder was well tolerated by most of the patients. In conclusion, Korean red ginseng powder showed good tolerability and beneficial effects in patients with melasma. The use of Korean red ginseng would be counted as a useful adjunctive therapy for patients with melasma.
Korean Red Ginseng Powder in the Treatment of Melasma: An Uncontrolled Observational Study
Song, Margaret,Mun, Je-Ho,Ko, Hyun-Chang,Kim, Byung-Soo,Kim, Moon-Bum The Korean Society of Ginseng 2011 Journal of Ginseng Research Vol.35 No.2
Exposure to the sun, ultraviolet radiation, and oxidative stress are the chief etiologic factors responsible for melasma. The ingredients of Korean red ginseng powder, which include ginsenoside and phenolic compounds, have antioxidative effects and reduce ultraviolet B-induced pigmentation. This study was designed to evaluate the effectiveness and safety of Korean red ginseng powder in patients with melasma. In 25 female patients, 3 g of Korean red ginseng powder was orally administered for a 24 week period. The level of pigmentation and erythema were determined and clinical improvement was evaluated by the melasma area and severity index (MASI), melasma quality of life scale (MELASQoL), and patient- and investigator-rated global improvement scale. After 24 weeks, the MASI score decreased from 8.8 to 5.6, and MELASQoL showed improvement in 91% of patients (p<0.05). The mean level of pigmentation decreased from 184.3 to 159.7 and erythema levels decreased from 253.6 to 216.4 (p<0.05). Additionally, 74% of the patients showed some improvement in both patient- and investigator-rated global improvement scales at week 24. Korean red ginseng powder was well tolerated by most of the patients. In conclusion, Korean red ginseng powder showed good tolerability and beneficial effects in patients with melasma. The use of Korean red ginseng would be counted as a useful adjunctive therapy for patients with melasma.
Case Report : Angiomyxolipoma (Vascular Myxolipoma) of Subcutaneous Tissue
Margaret Song,Sang Hee Seo,Do Sang Jung,Hyun Chang Ko,Kyung Sool Kwon,Moon Bum Kim 대한피부과학회 2009 Annals of Dermatology Vol.21 No.2
Lipoma is the most common neoplasm of mesenchyme, and several subtypes have been described that vary according to their location and the presence of other tissue elements. Angiomyxolipoma is a very rare variant that consists of an admixture of adipose and myxoid elements with numerous vascular structures. It should be differentiated from other subtypes of benign and malignant lipomas. Here the case of a 69-year-old male is described who presented with a solitary asymptomatic mass on the left iliac crest. The histopathologic findings showed alternating nests of myxoid and adipose tissue containing dilated blood vessels, which was consistent with angiomyxolipoma. (Ann Dermatol 21(2) 189~192, 2009)