http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
동종골수이식을 한 환자에서 발생한 물방울양 건선 1 예
강숙경(Sook Kyoung Kang),노경현(Kyung Hyun Roh),고재경(Jai Kyoung Koh),문기찬(Kee Chan Moon),최지호(Jee Ho Choi),성경제(Kyung Jeh Sung) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.5
In many student it has been demonstrated that donor-derived cells would eventually replace the hematopoietic and immune system of the recipient after allogeneie bone marrow transplantation (B.M.T). And there are siveral case reports desering resolution or development of autommune deseases after BMT. Psoriasis is considered to be an autoimmune disease of abnormal keratinocyte proliteration induced by T lymphocytes. Herein we describe a 17-year-old woman presenting with guttate psoriasis, who suffered from acute lymphocytic leukcmia and underwent allogencie BMT 6 months ago This is the First case of gultate psoriasis possibly associated with BMT in thee Korean literature.
강숙경(Sook Kyoung Kang),이미우(Mi Woo Lee),최지호(Jee Ho Choi),성경제(Kyung Jeh Sung),문기찬(Kee Chan Moon),고재경(Jai Kyoung Koh) 대한피부과학회 2001 대한피부과학회지 Vol.39 No.12
The case of an unusual desmoplastic variant of trichilemmoma arising in the face of a 72-year-old man is reported. Desmoplastic trichilemmoma is characterized by the presence of a densely sclerotic stroma, surrounded by lobules of epithelial cells with features of outer root sheath differentiation, including glycogen-rich, clear cytoplasms and peripheral palisading. In the central part of the tumor, irregular cords and nests of epithelial cells entrapped in the desmoplastic stroma are found. The pathological appearance can mimic trichilemmal carcinoma, morpheic basal cell carcinoma, and squamous cell carcinoma. Recognition of this benign neoplasm as such will prevent misdiagnosis and unnecessary aggressive treatment. (Korean J Dermatol 2001;39(12):1407~1410)
강숙경(Sook Kyoung Kang),장경애(Kyoung Ae Jang),최지호(Jee Ho Choi),성경제(Kyung Jeh Sung),문기찬(Kee Chan Moon),고재경(Jai Kyoung Koh) 대한피부과학회 2001 대한피부과학회지 Vol.39 No.7
Survival from malignant melanoma has improved, and as a consequence, the possibility of raised risk of second primary cancers needs to be taken into account in clinical management. We report two cases of second primary cancers in patients with cutaneous malignant melanoma. One is a 61-year-old man suffered from head and neck squamous cell carcinoma with acral lentiginous melanoma, the other is a 65-year-old woman who suffered from malignant lymphoma with superficial spreading melanoma. (Korean J Dermatol 2001;39 (7) 798-802)
강숙경 ( Sook Kyoung Kang ),김은성 ( Eun Sung Kim ),이미우 ( Mi Woo Lee ),성경제 ( Kyung Jeh Sung ),문기찬 ( Kee Chan Moon ),고재경 ( Jai Kyoung Koh ) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.4
Syphilis and human immunodeficiency virus(HIV) disease may coexist, and syphilis is often the presenting infection of patients with concurrent HIV infection, because syphilis may accelerate development of immunodeficiency in HIV-infected persons, and conversely HIV infection causes reactivation of dormant syphilis. Cutaneous secondary syphilis in HIV-infected patients is often associated with unusual and s clinical features. We report a 44- year old man in that syphilis reactivated by HIV infection, and a 23-year-old m in that syphilis was a presenting sign of HIV infection.
장경애(Kyoung Ae Jang),최지호(Jee Ho Choi),문기찬(Kee Chan Moon),고재경(Jai Kyoung Koh),강숙경(Sook Kyung Kang),서호석(Ho Seok Suh),성경제(Kyung Jeh Sung) 대한피부과학회 2000 대한피부과학회지 Vol.38 No.12
Background:Sarcoidosis is a chronic granulomatous inflammatory disorder involving many organs including the skin with various clinical manifestations. Objective:The purpose of this study was to investigate the clinico-pathological characteristics of sarcoidosis. Methods:A total of 19 patients with cutaneous sarcoidosis were enrolled in this study. The hospital charts and histopathological slides of the patients with sarcoidosis diagnosed at Asan Medical Center from 1989 to 1999 were reviewed. Results:1. Three male and sixteen female patients were included(M:F=1:5.3). Age at diagnosis ranged from 4 to 62 years. The mean age was 46 years in male patients and 44.9 years in female patients. 2. Multiple or several(more than 2) skin lesions were common(78.9%). Extremities were the favored sites. Clinically the lesions were presented as subcutaneous nodules, plaques, nodule, macules or papules, patches, psoriasiform, and pitted scar in decreasing order. Cutaneous lesions arising from the scar were present in 3 cases. Six patients(31.6%) complained of systemic symptoms such as fever or weight loss. 3. The systemic involvement was present in 11 cases(57.9%). Lung, hilar lymph nodes, and mediastinal lymph nodes were the most commonly involved organs. 4. Laboratory examinations revealed elevated erythrocyte sedimentation rate(71.4%) and angiotensin converting enzyme(ACE)(90%). In all the patients with elevated level of serum ACE the involvement of intrathorax was present, however one patient with systemic involvement showed normal level of ACE. Serum calcium level was normal in all the patients and the level of CD4/CD8 revealed variable results(1.3 to 3.9). 5. Histopathological evaluation revealed non-caseating epithelioid cell granulomas (100%) with multinucleated giant cells(52.6%) and asteroid body(31.6%). In 11 cases(57.9%), fibrosis was the prominent finding and in two cases(10.5%) partial interstitial necrosis was noted. Histopathologically subcutaneous pattern was predominant in 8 cases(42.1%). The patients with subcutaneous sarcoidosis did not show any specific clinical or laboratory differences from the other types in our study. (Korean J Dermatol 2000;38(12):1583~1589) Conclusion:Cutaneous sarcoidosis showed varied clinical and histopathological manifestations and ran various clinical courses. In cutaneous sarcoidosis women were more commonly involved than in systemic sarcoidosis and more elderly patients were involved in cutaneous sarcoidosis. Extensive work-up for systemic involvement may be mandatory when sarcoidosis is presented with cutaneous lesions or the level of serum ACE is elevated in cutaneous sarcoidosis. The level of CD4/CD8 may be a insignificant laboratory index in sarcoidosis. Also, subcutaneous sarcoidosis may not be a marker of the systemic involvement.
피부 비만세포증 30 예의 임상 및 병리 조직학적 고찰
장성은(Sung Eun Chang),강숙경(Sook Kyoung Kang),지민선(Min Sun Jee),최지호(Jee Ho Choi),성경제(Kyung Jeh Sung),문기찬(Kee Chan Moon),고재경(Jai Kyoung Koh) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.5
N/A Background : Mastoeytosis is characterized by accumulation of mast cells in various organs, most frequently in skin. Cutaneous mastoeytosis is a relatively rare disease in outpatient clinics and the clinicopathological study has not been done yet in Korea. Objective : The ain of this study is to analyse the clinieopathological features of cutaneous mastocytosis. In addition, we examined CDU7 expression in the skin biopsy specimens immunohistochemically Methods : Thirty cases of cutaneous mastocytosis were collected from 1990 to 1999 in Asan Medical Center. Clinical records, photographs. and biopsy slides were reviewed. In each biopsy specimen, CDU7 was stained by immunoperoxidase method. Results : Among 30 cases, 29 cases were childhood type urticaria pigmeniosa(76.7 %) or mastocytoma(20.2%) and only I case occurred after 16 years of age. The incidence showed a peak under 1 year old (70.0%) and mates affected 2.3 times as much as females. The trunk and distal extremities are the most common site of urticaria pigmentosa and mastocytoma respectively. CD117 was strongly positive in all cases of utricaria pigmentosa (both child and adult type) and mastocytoma. Conclusion : Urticaria pigmentosa of infantile onset was the most common, followed by infantile mastocytoma. Systemic reactive manifestations are rate in cutaneous mastocytosis. The strong expression of CD117 was seen regardless of cutancous mastocytoses.
강숙경,노경현,장성은,최지호,성경제,문기찬,고재경 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.4
Palmoplantar keratodermas are divided into autosomal dominant and autosomal recessive groups by the made of transmission. The autosomal dominantly transmitted group is further divided into epidermolytic and nonepidermolytic types according to the histological findings. Hereditary epidermolytic palmoplantar keratoderma manifests clinically as a localized thickening of the palms and soles. Herein w report a 29-year-old woman showing the typical clinical and histologic features of epidermolytic palmoplantar keratoderma without family history. This case could be spontaneous notations that will later breed a true autosomal dominant trait.
장성은,강숙경,고재경,문기찬,최지호,배지영,성경제 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.5
There is not always a sharp distinction among the sebaceous neoplasms including sebaceous adenoma, seboceoma, and sebaceous carcinoma Sebaceous carcinoma is a malignant tumor derived from the adnxal epithelium of sebaceous glands. It may exhibit a variety of histological growth patterns and diverse clinical presentations. Herein we report a 65-year-old man presenting with a 0.5㎝ skin-colored papule on the left cheek, which shows the histopathological features of well-differentiated sebaceous carcinoma.
지미선,강숙경,장성은,최지호,성경제,문기찬,고재경 대한피부과학회 2002 대한피부과학회지 Vol.40 No.12
Chilblain lupus erythematosus is a rare special subtype of chronic cutaneous lupus erythematosus characterized erythematous acral skin lesion induced by cold, damp climate. Approximately, only 20% of the patients presenting with chilblain lupus erythematosus later develop systemic lupus erythematosus(SLE). We present here a case of chilblain lupus erythematosus, associated with a development of SLE later. A 29-year-old female patient has had violaceous and erythematous papules on the ear, dorsal hands and finger tips for 10 yean and these lesions have been aggravated by winter. She has been diagnosed as a suspicious SLE for 3 years and then was treated with oral prednisolone and hydroxychloroqine. (Korean J Dermatol 2002;40(12) : 1566∼1568)