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Hyaluronic Acid (Restylane(R)) 주입 후 발생한 지연 과민 반응
김상태 ( Sang Tae Kim ),강진석 ( Jin Seuk Kang ),백재우 ( Jae Woo Baek ),김태권 ( Tae Kwon Kim ),이진우 ( Jin Woo Lee ),전영승 ( Young Seung Jeon ),서기석 ( Kee Suck Suh ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.8
Hyaluronic acid fillers have been proposed as an alternative to other temporary skin fillers for treating facial skin lines and providing soft tissue augmentation. There is no antigenic specificity for species or tissue; thus, these agents have a low potential for allergic or immunogenic reaction. However, there are a few reports about allergic hypersensitivity reactions to hyaluronic acid. We report here on the case of a woman who developed a delayed hypersensitivity reaction to the non-animal stabilized hyaluronic acid filler, Restylane(R). (Korean J Dermatol 2009;47(8):960~963)
서기석 ( Kee Suck Suh ),강진석 ( Jin Seuk Kang ),백재우 ( Jae Woo Baek ),김태권 ( Tae Kwon Kim ),전영승 ( Young Seung Jeon ),김상태 ( Sang Tae Kim ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.12
The incidence of cutaneous metastases of primary tumor has been reported to be rare, as compared with metastasis of other internal organ. Carcinoma of the breast is most common cause of cutaneous metastasis in women. We report here on a case of telangiectactic metastatic breast carcinoma in a 65-year-old female who had violaceous plaques and vesicles over the right side of the neck. Histopathological examinations of the cutaneous lesion revealed aggregations of tumor cells within the dilated blood vessels in the dermis. (Korean J Dermatol 2009;47(12):1375∼1378)
거동이 불편한 환자에서 발생한 Acute Edema Blisters
김상태 ( Sang Tae Kim ),강동영 ( Dong Young Kang ),강진석 ( Jin Seuk Kang ),백재우 ( Jae Woo Baek ),전영승 ( Young Seung Jeon ),서기석 ( Kee Suck Suh ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.12
Edema blisters is an acute bullous disease that occurs following acute lower leg edema in patients with heart, renal and liver disease. Most of the affected patients are elderly, immobile and have been hospitalized for a long time. These clinical situations are commonly observed, but this can be misdiagnosed as other bullous diseases, especially friction blisters and bullous pemphigoid. We herein report a case of acute edema blisters in a 74-year-old female who presented with a tense bullae based on an edematous lower leg. (Korean J Dermatol 2010;48(12):1094∼1096)
만성 습진 환자의 찰과상 병변에서 발생한 Botryomycosis
김상태 ( Sang Tae Kim ),강동영 ( Dong Young Kang ),강진석 ( Jin Seuk Kang ),백재우 ( Jae Woo Baek ),전영승 ( Young Seung Jeon ),서기석 ( Kee Suck Suh ) 대한피부과학회 2010 大韓皮膚科學會誌 Vol.48 No.11
Botryomycosis is a chronic, granulomatous and suppurative infection. The skin is the most frequently affected organ. The most common species is Staphylococcus aureus, followed by Pseudomonas aeruginosa. Clinically, the skin lesions most commonly affect the hands and feet and they can appear as nodules, ulcers, sinuses, fistulae and verrucous plaques. Histopathologic examination reveals grains with surrounding eosinophilic material and inflammatory cells. We report here on a case of botryomycosis at the excoriation site in a 90-year-old female patient with chronic eczema. (Korean J Dermatol 2010;48(11):1041∼1043)
얼굴의 다발성 경화 섬유종을 동반한 Cowden 증후군
김상태 ( Sang Tae Kim ),강동영 ( Dong Young Kang ),강진석 ( Jin Seuk Kang ),백재우 ( Jae Woo Baek ),전영승 ( Young Seung Jeon ),서기석 ( Kee Suck Suh ) 대한피부과학회 2010 大韓皮膚科學會誌 Vol.48 No.12
Cowden syndrome (CS) is a rare genodermatosis that is characterized by multiple hamartomatous tumors of an ectodermal, mesodermal and endodermal origin. CS is associated with an increased risk of malignancy and especially breast cancer, thyroid cancer, uterine cancer and renal cell carcinoma. The characteristic features of the disease are mucocutaneous findings, including multiple facial trichilemmomas, oral mucosal papillomatosis and acral keratoses. Multiple sclerotic fibroma is also known to be a clue to diagnose CS. We herein emphasize that multiple sclerotic fibromas of the skin are an important marker of CS, which may also be helpful for making an early diagnosis. (Korean J Dermatol 2010;48(12):1136∼1139)
전신 침범 없이 피부 소견만을 보인 탄력섬유 거짓황색종
장민수 ( Min Soo Jang ),강동영 ( Dong Young Kang ),강진석 ( Jin Seuk Kang ),백재우 ( Jae Woo Baek ),김상태 ( Sang Tae Kim ),서기석 ( Kee Suck Suh ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.1
Pseudoxanthoma elasticum (PXE) is a heritable disorder of elastic tissue and it has many systemic manifestations. PXE is a systemic disorder that most markedly affects the elastic tissues in the skin, retina and blood vessels. Defects in the ABCC6 gene lead to calcification of elastic tissue. We herein report on two cases of pseudoxanthoma elasticum that presented with focal involvement on the skin of the neck without marked wrinkling. (Korean J Dermatol 2011;49(1):53~57)
Exteriorization 후 이차적 창상치유와 부분층 피부이식으로 치료한 난치성 화농성 한선염
서기석 ( Kee Suck Suh ),백재우 ( Jae Woo Baek ),강동영 ( Dong Young Kang ),강진석 ( Jin Seuk Kang ),김태권 ( Tae Kwon Kim ),전영승 ( Young Seung Jeon ),박진형 ( Jin Hyung Park ),김상태 ( Sang Tae Kim ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.9
Hidradenitis Suppurativa (HS) is a chronic relapsing disease that involves the apocrine gland-bearing skin. It results in sinus tract formation, fibrosis and scarring. Many different treatments for HS have been reported, including topical and systemic antibiotics, intralesional steroids, systemic retinoids, hormonal therapies and immnunosuppressive agents, but they all have limited beneficial effects. Surgical treatments, including wide exteriorization with secondary intention, a skin graft and a flap can be effective treatments for recalcitrant HS. We present here the case of a 26-year-old man with recurred inguinal and axillary HS, and this was treated with secondary healing and a split thickness skin graft after exteriorization. Based on our experience, it is suggested that secondary healing and a split thickness skin graft after exteriorization are effective for recalcitrant HS with multiple interconnected tracts and abscesses. (Korean J Dermatol 2010;48(9):799~803)
가성 암종성 증식의 병리조직학적 소견을 동반한 림프종양 구진증
장민수 ( Min Soo Jang ),박종빈 ( Jong Bin Park ),강동영 ( Dong Young Kang ),강진석 ( Jin Seuk Kang ),백재우 ( Jae Woo Baek ),서기석 ( Kee Suck Suh ),김상태 ( Sang Tae Kim ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.5
Lymphomatoid papulosis (LyP) is a chronic lymphoproliferative disorder characterized by the appearance of crops of papules, nodules, and sometimes large plaques at different stages of development. Pseudocarcinomatous hyperplasia (PCH) presents with extreme proliferation of the epidermis with downgrowth into the dermis, which histologically mimics the features of squamous cell carcinoma. However, squamous cells usually are well differentiated, and atypicalities, such as individual cell keratinization, nuclear hyperplasia, and hyperchromasia, are minimal or absent. PCH has rarely been reported in LyP. Here, we showed that PCH associated with LyP may closely resemble squamous cell carcinoma, thereby giving rise to wrong diagnosis and treatment. (Korean J Dermatol 2011;49(5): 473∼476)