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      • SCOPUSKCI등재
      • SCOPUSKCI등재

        불우 단체 수용자에서의 혈액 및 뇌척수액의 매독 혈청 검사의 성적

        권혁진(Hyuk Jin Kweon),김상원(Sang Won Kim),김동석(Dong Seok Kim) 대한피부과학회 1993 大韓皮膚科學會誌 Vol.31 No.2

        Background: Institutionalized subjects were assumedly suggested to be a high-risk for the infectious source of syphilis. Objective : Our purpose was to study the syphilis prevalence institutionalized subjects who were admitted in Taegu Hope Village for the poor or crippled and to evaluate the presence of neurosyphilis among them. Methods : We conducted the serologic tests for syphilis with the qalitative and quantative VDRL and TPHA tests in 1558 subjects(M:936, F:622). The trend of the rcactive rate was compared with those of the two studies dong, in the same institute in 1983-1985 and 1988. The cerebrospinal fluid (CSF) examination was perfarmed among the reactive subjects. Results : There were 97(6.2%) reactive subjects. There were 80(82.5%) reactive subjects with titers of 1:4 or below and 17(17.5%) with titers of 1:8 or over The biologic false positive rate of VDRL test was 12.6%, showing 92.3% with the titer below 1:4. The reatest number of the subjects were in their 40s and 50s in both sexes. The rate in subjects in their 40s or over was 3 times higher than in the younger groups. The CSF examination showed 5(5.2%) with significant neurosyphili;ic findings. There were 1 male and 4 females, with an avechge age of 47.8 years. Four had asymplomatic and 1 meningovascular forms. The CSF findings revealed an increased number of white cells in 4 and an increased total protein level in 3. The CSF-VE)RL titers were trended lower than seum titers. From the comparison of the results since 1983, i.e., 11,6% in 1983-1985, 7.5% in 1988 and 6.2 % in 1992, the reactive rate of syphilis was gradually decreasing, but still remained high. Concluaion : The drastic control in the sociomedical aspect is needed n institutionalized subjects who are at high-risk for syphilis was well as the CSF examination for the presence of neurosyphilis among the reactive subjects. (Kor J Dermatol 1903; 31(2): 175-181)

      • SCOPUSKCI등재

        영아에 발생된 고정형 스포로트리쿰증에서의 Itraconazole 치험

        권혁진(Hyuk Jin Kweon),박광영(Kwang Young Park),나건연(Gun Yoen Na),김상원(Sang Won Kim) 대한피부과학회 1992 대한피부과학회지 Vol.30 No.3

        We report a case of fixed-type sporotrichosis in a 12-month-old infant, who presented with a well-defined scaly erythematous patch on the right lateral nasal root area of approximately 2.5 months duration. Hiopsy revealed pseudoepitheliomatous hyperplasia with chronic granulomatous inflammation in dermis and PAS-positive fungal spores in the stroma. Sporothrix schenckii was identified with fungal culture of biopsy specimen. The lesion was responded to treatment. with itraconazole(3mg/kg) for 12 weeks, without relapse at 5-month follow-up. (Kor J Dermatol 1992; 30(3): 393-397)

      • SCOPUSKCI등재

        상구순에 발생한 점막표피암

        박광영,권혁진,김상원,박대환 ( Kwang Young Park,Hyuk Jin Kweon,Sang Won Kim,Dae Hwan Park ) 대한피부과학회 1991 대한피부과학회지 Vol.29 No.3

        A Cases of Mucoepidermoid Carcinoma Kwang Young Park, M.D., Hyuk Jin Kweon, M.D., Sang Won Kim, M.D., Dae Hwan Park, M.D.* Departments of Dermatology and Plastic Surgery*, Catholic Hospital, Taegu, Korea We report herein a case of mucoepidermoid carcinoma in a 39-year-old man, who had a 3-year history of a 2.0 ×2.0 ×0.3cm indurated crusted lesion of the left upper lip. Histopathologically, there were sloid epidermal cell nests admixed with cystic or glandualr structures and diffuse infiltration of chronic inflammatory cells. The tumor thought to arise in a minor salivary gland. The patient remained free of recurrence for a period of one-year follow-up after the wide excision with Abbe flap. (Kor J Dermatol 29(3) : 446-450, 1991)

      • SCOPUSKCI등재

        사마귀 환자의 냉동치료에서 자아개념의 평가

        김상원(Sang Won Kim),권혁진(Hyuk Jin Kweon),조현춘(Hyun Chun Jo) 대한피부과학회 1994 大韓皮膚科學會誌 Vol.32 No.3

        Background : Although warts are known to be caused by viruses, one of their peculiarities is that they may be treated by suggestion therspy or hypnosis. This suggests that psychologic or emotional factors influence the hosts response to the virus lesions. Objective : The purpose of the study was to analyze the role of psychologic factors in the therapeutic response of warts. Methods : The self-concept scale test(Korean Testing Center) was done in all 61 patients with common wsrts before the cryot.herapy from September 1991 to June 1993. Clinical follow-up data were obtained on 50 patients after 2 months, and then were evaluated usir g the self-eoncept scale in treated vs untreated group. Results : 1. The overall cure rate was 56.0%, being higher in females ar!d atients with high education, 1-3 in number of lesions and no previous treatment history as well as in those with less than 1 year of duration. 2. In the comparison of self-concept scale between treated(n=18) and untreated(n=22) groups, the treated group had remarksble results in moral ethical self, personal self and family self scores (p<0.05). Only 14 items were significantly different between two groups(p<0.05 by Wilcoxon rank sum test). 3. Patients of 20 years or more showed a high cure rate(67.79%, p<0.05 by t-test) and demonstrated significance in total positive self score and its self identity, and satisfaction, self behavior, physical self, moral ethical self and family self scores(p<0.05, by t-test). Conclusion : The self-cancept significantly related to the positive aersonality, harmonious family, stable self-esteem and high normal ethics, may influence at least the therapy to the warts in the treated patients in contradistintion to the untreated ones. (Kor J Dermatol I994; 32(3): 376-382)

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