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- 저자 : 이원채 ( Lee Won Chae ) (검색결과 6 건)
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Nasal splints ( Aquaplast(R) ) 를 이용한 전층 식피편의 고정
이원채(Won Chae Lee),오병민(Byoung Min Oh),이현주(Hyun Joo Lee),이석종(Seok Jong Lee),김도원(Do Won Kim),나건연(Gun Yoen Na) 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.10
N/A Background : For securing FTSG, bolus tie-over dressing is a universally accipted method, but it has some definite disadvantages. For example, bulky dressing ingibits the drainage from graft bed and can lead to maceration by occlusion. Time and effort is necessary to secure dressing and the help of an assistant is also mandatory to tie the suture much easier. Objectives : In an attempt to find a better dressing material, we evaluated the usefulness of thermoplastic nasal splints (Aquaplaste^ ) for securing graft in FTSG reconstruction. Methods : Thirteen patients with surgical defects following tumor exision from the nose(9 patients), forehead(1), lip(l), hand(1), shin(l) ranging from 12mm to 40mm in the largest diameter were reconstructed with a FTSG. For securing FTSG, a heat-moldable nasal splint was heated, contoured in place over sutured graft on recipient area with/without suture of the splint with skin. Results : All of the 13 FTSG secured with nasal splints showed a good take with a satisfactory cosmetic results. Except hypertrophic scars in 4 patients, which were not signigicant and improved with several tines intralesional injection of triancinolone, there no other complications. Conclusion : We have found a heat-mosdable vasal splint to be useful material to secrue FTSG, , especially for the complex contoured area such as nose or ear. This technique saves time and effort and there is no need of an assistant.
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이원채 ( Won Chae Lee ),오병민 ( Byung Min Oh ),장윤환 ( Yun Hwan Jang ),이석종 ( Seok Jong Lee ),정상립 ( Sang Lip Chung ),이수경 ( Soo Kyung Lee ),배한익 ( Han Ik Bae ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.4
Ganglioneuroma is the benign tumor exclusively composed of fully differentiated mature ganglion cell, Schwann cells and fibrous tissue. It develops most commonly in the posterior mediastinum and retroperitoneum but cutaneous involvement is exceedingly rare. Cutaneous tumor showing ganglion cells includes the following three entities: 1) primary ganglioneuroma, 2) well differentiated cutaneous metastasis from neuroblastoma, and 3) ganglioneuroma associated with von Recklinghausen`s neurofibromatosis. Among them, the third has been considered as a neurofibroma with entrapment of ganglion cell. We described 2 cases of ganglioneuroma associated with von Recklinghausen neurofibromatosis and reviewed the histopathological and immunohistochemical findings. (Korean J Dermatol 2003;41(4) : 470-473)
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피부과와 내과의 협진에 의한 당뇨병성 족부궤양의 치료 경험
이석종 ( Seok Jong Lee ),차영창 ( Young Chang Cha ),이원채 ( Won Chae Lee ),나건연 ( Gun Yoen Na ),김도원 ( Do Won Kim ),하승우 ( Sung Woo Ha ),김보완 ( Bo Wan Kim ) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.11
N/A Background : Recently, the prevalence of diabetes mellitus and its complications have been increased in Korea and they cause many socioeconomic losses in both patients and their families. But, there are neither sufficient medical assistance including concern of medical personnel nor social assistance in Korea nowadays. Objectives : In this study, we tried to reduce the risk of amputation and preserve the function of the foot by an early evaluation, proper treatment and consultation by dermatologists. Methods : We randomly chose 18 cases of diabetic foot ulcer and took care of them with proper and earlier debridement, dressing, antibiotics and cooporation with departments of internal medicine, especially endocrinology, nephrology and division of infectious disease. After healing of the ulcer, we recommended specially designed shoes and foot care products to prevent the recurrence of the foot problems. Results : The average duration of diabetes was 18 years and preexisting complications were neuropathy, nephropathy, vasculopathy and/or foot deformities. The precipitating factors of foot ulcer were burn, callus, fungal infection, bony deformity or trauma. Three cases underwent toe amputation and one case with severe vasculopathy was transferred to the vascular surgery. Average healing time was 14 weeks. Conclusion : Proper evaluation and management of diabetic foot ulcer patients with multidisciplinary approach should achieve good wound healing. Consequently, it can reduce the risk of amputation and improve the quality of life in the patient with diabetic foot ulcer. Among them, dermatologists who has a point of view of both a medical and surgical doctor may play a pivotal role in the management of diabetic foot ulcer.
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Mycophenolate mofetil 병용 투여로 호전된 전신성 농포성 건선 2예
장윤환 ( Jang Yun Hwan ),이원채 ( Lee Won Chae ),나건연 ( Na Geon Yeon ),이석종 ( Lee Seog Jong ),김도원 ( Kim Do Won ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.12
Mycophenolate mofetil(MMF) is a new immunosuppressant which non-competitively and reversibly blocks the de novo synthesis of guanine nuclecotides required for DNA and RNA synthesis during lynmphocyte proliferation. So MMF selectively inhibits lymphocyte proliferation and it has less side-effects than other immunosuppressants. We described 2 cases of generalized pustular psoriasis improved with MMF. We administered MMF combined with cyclosporin in case 1 and acitretin in case 2. Both patients markedly improved with MMF administration 3 days after and had no sever side-effects. Thus the authors thought that MMF appcars to be an effective therapeutic alternative in the treatment of generalized pustular psoriasis. (Korean J Dermatol 2003;41(12):1664~1649)
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이원채,장윤환,김효진,이석종,정상립,이수경,배한익 대한피부과학회 2003 대한피부과학회지 Vol.41 No.8
Glomus tumor is a benign lesion characterized by vessels and glomus cells in the varying proportion and it classically presents as a solitary, painful papule or nodule. Occasionally it displays unusual histopathologic features diagnosed as "atypical" glomus tumor, including malignant glomus tumor, glomus tumor of uncertain malignant potential, glomangiomatosis, and symplastic glomus tumor. Glomangiomatosis and symplastic glomus tumor reveal benign biologic behavior. We report herein a typical case of symplastic glomus tumor showing marked nuclear atypia, its only unusual feature comparing with classical one, in addition to the typical clinical and pathological features. (Korean J Dermatol 2003;41(8) : 1118~1120)
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이원채,차영창,이석종,나건연,김도원,이수경 대한피부과학회 2003 대한피부과학회지 Vol.41 No.10
Subepidermal calcified nodule is a rather uncommon, but peculiar subtype of calcinosis cutis. It presents as a single asymptomatic, hard, yellowish white nodule which commonly occurs on the face of chileren. Histopathologic examination reveals the multifocal various-sized papillary dermal collection of dark blue amorphous globular deposits confirmed by von Kossa stain for calcium. We report a 42-year-old man who had small white hyperkeratotic papule on finger tip for more than 20 years. He could recall neither preceding trauma nor systemic illness. Excisional biopsy, with the clinical impression of verruca or corn, showed typical histopathologic features of the subepidermal calcified nodule.(Korean J Dermatol 2003;41(10) : 1414~1416)
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