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백반증에서 α-melanocyte stimulating hormone (α-MSH)과 melanocortin-1 receptor (MC1R)의 발현
차영창 ( Young Chang Cha ),이현주 ( Hyun Joo Lee ),이석종 ( Seok Jong Lee ),나건연 ( Gun Yoen Na ),정상립 ( Sang Lip Chung ) 대한피부과학회 2003 大韓皮膚科學會誌 Vol.41 No.6
N/A Background: Vitiligo is a skin disease that is characterized by the loss of cutaneous pigmentation. α-Melanocyte stimulating hormone (α-MSH) is a neuroimmunomodulating peptide derived from proopiomelanocortin, and melanocortin-1 receptor (MCIR) is a surface receptor which is expressed by several other cutaneous cells including melanocyte and keratinocyte. Both of them have been known to be the main physiologic regulator for integumental pigmentation. Objective : To evaluate the expression pattern of α-MSH and MCIR in the epidermis of vitiligo patients. Methods : Specimens were obtained in lesional, perilesional and non-lesional skin in 10 patients with vitiligo and from 3 normal persons by the punch biopsy. And then, indirect immunofluorescence was done to show the pattern of expression of α-MSH and MCIR. Results: 1. Pattern of expression between α-MSH and MCIR was nearly the same. 2. In vitiligo patients with stable disease state (7 of 10), the expression of α-MSH and MCIR in the non-lesional skin was more prominent than that in lesional area. 3. In vitiligo patients with active disease state (3 of 10), the expression of α-MSH and MCIR in the lesional skin was more prominent than that in non-lesional area. Conclusion: Between the stable and active vitiligo patients, there was a different pattern of expression of α-MSH and MCIR in the lesional skin. (Korean J Dermatol 2003;41(6) : 690~695)
봉소염 치료반응의 객관적인 평가 방법 및 부신피질 호르몬제의 투여 효과에 관한 연구
차영창 ( Young Chang Cha ),장윤환 ( Jang Yun Hwan ),이정주 ( Jung Joo Lee ),이석종 ( Seok Jong Lee ),정상립 ( Sang Lip Chung ),민복기 ( Pok Kee Min ),김진하 ( Jin Ha Kim ),서구일 ( Koo Il Seo ) 대한피부과학회 2003 大韓皮膚科學會誌 Vol.41 No.2
Background: Because it has been known that the inflammatory process of cellulitis can be modified by the immune reaction, systemic corticosteroid may be helpful to reduce the inflammatory reaction of the cellulitis and its consequent complications such as
차영창(Young Chang Cha),류효섭(Hyo Sub),이석종(Seok Jong Lee),김도원(Do Won Kim),전재복(Jae Bok Jun) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.1
Febrile ulceronecrotic pityriasis lichenoides et varioliformis acuta (PLEVA) is a very rare cutaneous disorder clinically characterized by the acute onset of erythematous papules, vesicles & large coalescent ulceronecrotic lesions on the whole body accompanied by high fever and severe constitutional symptoms. In general, ulceronecrotic lesion is preceded by a typical rash of PLEVA. Histopathologically, it shows widespread epidermal necrosis and fibrinoid necrosis of blood vessel walls in addition to the superficial and deep perivascular lymphocytic infiltrations. Several regimens including systemic corticosteroid, antibiotics, methotrexate or ultraviolet therapy have been challenged in this disorder . We report a typical case of febrile ulceronecrotic PLEVA in a 10-year-old child who showed a dramatic response to methotrexate. (Korean J Dermatol 2002;40(1):58~62)
차영창(Young Chang Cha),이정주(Jung Ju Lee),이석종(Seok Jong Lee),김도원(Do Won Kim),정상립(Sang Lip Chung) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.3
Pseudoxanthoma elasticum (PXE) is an inherited disorder involving the connective tissues of skin, eye and cardiovascular system. Both a recessive and a dominant inheritance pattern have been engaged in it. The skin changes are characterized by the yellowish crepe-like, lax, redundant folds on neck, axilla and periumbilical area. In rare instances, perforating dermatoses such as keratotic erythematous papules are also accompanied in PXE and histologically characterized by transepideraml elimination of altered basophilic calcified elastic fibers, which are short, fragmented and curled in the middle portion of the reticular dermis. Now we report a case of 26 year-old female who had a typical hereditary systemic PXE showing transepidermal elimination on her neck without preceding trauma history. (Korean J Dermatol 2002; 40(3): 291-294)
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.
면도절제술 후 귀걸이 압박요법으로 자가 치료한 귓불 켈로이드 4예
박동재 ( Dong Jae Park ),차영창 ( Young Chang Cha ),이석종 ( Seok Jong Lee ),나건연 ( Gun Yoen Na ),김도원 ( Do Won Kim ),정상립 ( Sang Lip Chung ) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.11
Keloid is a benign proliferative growth of dermal collagen which extends beyond the original wound. Although there are several available methods of treatment including intralesional corticosteroid injection, cryotherapy, surgical excision, laser therapy, pressure, radiotherapy, interferon-α injection and so on, no effective modality to prevent the recurrence of keloids may be present. We have done shaving excision of keloids on the earlobes of 4 patients and then recommended earring made to order for home compression over 4∼5 months therapy with no recurrence for 1∼3 years. It is suggested that compression therapy with earring following shaving excision may be proven to be not only a simple but effective method for prevention of recurrence after removal of keloid on the earlobe.
음경의 경화 위축성 태선병변에 발생한 우췌상 암종 1예
이정주,차영창,이석종,정상립,김동자 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.6
Verrucous carcinoma(VC) is regarded as a rare, histologic variant of squamous cell carcinoma (SCC). Lichen sclerosus et atrophicus(LSA) is chronic dermatosis characterized by atrophic white papules or plaques, occurring most commonly on the anogenital skin of both sexes. Genital LSA has been associated with the development of invasive and the most common is SCC. There have been only a few reports of VC within lesion of penile LSA. We now report a case of VC arising in penile LSA.
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)