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Cartilage Shaver로 치료한 다발성 모평활근종
서종근 ( Jong Keun Seo ),황성환 ( Sung Hwan Hwang ),강정난 ( Jeong Nan Kang ),홍순권 ( Soon Kwon Hong ),이드보라 ( Deborah Lee ),성호석 ( Ho Suk Sung ) 대한피부과학회 2012 대한피부과학회지 Vol.50 No.9
Piloleiomyoma is a benign neoplasm arising from the erector pili muscle in the skin. It occurs as linear or dermatomal arrangements of firm, red to brown intradermal nodules, which are fixed to the skin but not to the deeper tissues. Although various treatments have been attempted, they have shown limited success and several complications remain. A 21-year-old male presented with 3-year history of multiple, erythematous, firm 4 mm to 3 cm sized nodules on the chest, The histopathological examination was compatible with piloleiomyoma, The lesions were removed using the dermal shaving method with a suction-assisted cartilage shaver, Each lesion were markedly flattened. This treatment was quicker and caused less subjective pain to the patient compared with those of classic surgical excision. No signs of adverse events or recurrence have been observed.
서종근 ( Jong Keun Seo ),강주현 ( Ju Hyun Kang ),조경종 ( Kyung Jong Cho ),이드보라 ( Deborah Lee ),황선욱 ( Seon Wook Hwang ),성호석 ( Ho Suk Sung ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.2
Reactive perforating collagenosis (RPC) is one of a range of essential perforating disorders. Two types have been recognized: the childhood or inherited form, and the adult or acquired form. Acquired RPC is usually associated with systemic diseases, especially diabetes mellitus, and/or renal failure. We present a case of a 47-year-old female with umbilicated skin lesions triggered by an insect bite. Histology from the lesion revealed transepidermal elimination of collagen. (Korean J Dermatol 2009;47(2):196∼198)
Suction-assisted Cartilage Shaver로 치료한 다발성 피지낭종
서종근 ( Jong Keun Seo ),정소영 ( So Young Jung ),홍순권 ( Soon Kwon Hong ),이드보라 ( Deborah Lee ),성호석 ( Ho Suck Sung ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.8
Steatocystoma multiplex is a rare autosomal-dominant disorder characterized by asymptomatic multiple, skin-colored to yellowish nodules on the trunk, proximal extremities, and axillae. Although surgical excision is the most effective method, treatment is difficult when lesions occur in multiple numbers. Therefore, various treatments such as CO2 laser therapy, needle aspiration, and oral isotretinoin have been attempted, but results are variable. A 37-year-old man presented with multiple skin-colored subcutaneous nodules on the abdomen and both axillae. A histopathological examination was consistent with steatocystoma multiplex. The lesions were removed by dermal shaving with a suction-assisted cartilage shaver. It was an effective therapeutic method for multiple lesions with no significant adverse events. Herein, we report a case of steatocystoma multiplex treated with a suction-assisted cartilage shaver. (Korean J Dermatol 2011;49(8):735∼737)
서종근 ( Jong Keun Seo ),최준희 ( Joon Hee Choi ),이상민 ( Sang Min Lee ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.2
Cytophagic histiocytic panniculitis gap (CHP) was described in 1980 as a chronic histiocytic disease of the subcutaneous tissue and associated with systemic manifestations such as fever, serositis, and hepatosplenomegaly. The current concept of CHP is that it represents a spectrum of lymphoproliferative disorders that induce secondary histiocytic cytophagocytosis. The pathogenesis of hemophagocytosis in CHP is unknown but may be related to histiocyte reaction to an abnormal cytokine milieu brought about by disordered T-cell function. In most cases the disease follows a fulminant course, but in some patients the disease seems limited to the skin and subcutaneous tissue and follows a more benign, chronic course. We report a case of cytophagic histiocytic panniculitis which had a long chronic course over 16 years, but recently became aggravated with the involvement of the extrapleural fat tissue and was treated with combination chemotherapy. (Korean J Dermatol 2007;45(2):180~184)
임신 가려움 팽진 구진 및 판: 22명의 환자에 대한 임상적 고찰
서종근 ( Jong Keun Seo ),전지승 ( Ji Sung Chun ),황선욱 ( Seon Wook Hwang ),성호석 ( Ho Suk Sung ),이드보라 ( Deborah Lee ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.9
Background: Pruritic urticarial papules and plaques of pregnancy is a common benign dermatosis of pregnancy. It occurs mainly in primigravidas in the third trimester, it resolves spontaneously or with delivery, and it is usually responsive to topical treatment. The morphological spectrum of pruritic urticarial papules and plaques of pregnancy includes (1) urticarial papules and plaque (type I), (2) non-urticarial erythematous patches that are discrete or confluent and they are surrounded by tiny papules or vesicles, or clusters or sheets of 1-mm to 2-mm erythematous papules (type II) and (3) a combination of these features (type III). Objective: This study evaluated our clinical experience with 22 Korean patients with pruritic urticarial papules and plaques of pregnancy. Methods: From June 1997 to August 2008, 22 patients with pruritic urticarial papules and plaques of pregnancy were evaluated. The clinical manifestations, the lesion distribution and the obstetric and pediatric findings were retrospectively investigated with using the patients` medical records and clinical photographs. Results: There were 9, 11 and 2 patients with types I to III, respectively. Many patients (n=14) were primigravida and the mean time of onset was a gestational age of 29.8 weeks. There were no pediatric problems such as intra-uterine growth retardation, or a small or large size for the gestational age. Most of the patients (n=20) were treated with topical corticosteroid or antihistamine; there was one case of recurrent pruritic urticarial papules and plaques of pregnancy. Conclusion: Pruritic urticarial papules and plaques of pregnancy usually occur in primigravidas, but this can also occur in multigravida patients. The number of patients with pruritic urticarial papules and plaques of pregnancy and who had obstetric obesity, a multiple pregnancy or pregnancy-induced hypertension was fewer than we expected. Pruritic urticarial papules and plaques of pregnancy can be divided into three categories, although this is rather redundant because the disease prognosis and treatments are not different according to the type. (Korean J Dermatol 2009;47(9):997∼1003)
서종근 ( Jong Keun Seo ),심현수 ( Hyun Soo Shim ),정윤 ( Yun Jeong ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.9
Late-onset focal dermal elastosis is a recently described disorder afflicting elderly patients with yellow papules on the neck and flexural areas. Although there are similar clinical findings to pseudoxanthoma elasticum, no stigmata of pseudoxanthoma elastimum are not evident. Histologically the papules are characterized by increased elastic fibers of normal appearance in the mid and deep dermis and no evidence of solar elastosis. Late-onset focal dermal elastosis may be caused by focal accumulation of normal appearing elastic tissue due to loss of age related homeostatic growth regulating gene control mechanism. We report a case of pseudoxanthoma elasticum-like late-onset focal dermal elastosis and suggest that this condition may be more common than has been reported. (Korean J Dermatol 2007;45(9):923∼925)
대상포진 환자의 병변에서 시행한 세균 검사에 대한 고찰
서종근 ( Jong Keun Seo ),이상민 ( Sang Min Lee ),이숙경 ( Sook Kyung Lee ) 대한피부과학회 2007 大韓皮膚科學會誌 Vol.45 No.10
Background: The impaired barrier function on the skin lesion of herpes zoster can contribute to the development of secondary bacterial infection. Although bacterial infection may delay wound healing and cause scarring, there is no available data about secondary bacterial infection of patients with herpes zoster. Objective: We investigated the relationship between the result of bacterial studies and several clinical manifestations of herpes zoster including age, dermatomal distribution, duration of the skin lesion, severity of acute pain, incidence of postherpetic neuralgia, and diabetes mellitus. Methods: We classified 377 patients with herpes zoster, according to the results of bacterial studies of the wound, conducted by means of bacterial culture and Gram stain. We compared them by age group, dermatomal distribution, duration of the skin lesion, severity of acute pain, and the presence of postherpetic neuralgia and diabetes mellitus. Results: The positive rate of bacterial culture study of the skin lesion was 613% and that of Gram stain was 48.0%. The most common identified pathogen was Staphylococcus epidermidis (83 cases, 35.9%). 61.3% (73/119) of the male patients were positive and 41.9% (108/258) of the female patients were positive in the Gram stain and the difference was significant (p=0.0004). In the relationship with dermatomal distribution, the positive rate in the Gram stain of patients with a distribution of the trigeminal nerve was 62.1% (59/95) and was significantly higher than in other patients (p=0.0276). The positive rate in the bacterial culture of the posthepetic neuralgia group was 71.2% (84/118) and that of the non-postherpetic neuralgia group was 28.8% (34/118). The difference was statistically significant (p=0.008). However the positive rate in the Gram stain of the posthepetic neuralgia group was 55.1% (65/118) and was still higher than that of the non-postherpetic neuralgia group, 44.9% (53/118). But the difference was not statistically significant (p=0.063). 64.4% (38/59) of diabetic patients were positive and 35.6% (21/59) of non-diabetic patients were positive in Gram stain study. The difference was statistically significant (p=0.006). Conclusion: The incidence of positive result of the bacterial study in patients with herpes zoster was significantly higher in male patients, patients with a dermatomal distribution of the trigeminal nerve, patients with postherpetic neuralgia, and diabetic patients. But the rate of positive result of the bacterial study was not related to age, duration of the skin lesion, severity of acute pain and postherpetic neuralgia. (Korean J Dermatol 2007;45(10): 1031∼1040)