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논문검색은 역시 페이퍼서치

대한피부과학회지검색

Korean Journal of Dermatology


  • - 주제 : 의약학분야 > 피부과학
  • - 성격 : 학술지
  • - 간기: 월간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : - / SCOPUS
  • - ISSN : 0494-4739
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 51권 6호 (2013)

종설 : 의학 전문용어 순화 제작 원칙과 기법: 피부과 용례를 중심으로

은희철 ( Hee Chul Eun )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 383-401 ( 총 19 pages)
5,400
초록보기
In the Korean language, half of the words originated from Chinese characters, while the other half are from native origins. Since the introduction of Hangul (Korean alphabet consists of 24 characters) with policy by the government after the second-world war, it has dramatically decreased the illiteracy rates within a relatively short period of time in our society. However, since the Japanese colonial period, many professional terminologies which still have its origins from Chinese characters are being used until today. The major issue is that professional terminologies including medical ones are quite difficult for common people to understand, despite their level of education. One aspect is that professional people are using too many sophisticated Chinese characters beyond the limits imposed by the government (1,800 common Chinese characters). In addition, Chinese characters expressed in Hangul are sometimes difficult to understand because of the same pronunciation from different Chinese characters. Since the introduction of medical insurance by the Korean government, most people in our society have benefited cheap medical care. Therefore, easy communication between doctors and patients are becoming mandatory, which is the rationale of developing ideal Korean medical terminology to answer the society`s needs. The Korean Medical Association has encouraged the developments of simple and elegant medical terminologies for a very long time, and dramatic refinements of them have been made for the past 20 years. However, in reality, the majority of terminologies are still not unified because of strong conflicts between conservatism and liberalism toward the changes. The author recently published a monograph with an anatomist and a linguist, which contains the principles and techniques for refinement and creation in order to make easy and elegant medical terminologies with plenty of examples. From the article, the author intended to introduce many examples including conflicts solving strategies in the field of dermatology.

종설 : 피부과 영역에서의 고주파 장비의 원리와 임상적 사용에 대한 고찰

정미영 ( Mi Young Jung ) , 박준수 ( Jun Soo Park ) , 이종희 ( Jong Hee Lee )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 402-408 ( 총 7 pages)
4,000
키워드보기
초록보기
Radiofrequency (RF) device is a novel non-ablative technology which differs from laser devices that uses an electric current rather than a light source. RF device can deliver thermal energy to the dermis and stimulate neocollagenesis and dermal collagen remodeling, so that it is frequently used in cosmetic dermatology for skin rejuvenation. However, some questions remain regarding the optimal treatment parameter such as energy levels and number of passes. Unwanted adverse effects like burn and erythema with edema would occur at any time during the procedures. Therefore, it is very important that RF should be performed by skilled and well-trained clinicians. In this review, we summarized the basic principles of RF and its use to determine the evidence-based efficacy. In addition, various adverse effects and management of them will be addressed in this article.

종설 : 피부과학에서의 이온이동법

이승호 ( Seung Ho Lee ) , 최천필 ( Chun Pill Choi ) , 김지훈 ( Jie Hoon Kim )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 409-414 ( 총 6 pages)
4,000
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초록보기
Transdermal drug delivery is applicable to only a few drugs because the stratum corneum is an excellent barrier to percutaneous absorption. Iontophoresis is a non-invasive technique which increases the drug deliveries into the skin through an electric current. In iontophoretic systems, the movement of ionized drugs is facilitated by electrical energy according to the basic electrical principles of “like charges repel each other and opposite charges attract”. Iontophoresis has been explored for many dermatological applications with considerably successful reports. This article reviews the principles and advantages/limitations of iontophoresis, the factors affecting iontophoresis and its applications in various dermatological conditions.

원저 : 피하 결절의 진단에 있어 초음파 검사의 정확성에 대한 통계적 연구

김윤환 ( Yoon Hwan Kim ) , 이승재 ( Seung Jae Lee ) , 박지혜 ( Ji Hye Park ) , 최종원 ( Chong Won Choi ) , 이가영 ( Ga Young Lee ) , 김원석 ( Won Serk Kim )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 415-421 ( 총 7 pages)
4,000
초록보기
Background: Ultrasonography is an important diagnostic tool for many aspects of clinical medicine. It is a non-invasive method of examination that provides high-resolution images in real time. However, some dermatologists may be anxious about the efficacy of ultrasonography. Objective: To evaluate the diagnostic accuracy and to assess the utility of diagnostic ultrasonography for subcutaneous benign lesions. Methods: The study included 96 patients with subcutaneous benign lesions who underwent ultrasonography and then received a pathologic diagnosis after biopsy or surgery at our hospital from July 2010 to December 2012. This study evaluated the number of cases in which the preoperative diagnosis after ultrasonography or just after physical examination agreed to the pathologic diagnosis. Results: Ultrasonography significantly increased the diagnostic yield of subcutaneous benign lesions (after physical examination, 54.2%; after ultrasonography, 84.4%; p<0.001). The sensitivity for the diagnosis of lipoma (after physical examination, 70%; after ultrasonography, 92.5%; p<0.001) and the specificity for the diagnosis of epidermal cyst (after physical examination, 84.1%; after ultrasonography, 94.2%; p<0.001) significantly increased after ultrasonography. The sensitivity for the diagnosis of epidermal cyst and pilomatricoma also tended to increase after ultrasonography. Conclusion: The study results suggested that ultrasonography is useful for diagnosis and/or preoperative examination of subcutaneous benign lesions.

원저 : 한국인 기미 환자의 삶의 질 평가에 대한 Melasma Quality of Life Scale (MELASQOL)과 Dermatology Life Quality Index (DLQI)의 비교 연구

김흥열 ( Heung Yeol Kim ) , 박경훈 ( Gyeong Hun Park ) , 박은주 ( Eun Ju Park ) , 권인호 ( In Ho Kwon ) , 김광호 ( Kwang Ho Kim ) , 김광중 ( Kwang Joong Kim )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 422-428 ( 총 7 pages)
4,000
초록보기
Background: Melasma has been shown to have a significant emotional and psychological effect on affected patients. Objective: The aim of this study is to evaluate the usefulness of the Melasma Quality of Life Scale (MELASQOL) as compared to Dermatology Life Quality Index (DLQI). Methods: A total of 74 female patients of melasma were asked to complete a questionnaire of MELASQOL, DLQI, and additional demographic data. The degree of melasma was determined on the basis of clinical photos by the investigator using the Melasma Area and Severity Index (MASI). Results: The mean age of these patients was 46.3±8.5 years. The mean MELASQOL score was 39.8±16.03 and the mean DLQI score 6.7±4.41. The MASI and MELASQOL scores showed statistically significant correlations (p<0.01, Pearson correlation=0.373). But, there was no statistically significant correlation between MASI and DLQI scores (p>0.05, Pearson correlation=0.129). Also, multiple linear regression model shows that the correlation of MASI and MELASQOL (standardized coefficient=0.367, p<0.001) is higher than the MASI and DLQI (standardized coefficient=0.139, p>0.05). Conclusion: We suggest that the MELASQOL could be more relevant and useful than DLQI when evaluating the quality of life for melasma patients. It is presumed that the MELASQOL might be helpful in guiding the patient to appropriate treatment methods and in tracking patient`s satisfaction levels.

원저 : 표피낭종의 호기성 세균배양검사 및 항생제 감수성에 관한 연구

김민성 ( Min Sung Kim ) , 송상현 ( Sang Hyun Song ) , 나찬호 ( Chan Ho Na ) , 신봉석 ( Bong Seok Shin )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 429-434 ( 총 6 pages)
4,000
초록보기
Background: Epidermal cyst is a common acquired skin cyst. When such cysts may be inflamed, they are often referred to as being infected. To clarify the etiology of inflamed epidermal cysts, several studies have carried bacteriology of inflamed and uninflamed epidermal cyst and sought to identify the role of micro-organisms. Objective: The aim of this study is to evaluate the bacterial influences on inflammatory process of epidermal cysts and the antibiotic sensitivity of cultured aerobic bacteria in epidermal cysts. Methods: We carried out the bacterial cultures using sterile swabbing internal materials in each cyst which has been incised after surgical removals of epidermal cyst. An inflamed epidermal cyst was defined as a known cyst that developed a fluctuant soft-tissue swelling surrounded by the erythema and contained a localized collection of purulent material. For the aerobic culture, samples were cultured on blood agar plates, McConkey agar plate and chocolate agar plates in 5% CO2 at 35oC for 5 days. Colonies formed were identified based on VITEK2 system. Then antimicrobial susceptibility test were also done on VITEK2 system. Results: Total of 100 epidermal cyst specimens from 96 patients (67 men and 29 women) were involved had confirmed histopathological findings by dermatologists. Seventy were from face and neck, 24 from trunk, 4 from the extremities, 2 from buttock. Of the 53 inflamed cysts, 30 (56.6%) yielded bacterial growth. On the other hand, from the 47 uninflamed cysts, 15 (31.9%) cyst resulted in bacterial growth (p=0.013). The predominant bacteria from inflamed and uninflamed cyst were coagulase-negative Staphylococci (32 isolate of 45 specimens, 71.1%). All cultured bacteria were susceptible to almost all of antibiotics except amoxicillin/clavulanic acid, ampicillin, benzylpenicillin, cefoxitin, cephalothin, fucidic acid, piperacillin, piperacillin/Tazobactam. Conclusion: Our study showed that CoNS was predominant in inflamed cysts, which strongly suggests that aerobic bacteria play a role in the inflammatory process and treatment with antibiotics is necessary for epidermal cyst.

증례 : 갑상샘 조직검사 후 발생한 동정맥 혈관종

박승배 ( Seung Bae Park ) , 임은화 ( Eun Hwa Lim ) , 임명 ( Myung Im ) , 이영 ( Young Lee ) , 이증훈 ( Jeung Hoon Lee ) , 서영준 ( Young Joon Seo )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 435-437 ( 총 3 pages)
1,000
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초록보기
Fine needle biopsy of nodules on the thyroid is simple diagnostic method and it is generally a safe procedure. The main side effect is pain and hematoma. Secondary hemangioma development after biopsy is extremely rare. A 63-year-old woman presented with a 5-year history of solitary erythematous papule on neck. Spontaneous bleeding recorded six times within 5 years. There is not vascular anastomosis in ultrasonographic imaging. A histopathologic study showed vessel-like arteriole around small veins in dermis. No arteriovenous hemangioma case has been previously reported to be related to fine needle biopsy. Our case showed possibilities of arteriovenous hemangioma developments after fine needle biopsy.

증례 : Etanercept와 저용량 Methotrexate의 병합요법으로 치료한 난치성 판상 건선

임희선 ( Hee Sun Lim ) , 윤숙정 ( Sook Jung Yun ) , 이지범 ( Jee Bum Lee ) , 김성진 ( Seong Jin Kim ) , 원영호 ( Young Ho Won ) , 이승철 ( Seung Chul Lee )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 438-441 ( 총 4 pages)
1,000
초록보기
Etanercept has been proven to be highly effective to moderate severe plaque psoriasis. Alternative biologics or combination therapies of etanercept with other systemic agents have been recommended to patients who are unable to be controlled by etanercept monotherapy. A 50-year-old woman, who did not respond to conventional therapy of psoriasis for 9 years, was treated with etanercept at a schedule of 50 mg doses per week. Psoriatic lesions were remarkably improved within two weeks after etanercept monotherapy, but skin lesions aggravated again 8 weeks after treatment. Then, she was treated with 50 mg etanercept in combination with 5 mg methotrexate per week. Psoriatic lesions were successfully controlled by the combination therapy for 6 weeks, followed by etanercept monotherapy without relapse for the past 13 months. We report the first Korean case of refractory psoriasis, which could be successfully controlled by combination therapy of etanercept with low doses of methotrexate.

증례 : 그람음성 발가락사이 감염증이 동반된 Pyodermatitis-Pyostomatitis Vegetans

이영석 ( Young Seok Lee ) , 강정난 ( Jeong Nan Kang ) , 황성환 ( Sung Hwan Hwang ) , 홍순권 ( Soon Kwon Hong ) , 김효진 ( Hyo Jin Kim ) , 서종근 ( Jong Keun Seo )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 442-445 ( 총 4 pages)
1,000
초록보기
Pyodermatitis-pyostomatitis vegetans (PPV) is a rare eosinophilic inflammatory disorder characterized by pustules and vegetating lesions on the mucosa and skin. It usually occurs in the oral mucosa, axillae, genital area. Usually oral lesions (pyostomatitis) may precede the skin lesions (pyodermatitis), where it can also coincide or follow. A 54-year-old man is presented with a 3-month history of annular pustular plaques on the erythematous base affecting the dorsum of both feet. Pseudomonas aeruginosa was isolated from a culture of a wound in the foot. He was treated with antipseudomonal antibiotics for the initial two weeks, and the lesions improved slightly, but not completely. After that, erythematous vesicles, pustules and erosions developed on his oral mucosal and perianal area. The skin biopsy from right foot was done and he was diagnosed as PPV complicated by Pseudomonas aeruginosa infections. Herein, we report a case of PPV complicated by Pseudomonas aeruginosa infection.

증례 : Rowell 증후군 1예

정하나 ( Ha Na Jung ) , 이단비 ( Dan Bi Lee ) , 채웅석 ( Woong Suk Chae ) , 성준영 ( Jun Young Seong ) , 서호석 ( Ho Seok Suh ) , 최유성 ( Yu Sung Choi )
대한피부과학회|대한피부과학회지  51권 6호, 2013 pp. 446-449 ( 총 4 pages)
1,000
초록보기
Rowell`s syndrome is a rare entity consisting of lupus erythematosus with associated erythema multiforme-like lesions and characteristic immunological findings, and it was first described by Rowell et al. in 1963. Because of the clinical similarities between subacute cutaneous lupus erythematosus and Rowell`s syndrome, it is difficult to clinically distinguish between the annular-polycyclic type of subacute cutaneous lupus erythematosus and Rowell`s syndrome. We report a case of 18-year-old woman with systemic lupus erythematosus who presented erythema multiforme-like eruptions on both thighs. Simultaneously, she developed urticarial-like rashes on her trunk consistent with atypical skin lesion of lupus erythematosus. She also developed a positive antinuclear antibody with speckled pattern and positive anti-Ro antibody.
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