• Title/Summary/Keyword: 피부과

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Treatment of Atopic Dermatitis (아토피피부염의 치료)

  • Han, Tae-Young;Na, Chan Ho;Lee, Ji Hyun;Kim, Hye One;Park, Chang Ook;Seo, Young Joon;Son, Sang Wook;Shin, Min Kyung;Ahn, Ji Young;Lee, Yang Won;Jang, Yong Hyun;Park, Young Lip;Lew, Bark Lynn
    • Korean journal of dermatology
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    • v.56 no.10
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    • pp.581-593
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    • 2018
  • Atopic dermatitis (AD) is a common, chronic, relapsing, inflammatory skin disease that affects both children and adults. AD is the cause of considerable morbidity including severe pruritus and impaired quality of life. Treatments for active disease include avoidance of triggering factors, barrier repair, topical medications including topical corticosteroids (TCs) and topical calcineurin inhibitors (TCIs), phototherapy, antibacterial agents, and systemic immunosuppressants including cyclosporine. Until recently, the only Food and Drug Administration (FDA)-approved systemic treatment options for patients with moderate-to-severe AD were steroids and cyclosporine. Systemic steroids are not recommended by current guidelines and are commonly associated with disease rebound. Instead, clinicians choose from several off-label immunosuppressants. In 2018, the Korean FDA approved dupilumab for adults with moderate-to-severe AD whose disease is not adequately controlled with topical therapies. The implementation of treatment guidelines for AD is challenging. Herein, we review the several treatment modalities for AD and recommend a treatment algorithm.

One Case of Otomycosis with Chronic Suppurative Otitis Media Treated with Korean Medical Treatment (만성 화농성 중이염에 동반된 이진균증 환자 한방 치료 1례)

  • Kim, Su-Yeong;Ahn, Jae-Hyun;Hwang, Mi-Lee;Choi, Yoon-Young;Byun, Jung-Ah;Jung, Hyun-A
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.3
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    • pp.92-101
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    • 2021
  • Objectives : Otomycosis is superficial fungal infection of external auditory canal accompanied with itching, pain, discharge, hearing loss, tinnitus and ear fullness. And chronic inflammation like chronic suppurative otitis media exacerbates otomycosis. The purpose of this study is to report one case of Korean medical treatment for otomycosis with chronic suppurative otitis media. Methods : This study was conducted with one case of otomycosis with chronic suppurative otitis media patient hospitalized in Ophthalmology, Otolaryngology & Dermatology Clinic of Korean medical Hospital. This patient was treated with Korean medical treatment including herbal medicine, acupuncture, pharmacopuncture and venesection. After the treatment, we took picture of external auditory canal by otoscope and evaluated subjective symptoms. Results : After the treatment, this patient had improved condition of external auditory canal and subjective symptoms. Conclusions : This study suggests that Korean medical treatment may be effective for otomycosis with chronic suppurative otitis media.

Effect of Halophyte (Spartina anglica and Calystegia soldanella) Extracts on Skin Moisturizing and Barrier Function in HaCaT Cells (염생식물인 갯끈풀과 갯메꽃 추출물의 HaCaT 세포에서 피부 보습 및 피부 장벽 기능에 미치는 영향)

  • Ha, Yuna;Jeong, JaeWoo;Lee, Won Hwi;Oh, Jun Hyuk;Kim, Youn-Jung
    • Journal of Marine Life Science
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    • v.6 no.2
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    • pp.58-65
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    • 2021
  • As aging progresses, reactive oxygen species (ROS) reduces skin moisturization and collapses skin barrier function. In this study, we evaluated the efficacy of skin moisturizing and skin barrier function enhancement by extracts from halophytes using HaCaT cells. Spartina anglica (S. anglica; SAE) and Calystegia soldanella (C. soldanella; CSE), a kind of halophytes, were collected from Dongmak beach in Incheon, and extracted with 70% ethanol. At the first, we evaluated the cytotoxicity of extracts in HaCaT cell using WST-8 Kit. As a result, the other experiment was conducted by setting the concentration at which the cell viability was 90% or more. SAE and CSE showed high radical scavenging activity through ABTS assay. Expression levels of genes related to skin moisturizing and skin barrier functions, were analyzed by real-time qPCR. As a result, it showed that the expression of aquaporin 3, hyaluronan synthase 2, and transglutaminase 1 was increased by SAE treatment but not changed by CSE. Activation of extracellular signal regulated kinase (ERK), c-Jun N-terminal kinase (JNK), and p38 mitogen activated protein kinase was induced by SAE. These results suggest that SAE can be used as functional materials for cosmetics for skin moisturizing and barrier function enhancement.

A Case of Ramsay-Hunt Syndrome Showing Continual Improvement after 3 Months of Onset (발병 3개월 이후에도 지속적으로 호전을 보인 람세이헌트 증후군 1례)

  • Yoon-Young Choi;Jung-Ah Byun;Jong-Chan Baek;Seo-Hee Kim;Hyun-A Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.36 no.3
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    • pp.127-139
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    • 2023
  • Objectives : The purpose of this study is to report a case of Ramsay-Hunt Syndrome showing continual improvement after 3 months of onset. Methods : This study was conducted with Ramsay-Hunt Syndrome patient who hospitalized in Ophthalmology, Otolaryngology & Dermatology Clinic of Korean medical hospital. The patient was treated with Korean medical treatment including Ligigeopoong-san Gagam, acupuncture, pharmacopuncture (Hwangryunhaedok-tang) and the other physics therapy. After treatment, we evaluated subjective symptoms, Yanagihara scale and H-B Grade. Results : As a result, the patient continued to improve even after 3 months after the onset, and showed complete recovery and significant improvement in subjective symptoms after treatment. Conclusions : It is considered that Korean medical treatment can be applied to the treatment of Ramsay-Hunt Syndrome.

Two Cases of Imported Cutaneous Leishmaniasis in Korea (중동에서 유입된 피부 리슈마니아증 2례)

  • 윤태영;은회철
    • Parasites, Hosts and Diseases
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    • v.23 no.2
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    • pp.327-330
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    • 1985
  • 사우디 아라비아에서 근무하고 귀국한 2펑의 한국인 남자가 피부의 궤양을 주소로 서울대학교 병원 피부과에 진찰을 받으러 왔다. 육안적으로 가괴를 형성한 궤양을 동반한 피부 결절로 4∼5개월을 경과한 병변이었다. 두 례 모두에서 조직 생검을 통해, 특징적인 조직의 파괴와 조직내 거식세포(histiocyte)의 세포질내 무편모성 리슈마니아 충체(amastigote 또는 Leishman body)를 관찰할 수 있었다. 이 예들은 문헌상 중동에서 국내로 유입된 피부 리슈마니아증의 제 17번째 및 18번째의 증례라 하겠다.

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