• 동국한의학연구소논문집
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• 제6권1호
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• pp.117-128
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• 1997

특정 외부항원에 노출됨으로써 생기는 피부에서의 지연형 면역과민반응을 형태학적으로 조사하기위해서 시행된 본 실험은 DNCB에 의해 인위적인 알러지성 접촉피부염을 유발시킨 후 시간의 경과에 따른 피부의 일반적인 형태, 비만세포의 변화, IL-2 receptor의 변화를 관찰하였다. DNCB 2차감작 후 실시된 contact hypersensitivity assay 결과 대조군에 비해 DNCB 처리군에서는 ear swelling이 점점 증가하여 48시간에 가장 높게 측정 되었다. 피부 조직의 일반적인 형태변화도 DNCB접종 후 48시간에서 가장 심한 피부손상의 양상을 보였는데, 진피에서 림프구 aggregation의 증가, 혈관직경의 증가, 표피로의 림프구 infiltration 증가가 일어났다. Semithin section을 통해 관찰된 DNCB처리군의 미세구조의 변화는 표피세포질내 액포화의 증가와 세포사이공간의 확장이었다. 진피에서 비만세포 수가 증가되었으며, 그 형태는 분비과립을 함유하고 있는 degranulated type으로 나타났다. 피부 진피에서 IL-2 receptor 양성반응세포수가 증가되었으며, 표피로 infltration된 IL-2 receptor 양성반응세포가 48시간에서 가장 많이 나타났다. 이상의 결과로 미루어 DNCB 감작에 의해 세포성면역과민반응이 일어나며, 이후 면역관여세포들의 복합적인 작용에 의해 급격한 염증반응이 일어나게 된다.

• 대한화장품학회지
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• 제23권2호
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• pp.118-151
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• 1997

계면활성제에 의해 유도된 흰쥐의 allergy성 접촉피부염에 미치는 영향을 검증하기 위하여 표피의 구조를 광학현미경으로 관찰하였고, 또한 각 항원항체반응에서 단백질의 변화양상을 알아보고자 SDS-PAGE법에 의한 단백질 band의 분석 그리고 피부내에 존재하는 복합당질의 당잔기를 알기 위해 Lectin 반응을 실시하였다. 그 결과는 다음과 같다. 1. 계면활성제의 1일 처리군에서 혈관의 확장이 나타났고 3일 처리군에서 핵이 phknotic되어 세포질의 eosinophlic을 일으켰으며 6일 처리군에서 과각질화, 염증세포의 증가, 표피내로 림프구의 침윤 증가가 관찰되었고 9일 처리군에서 과각질층이 serum crust가 되어 탈락되고 다시 부분적으로 두터워진 Acathosis를 합성한다. 반면에 진피층은 세포내 액포화와 세포사이 공간이 확장되었다. 12일 처리군에서는 표피직하부의 진피층에 혈관이 확장되어 나타나고 표피층은 7층으로 두터워져 생성되며 진피전층에 염증세포의 양이 현저히 감소되었음을 관찰하였다. 2. 계면활성제의 처리군에서 degranulated type histamine, serotonin, hiparin 등의 물질을 함유하고 있는 분비과립이 증가함에 따라 전기영동상에서 나타난 단백질 band의 급격한 변화를 관찰하였다. 3. 피부내 복합당질의 변화는 LCA, PNA, SBA, WGA에서 모두 양성반응을 보였으나, Con-A에서는 음성 반응을 보였다. PNA와 SBA에서는 계면활성제 처리군에 비하여 강한 양성반응을 보였다.

• 한국환경보건학회지
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• 제47권2호
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• pp.111-122
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• 2021

Objectives: There was a judgment of acquittal for the manufacturer SK Chemical and the vendor Aekyung regarding humidifier disinfectant (HD) containing 5-chloro-2-methylisothiazol-3(2H)-one/2-methylisothiazol-3(2H)-one (CMIT/MIT). The rationale used in this judgement is discussed here in the light of scientific consideration. Methods: The sentencing document for the judgements was obtained from the Korea Supreme Court Service. In particular, the judgements made by the court related to the risk of HD and external and internal exposure to CMIT/MIT are discussed based on scientific evidence. Results: Rendering a determination in a criminal trial of insufficient evidence of causation, the court dismissed the prosecution's motion that humidifier disinfectant-associated lung injuries (HDLI) and asthma were associated with the utilization of these products. However, CMIT/MIT, a strong sensitizing and corrosive substance, has been reported to be associated with brain toxicity, allergic contact dermatitis, and asthma. Furthermore, the judgment did not consider total consumption amounts or the cumulative dose of CMIT/MIT in the humidifier. Lastly, there are several cases supporting the fact that exposure to water-soluble substances including CMIT/MIT can cause lower respiratory tract diseases. In addition to cases of asthma among the workers exposed to CMIT/MIT, we identified lung injury victims who were exposed to HDs exclusively containing CMIT/MIT. Conclusions: We conclude that there is sufficient evidence supporting the assertion that HDs containing CMIT/MIT cause lung injuries, including asthma, contrary to the court's judgement.

• 한방안이비인후피부과학회지
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• 제33권4호
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• pp.16-31
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• 2020

Objectives : This study is designed to analyze outpatients who received medical treatment for skin diseases in ophthalmology & otolaryngology & dermatology clinic of Korean Medical Hospital from March 1st, 2016 to February 28th, 2019. To discover the tendencies of dermatology outpatients and provide the base data for future researches in dermatology patients' characteristics, korean medical treatments on dermatology field, more statistical analysis and establishment of korean medical health care policy. Methods : We classified dermatology outpatients who received treatments in ophthalmology & otolaryngology & dermatology clinic of Korean Medical Hospital from March 1st, 2016 to February 28th, 2019 according to gender, year, age, seasonal, main diagnosis, visit days. The statistical analysis was performed using IBM SPSS 23.0 Results : The results of the analysis on 651 dermatology patients treated in ophthalmology & otolaryngology & dermatology clinic of Dunsan Korean Medical Hospital for the past 3 years are as follows. 1. The number of outpatients who visited ophthalmology & otolaryngology & dermatology clinic of Dunsan Korean Medical Hospital for skin diseases were 651; 286 male(43.9%) and 365 female(56.1%). The number of female patients were approximately 1.27 times higher. 2. The average age of the dermatology outpatients were 37.6. The most frequent visitors turned out to be 20s, and the number of 20s, 30s patients were 267, consisting 41.0% of the whole patients. 3. By examining the change on yearly basis, we noticed that the number of outpatients treated with skin diseases steadily increased with the years. 1) In the analysis of the number of patients classified by gender and year, the number of male and female patients both increased with the years. 2) In the analysis of the number of patients classified by age and year, there were statistically significant difference between two groups. 3) In the analysis of the number of patients classified by season and year, there were statistically significant difference between two groups. 4) In the analysis of the number of patients classified by main diagnosis and year, there were statistically significant difference between two groups. 4. In the analysis of the number of outpatients by seasonal basis, the number of the outpatients visited in summer was the largest by 185(28.4%), followed by winter 181(27.8%), spring 148(22.7%), and the autumn 137(21.0%). 1) In the analysis of the number of patients classified by age and season, there were no statistically significant difference. 2) In the analysis of the number of patients classified by age and season, there were no statistically significant difference. 5. By classifying the outpatients according to main diagnosis, it turned out that there were 40 diagnosis, with eczema the largest followed by urticaria, allergic contact dermatitis, seborrheic dermatitis, and folliculitis. 6. The average number of visit days of dermatology outpatients were 10.24 days, and the number declined steadily with the years. 1) In the analysis of the number of patients classified by gender and visit days, there were no statistically significant difference. 2) In the analysis of the number of patients classified by age and visit days, the visit days of 70s were the shortest and the patients below 20s were longer than the other age groups. Conclusions : By analyzing the outpatients who received medical treatment for skin diseases in ophthalmology & otolaryngology & dermatology clinic of Korean Medical Hospital from March 1st, 2016 to February 28th, 2019 according to gender, year, age, seasonal, main diagnosis, visit days, We drew various meaningful results. The outpatients with skin diseases increased steadily by the years, and patients visited in winter especially shown the outstanding increase. And though the number of female patients were larger than male, the increase was bigger in male patients. We hope that this results would provide useful resources for future researches in dermatology patients'characteristics, korean medical treatment and establishment of korean medical health care policy.