• Title/Summary/Keyword: Scleroderma

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A surgical approach to linear scleroderma using Medpor and dermal fat graft

  • Kim, Keun Tae;Sun, Hook;Chung, Eui Han
    • Archives of Craniofacial Surgery
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    • v.20 no.2
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    • pp.112-115
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    • 2019
  • Linear scleroderma en coup de sabre (LScs) is a variant of localized scleroderma. This disease typically occurs in patients in their 20s or younger individuals and predominantly occurs in the forehead area. A 26-year-old man with linear scleroderma was surgically treated at our center with Medpor (porous polyethylene) and dermal fat graft for the forehead lesion. After 26 months of postoperative follow-up, the depressed lesion that appeared scarred as well as the margins improved significantly. The surgical treatment of LScs using Medpor and dermal fat graft is an effective treatment modality that can increase patient satisfaction.

Development of an algorithm for Detecting Symptom level in patients with Scleroderma

  • Jeong, Jin-Hyeong;Lee, Ki-Young;Kim, Min-yeong;Kim, Nam-Sun;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.8 no.5
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    • pp.367-372
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    • 2015
  • In this study, locality of scleroderma was detected. Diagnostic method is difficult for scleroderma (skin curing; Scleroderma), and it is done by comparing the images of the normal subjects to the scleroderma patients, after performing monochrome processing. The saturation, brightness, and contrast are adjusted, and they were converted by using the process of Well Filter. As a result, the images were able to be used to clearly distinguish the symptoms of scleroderma. In addition, in a video of a healthy person, the line of sight of the observation given the image of scleroderma patients above sea level of height as $0^{\circ}$ is to implement the closing process to the rear Well Filter even only in so that the horizontal plane, and out at intervals of graph the amplitude difference of the video have I asked. The diagnostic criteria were determined for the healthy subjects and the scleroderma patients.

Surgical Management of Localized Scleroderma

  • Lee, Jae Hyun;Lim, Soo Yeon;Lee, Jang Hyun;Ahn, Hee Chang
    • Archives of Craniofacial Surgery
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    • v.18 no.3
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    • pp.166-171
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    • 2017
  • Background: Localized scleroderma is characterized by a thickening of the skin from excessive collagen deposits. It is not a fatal disease, but quality of life can be adversely affected due to changes in skin appearance, joint contractures, and, rarely, serious deformities of the face and extremities. We present six cases of localized scleroderma in face from our surgical practice. Methods: We reviewed six localized scleroderma cases that were initially treated with medication and then received follow-up surgery between April 2003 and February 2015. Six patients had facial lesions. These cases presented with linear dermal sclerosis on the forehead, oval subcutaneous and dermal depression in the cheek. Results: En coup de sabre (n=4), and oval-shaped lesion of the face (n=2) were successfully treated. Surgical methods included resection with or without Z-plasty (n=3), fat graft (n=1), dermofat graft (n=1), and adipofascial free flap (n=1). Deformities of the affected parts were surgically corrected without reoccurrence. Conclusion: We retrospectively reviewed six cases of localized scleroderma that were successfully treated with surgery. And we propose an algorithm for selecting the best surgical approach for individual localized scleroderma cases. Although our cases were limited in number and long-term follow-up will be necessary, we suggest that surgical management should be considered as an option for treating scleroderma patients.

Two New Records of Scleroderma Species (Sclerodermataceae, Boletales) in South Korea

  • Sung-Eun Cho;Young-Nam Kwag;Sang-Kuk Han;Dong-Hyeon Lee;Chang Sun Kim
    • The Korean Journal of Mycology
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    • v.50 no.2
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    • pp.115-123
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    • 2022
  • Two new records of Scleroderma species from South Korea are described here. Comprehensive taxonomic studies of Scleroderma specimens were conducted at the Korea National Arboretum. Based on morphological and molecular data (fungal barcode sequences), two new records (S. laeve and S. nastii) were confirmed. Herein, morphological descriptions, including Scanning Electron Microscope (SEM) images of basidiospore ornamentation, and a taxonomic key of Korean Scleroderma species are provided.

A Case Report of Clinical Effects of Complex Korean Medicine Treatment in Patients with Scleroderma Caused by Juvenile Idiopathic Arthritis (소아 류마티스 관절염으로 인한 경피증에 대한 한방복합치료 증례보고 1례)

  • Park, So Hyun;Do, Tae Yun;Lee, Sun Haeng;Lee, Jin Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.33 no.4
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    • pp.26-36
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    • 2019
  • Objectives This study is to report a case on a patient with scleroderma caused by juvenile idiopathic arthritis. The patient's symptoms were improved by the complex Korean medicine treatment. Methods The patient was treated for 20 days with acupuncture, moxa, physical therapy, herbal medicine (Ganghwalbinsosan, 羌活檳蘇散), and herbal dressing therapy(Dohongsamultang, 桃紅四物湯). Results NRS and mRSS were used evaluate patient's symptoms daily to assess the changes. After 20 days of the treatments, the patient showed improvement of the symptoms including pain, pruritus and scleroderma of the left leg. Conclusions This case study showed that symptoms in the patient with scleroderma caused by juvenile idiopathic arthritis were dramatically improved by the Korean medicine treatment which includes acupuncture, moxa, herbal medicine, and herbal dressing therapy.

LOCALIZED SCLERODERMA IN A CHILD : CASE REPORT (소아 피부 경화증 환자의 치험례)

  • Kim, Eun-Young;You, Seung-Hoon;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.2
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    • pp.256-261
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    • 2005
  • Scleroderma is a connective tissue disease of unknown etiology, but known as a kind of auto-immune disease. It is most common in women especially in $30{\sim}50$ years, and very rare in childhood. It can be classified into two main classes : localized scleroderma & systemic sclerosis. Localized type has better prognosis, and usually involves skin only, or in some cases, the muscle below, except inner organs. Systemic type involves skin, oral mucosa and major internal organs. Involving facial skin, we can see small and sharp nose, expressionless stare and narrow oral aperture. Usually they have Raynaud's phenomenon, and in progress, show mouth opening limitation and sclerosis of tongue and gingiva. It is called CREST syndrome showing calcinosis cutis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangioectasia. Treatment of scleroderma is systemic and localized steroid therapy, use of collagen-link inhibitor (D-penicillamine), immune depressor and etc. Mouth opening limitation can be improved by mouth stretching exercise. We report a 6 years old boy, diagnosed with localized scleroderma who had mouth opening limitation. We could get additional mouth opening, and have done successful restorative treatment of mandibular and maxillary 1st and 2nd deciduous molar under deep sedation with nitrous oxide and enflurane.

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A Case Report of Korean Traditional Medical Therapy on Gastric Dysmotility Involved in Patient with Systemic Sclerosis Sine Scleroderma (Systemic Sclerosis Sine Scleroderma 환자의 위운동성장애에 대한 한의학적 치험 1예)

  • Yoon, Sang-Hyub;Rhu, Jong-Min;Lim, Jung-Hwa;Han, Sook-Young;Kim, Hyun-Kyung;Lee, Joon-Suk;Shim, Yun-Seub;Kim, Guk-Bum;Han, Jong-Hyun;Kim, Sun-Hong;Kim, Eun-Gon;Kim, Sang-Uk;Seong, Ki-Won;Jang, Sun-Young
    • The Journal of Internal Korean Medicine
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    • v.25 no.2
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    • pp.344-351
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    • 2004
  • Systemic sclerosis Sine scleroderma(ssSSc) is an uncommon subtype of Systemic sclerosis(SSc), which is believed to attack internal organs without causing changes in the skin. Electrogastrography has been known to be a simple, non-invasive, and effective method in assessing gastric motility. In this new study, a case of Systemic sclerosis Sine Scleroderma exhibiting gastric symptoms was observed. For this, we applied herbal medicine. manual acupucture, electro-acupucture, and lumbar skin wanning. After applying these therapies, both systemic and dyspeptic symptoms of the patient improved. Electrogastrography suggests a relation between gastric myoelectrical activity and the patient's improvement in dyspeptic symptoms. Therefore, based on study of Oriental medical classics and recent medical articles, clinically emperical success in treating gastric dysmotility was seen in a patient with Systemic sclerosis Sine Scleroderma.

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Esophageal Scleroderma - Report of 1 case - (식도공피증 -수술치험 1예-)

  • Yang, Tae-Bong;O, Bong-Seok;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.21 no.5
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    • pp.929-934
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    • 1988
  • Progressive systemic sclerosis is a disease of unknown origin and uncommon in the east area. We experienced one case of severe peptic esophageal stricture due to esophageal scleroderma. The patient`s life quality was improved with the esophageal reconstructive procedure using reversed tubed gastric pedicle and his body weight was normalized with regular diet.

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A Case of Systemic Sclerosis Sine Scleroderma Presenting as Pulmonary Interstitial Fibrosis (피부병변없이 간질성 폐섬유화로 표현된 경피증 1례)

  • Kwak, Jin-Ho;Choi, Won-II;Lee, Seung-Hyun;Seo, Chang-Gyun;Kim, Kyung-Chan;Kim, Min-Su;Kwon, Kun-Young;Suh, Soo-Ji;Park, Chang-Kwon;Jeon, Young-June
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.4
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    • pp.493-498
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    • 2001
  • Lung involvement in systemic sclerosis(SSC) is common but usually occurs late in the course. Skin changes usually occur before the pulmonary findings. In this report, a patient who developed pulmonary interstitial fibrosis without skin changes is presented. A diagnosis of SSC lung involvement was made histologically. The a nti-scl-70 antibody test was positive. Esophageal manometry revealed a lower amplitude in the lower two-third of the esophagus and pressure in the lower esophageal sphincter. Here we report a case of systemic sclerosis sine scleroderma presenting as pulmonary interstitial fibrosis with a review of the relevant literatures.

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Facial asymmetry: a case report of localized linear scleroderma patient with muscular strain and spasm

  • Kim, Jae-Hyung;Lee, Suck-Chul;Kim, Chul-Hoon;Kim, Bok-Joo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.37
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    • pp.29.1-29.7
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    • 2015
  • Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections. A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm. In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.