• Title/Summary/Keyword: Skin Diagnosis

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Impact of Disturbed Wound Healing after Surgery on the Prognosis of Marjolin's Ulcer

  • Choi, Jae Yeon;Bae, Yong Chan;Nam, Su Bong;Bae, Seong Hwan
    • Archives of Plastic Surgery
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    • v.40 no.3
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    • pp.198-202
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    • 2013
  • Background Marjolin's ulcer is known to present a high proportion of recurrence and poor prognosis compared to other kinds of skin cancer. Based on our experience, Marjolin's ulcer patients who have received reconstructive surgery present a higher proportion of recurrence when there was disturbed wound healing after surgery. The impact of disturbed wound healing after surgery on the prognosis was examined in this study. Methods A retrospective study was carried out on 26 patients who were diagnosed with Marjolin's ulcer and received surgery in this hospital from 1996 to 2011. Histologic grading, lymph node metastasis at diagnosis, and the wound healing process were evaluated and chi-squared analysis applied in order to determine the correlation with recurrence. Results The proportion of recurrence increases in patients with a low histologic grade or lymph node metastasis at diagnosis. The proportion of recurrence is even higher when the problem occurs during the wound healing process after surgery. Conclusions Disturbed wound healing after surgery could be used as a sign to quickly identify the recurrence of carcinoma. Therefore, in the event a problem occurs in the wound healing process after surgery, one should keep in mind that this could be a sign of the possibility of recurrence and proceed with careful observation and active diagnosis through additional physical examinations, general X-ray tests, computed tomographys, magnetic resonance imagings, and so on, to obtain an early diagnosis of recurrence.

A Basic Study on the Pattern Distribution of $Wux{\'{\i}}ngr{\'{e}}n$ [五行人] (오행인 유형분류를 위한 기초연구 - <영추(靈樞)${\cdot}$음양이십오인(陰陽二十五人)>을 중심으로)

  • Han, Kyung-Sook;Nam, Tong-Hyun;Kim, Tae-Hee;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.10 no.2
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    • pp.31-42
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    • 2006
  • Background and Purpose : The concept of $Wux{\'{\i}}ng$(五行) is central to all elements of the Koran traditional medicine. And $Wux{\'{\i}}ng$ is considered to one of the constitution theories in some of oriental medicine fields in South Korea. The aim of this study is to find necessary and concrete estimation factors for distributing patterns of $Wux{\'{\i}}ngr{\'{e}}n$(五行人) respectively. Methods : We translated and summarized the records about distinguishing characteristics and distributing points of Wu-Xing Ren described in <$L{\'{\i}}ngshu$(靈樞)${\cdot}$Yin-Y${\'{a}}$ng ${\`{e}}rsh{\'{\i}}wur{\'{e}}n$(陰陽二十五人)>. Some review articles were identified through searches of KISS and KERIS databases. Results and Conclusion : Concrete distinguishing characteristics and distributing points of Wu-Xing Ren were described in <$Lingshu{\cdot}Yin-Y{\'{a}}ng\;{\`{e}}rsh{\'{\i}}wur{\'{e}}n$>. According to <$Lingshu{\cdot}Yin-Y{\'{a}}ng\;{\`{e}}rsh{\'{\i}}wur{\'{e}}n$>, the most notable characteristics and distributing points are the skin color and shape of face. but the skin color and shape of face are too ambiguous to be used as distributing criteria in a practical manner. In stead size of head, longitudinal length of back, disposition, and width between both shoulders may be used as distributing criteria in practical clinic fields.

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Analysis of Characteristics of Dermatology Outpatients in Korean Medicine Ophthalmology, Otolaryngology & Dermatology at Dunsan Korean Medicine Hospital - From March, 2016 to February, 2019 - (둔산한방병원 한방안이비인후피부과 내원 피부질환 환자 특성 분석 - 2016년 3월부터 2019년 2월까지 -)

  • Kim, Su-Yeong;Jung, Hyun-A
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.4
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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.

Accurate Registration Method of 3D Facial Scan Data and CBCT Data using Distance Map (거리맵을 이용한 3차원 얼굴 스캔 데이터와 CBCT 데이터의 정확한 정합 기법)

  • Lee, Jeongjin
    • Journal of Korea Multimedia Society
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    • v.18 no.10
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    • pp.1157-1163
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    • 2015
  • In this paper, we propose a registration method of 3d facial scan data and CBCT data using voxelization and distance map. First, two data sets are initially aligned by exploiting the voxelization of 3D facial scan data and the information of the center of mass. Second, a skin surface is extracted from 3D CBCT data by segmenting air and skin regions. Third, the positional and rotational differences between two images are accurately aligned by performing the rigid registration for the distance minimization of two skin surfaces. Experimental results showed that proposed registration method correctly aligned 3D facial scan data and CBCT data for ten patients. Our registration method might give useful clinical information for the oral surgery planning and the diagnosis of the treatment effects after an oral surgery.

Visualization of Acupoint by Image Overlapping of Skin Current (피부전류량의 화상중첩에 의한 경혈의 시각화)

  • 이용흠;김용진;고수복;정동명
    • Proceedings of the IEEK Conference
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    • 1999.06a
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    • pp.563-566
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    • 1999
  • The functional diagnosis instrument should be preceded first to both the accurate selection of exact acupoint and discrimination. so the measuring and stimulating method are improved to SPAC pattern to evaluate impedance existed in the body. As a result, the resistance factor between skin and probe, the dipolization of cell was reduced so that the judgement of acupoint is advanced. After extraction of optimization parameter of SPAC pattern which the high discrimination efficiency and the lowest affection on the human body is controlled by using microprocessor to enhance conviction. The discrimination efficiency was confirmed by meridian visualization system. Also mechanism of probe was improved to increase efficiency of image recognition processing. The image of discriminated acupoint with probe is obtained by using a camera, the location on the tip of probe is recognized and processed. And then these are converted to virtual color by proportional to measuring current level of scan point on skin.

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Trichophyton mentagrophytes infection in an African lion cub (Panthera leo) and transmission to a zookeeper (동물원 새끼 사자의 Trichophyton mentagrophytes 감염과 사육사에 전파된 원형피부백선 증례)

  • Kim, Kyoo-Tae;Lee, Seung-Hun;Kwak, Dongmi
    • Korean Journal of Veterinary Research
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    • v.55 no.2
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    • pp.141-143
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    • 2015
  • Dermatophytosis was found on the right front leg of a 4-month-old female African lion cub (Panthera leo) kept at a zoo with locally marginal alopecia. For diagnosis, culturing on sabouraud dextrose agar was performed and skin scrapings from the lesion were analyzed. The ones from the culture and skin scrapings were identified as Trichophyton mentagrophytes. A zookeeper that had been in contacted with the lion for artificial rearing developed skin lesions with well-defined erythematous plaques on the right arm about 1 month after the lesion in the lion was observed. The ringworm was probably transmitted from the lion through continuous contact.

Fine Needle Aspiration Cytology of Eccrine Spiradenoma -Report of a Case- (에크린 땀샘종의 세침흡인 세포소견 -1예 보고-)

  • Kim, Dong-Ja
    • The Korean Journal of Cytopathology
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    • v.16 no.2
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    • pp.98-101
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    • 2005
  • Eccrine spiradenoma is a rare adnexal tumor of the skin and its cytomorphology has seldom been described in literature. To evaluate the cytologic features and diagnostic pitfalls of eccrine spiradenoma, we report a case of 33-year-old male whose clinical presentation was a painful subcutaneous mass at the right preauricular area. Fine needle aspirates revealed tight clusters of multilayered, uniform, cuboidal cells arranged around hyalinized perivascular spaces. Some epithelial cells showed tubules or rosette formations. The background showed scattered, naked nuclei. The histologic findings confirmed the eccrine spiradenoma. The recognition of peculiar cytologic features and clinical correlation could be helpful in the diagnosis of skin adnexal tumors.

Rectal Perforation Associated with a Pelvic Fracture Managed with Lateral Caudal Axial Pattern Flap Surgery Using the Tail to Skin Defect in a Mixed-Breed Dog

  • Lee, Jongjin;Kang, Jinsu;Kim, Namsoo;Heo, Suyoung
    • Journal of Veterinary Clinics
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    • v.38 no.5
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    • pp.240-243
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    • 2021
  • Complications of pelvic fractures and sacroiliac joint luxation include hemoabdomen, pulmonary trauma, and soft tissue injury. Among them, rectal perforation accounts for 1% of pelvic fracture complications. Delayed diagnosis is commonly associated with a poor prognosis. A mixed-breed dog was presented to Jeonbuk Animal Medical Center (JAMC) after a traffic accident with no signs of rectal perforation. After fracture surgery, rectal perforation was seen as a perianal fistula. This report describes a case of a perianal fistula progressed from rectal perforation after a traffic accident that was curatively treated with lateral caudal axial pattern flap surgery to the perianal skin.

Neurological aspects of anhidrosis: differential diagnoses and diagnostic tools

  • Park, Kee Hong;Park, Ki-Jong
    • Annals of Clinical Neurophysiology
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    • v.21 no.1
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    • pp.1-6
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    • 2019
  • Anhidrosis refers to the condition in which the body does not respond appropriately to thermal stimuli by sweating. Sweating plays an important role in maintaining the body temperature, and its absence should not be overlooked since an elevated body temperature can cause various symptoms, even leading to death when uncontrolled. The various neurological disorders that can induce anhidrosis make a detailed neurological evaluation essential. The medication history of the patient should also be checked because anhidrosis can be caused by various drugs. The tests available for evaluating sweating include the quantitative sudomotor axon reflex sweat test, thermoregulatory sweat test, sympathetic skin response, and electrochemical skin conductance. Pathological findings can also be checked directly in a skin biopsy. This review discusses the differential diagnosis and evaluation of anhidrosis.

Allergy tests in clinical practice (알레르기 검사의 실제)

  • Lee, Jaechun
    • Journal of Medicine and Life Science
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    • v.15 no.1
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    • pp.1-5
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    • 2018
  • Allergy is conditions when a hypersensitivity reaction happens with a certain element, called as an allergen, which is commonly not reactive to ordinary individuals. Allergic diseases involve various organs or systems in the body. The purpose of allergy tests is to make a diagnosis of allergic diseases and to identify the affecting allergens. In vivo tests, more relevant in clinical situation, include skin test, patch test and provocation test. In in vitro tests, there are specific IgE test, histamine releasing assay, and lymphocyte activation test, safer and more objective than in vivo tests. In the view point of clinical practice, skin test, provocation test, total IgE test and specific IgE test were reviewed in depth.