• 한국미생물·생명공학회지
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• 제19권3호
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• pp.242-247
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• 1991

Arthrobacter simplex IAM 1660의 스테로이드 $\Delta^1$-dehydrogenase에 대한 각종 steroid의 유도조건과 효과를 검토하였다. 그 결과 시험한 스테로이드 중 hydrocortisone이 가장 큰 효과를 나타냈고 progesterone, prednisolone, prednisone, androstenstendione의 순으로 유도효과를 보였고, 스테롤에 의해서는 유도효과가 낮았다. 유도 스테로이드의 특성으로는 스테로이드 모핵 C-3위가 수산기인 것보다 캐톤기이며 C-4위에 이중결합이 존재하고 스테로이드 D고리의 측쇄가 짧은 것이 유도 효과가 높았다.

• 한방안이비인후피부과학회지
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• 제33권3호
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• pp.115-124
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• 2020

Objectives : The purpose of this study is to investigate the effect and side effects of steroids on dermatitis and skin barrier through lipid metabolism. And to propose using Herbal medicine to suppress Steroid rebound and prevent side effects. Methods : We reviewed recent studies about the relationship between dermatitis, skin lipid, steroid, and herbal medicine through Google scholar. Results : In various inflammatory skin diseases, the corticosteroid is selected as the primary drug due to its strong anti-inflammatory and immunosuppressive effect. However, long-term use of steroids has a variety of side effects, especially lipid metabolism disruption, which aggravates skin barrier damage underlying various skin diseases and is more susceptible to inflammatory reactions. Conclusions : Herbal medicine is used as a comprehensive approach, and it can be used to reduce the frequency of steroid exposure by protecting against barrier damage by controlling anti-inflammatory, antioxidant, and systemic/sebaceous lipid metabolism and stratum corneum protein differentiation.

• Journal of Korean Neurosurgical Society
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• 제65권3호
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• pp.439-448
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• 2022

Objective : Craniopharyngiomas (CPs) are associated with hypothalamic damage that causes hypothalamic obesity, however, the mechanisms underlying CP-related postoperative weight gain remain debatable. This study aimed to elucidate whether the major determinant of postoperative weight gain in patients with CP is hypothalamic injury or steroid replacement therapy. Methods : We included 48 adult patients with CP (age ≥18 years) who underwent transsphenoidal surgery between 2010 and 2018 in a single tertiary center, and whose body weight was measured pre- and postoperatively (<120 days after the surgery). We recruited 144 age- and body mass index-matched patients with non-functioning pituitary adenoma (NFPA) as controls. Results : Patients with CP experienced greater postoperative weight gain than patients with NFPA (3.0±5.1 vs. 0.1±3.6 kg, p<0.001). The prevalence of postoperative steroid use was significantly higher in patients with CP than in those with NFPA (89.6% vs. 34.0%, p<0.001). Steroid replacement therapy and CP were associated with postoperative weight gain after adjusting for covariates in overall patients (p=0.032 and 0.007, respectively). In subgroup analysis with postoperative steroid users, weight gain was significantly greater in patients with CP (n=43, 0.96±0.25 kg/month) than in patients with NFPA (n=49, 0.26±0.23 kg/month) even after adjusting for the daily steroid dose (p=0.048). Conclusion : Patients with CP experience greater postoperative weight gain than those with NFPA. Hypothalamic damage itself as well as steroid replacement may contribute to the postoperative weight gain in patients with CP.

• 한방안이비인후피부과학회지
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• 제36권4호
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• pp.196-205
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• 2023

Objectives : We would like to report what symptoms appear in patients experiencing steroid rebound phenomenon and how to manage and treat them at Korean medicine hospital. Methods : A 20-year-old woman who had been using topical and oral steroids for more than 6 weeks presented to the hospital. She hospitalized for 5 weeks and stopped using steroid. The treatment applied was acupuncture, wet dressing therapy and herbal medicine including Yangdokbackho-tang, Sunbangpaedok-tang and Danguieumja. We assessed symptoms through Inflammation Index and Chronicization Index. Results : Right after she stopped using steroid, symptoms of skin got worse gradually. However, after 5 weeks of treatment, all symptoms except itching and dryness disappeared. When symptom was severe, Inflammation Index and Chronicization Index was 12 and 9 points and after the treatment they were 2 and 4 points. Conclusions : This study shows various symptoms in patients with topical steroid addiction and how to manage at Korean medicine hospital.

• 약학회지
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• 제1권1호
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• pp.19-22
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• 1948

Yucca schotti, Samuela carnerosana, Agave strita 각부분에 있어 결실전후의 steroidal sapogenin 분포상태를 연구하여 결실후에는 monohydroxy steroid는 존재치 않고 단지복합 polyhydroxy steroid만이 존재함을 증명하였다.

• Journal of Yeungnam Medical Science
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• 제11권1호
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• pp.167-180
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• 1994

좌우 경동맥을 결찰하여 혈뇌장벽에 변화를 일으킨 백토에서 뇌압하강제(mannitol, steroid) 및 뇌압하강 방법(과호흡)의 효과를 관찰하였다. Mannitol군에서는 steroid군, 과호흡군에 비해 뇌압감소가 통계적으로 유의하게 있었으며, 시간적으로 mannitol 투여 후 25~30분까지 뇌압이 45%까지 감소하여 지속되었다. Steroid군에서는 mannitol군보다는 뇌압 절대치의 감소폭은 적었지만, 과호흡군 보다 2배 이상의 뇌압감소가 있었고, mannitol군보다 더욱 오랫동안 뇌압감소의 효과가 지속되었다. 과호흡군에서는 mannitol군, steroid군에서보다는 뇌압감소 효과가 적었으나, 과호흡 시행 후 10분까지 13.5~16.7%의 뇌압감소가 있었고, 그 이후 시간 경과에 따른 더 이상의 뇌압감소 효과는 없었다. Mannitol, steroid, 과호흡군을 모두 시행한 복합치료군에서는 mannitol 및 steroid, 과호흡을 각각 시행한 군에서보다 뇌압 감소가 더욱 현저하게 이루어져 30분까지 48~52%의 뇌압감소가 있었다. 이상의 결과로 미루어보아 뇌허혈성 뇌졸중 환자에서 mannitol 및 steroid사용과 병행하여 과호흡을 실시함으로써 뇌압감소를 위한 적절한 치료의 지표가 될 것이라 판단다.

• Journal of Animal Science and Technology
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• 제49권5호
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• pp.593-598
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• 2007

본 연구는 스테로이드 성호르몬 즉 에스트로겐, 테스토스테론 및 노르테스토스테론이 돼지 지방전구세포의 분화와 증식에 미치는 영향을 구명하기 위해서 수행하였다. 지방전구세포는 갓난 암퇘지의 등지방조직을 떼어내어 coll- agenase를 처리해서 분리해서 배양했다. 세포 배양중에 10－8M과 10－7M의 스테로이드 성호르몬을 처리했다. 세포배양 전기에 스테로이드 성호르몬을 처리했을 때 지방전구세포의 분화나 증식에 아무런 영향을 미치지 않았고, 세포배양 후기에 처리했을 때는 테스토스테론과 노르테스토스테론이 세포분화를 촉진시켰다.

• Childhood Kidney Diseases
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• 제13권2호
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• pp.271-277
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• 2009

저자들은 스테로이드 의존형 신증후군 환자에서 진단 8년 만에 두경부 종물이 발생, 혈액 검사상 IgE 증가와 호산구 증가, 경부 컴퓨터 단층 촬영으로 기무라병을 진단하였고, 스테로이드로 치료하였으며, cyclosporine을 투여한 이후 장기간 두경부 종물과 신증후군의 재발을 억제할 수 있었기에 문헌고찰과 함께 보고하는 바이다.

• 한방안이비인후피부과학회지
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• 제31권3호
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• pp.107-115
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• 2018

Objectives : The purpose of this paper is to report the effect of Korean medicine treatments on allergic contact dermatitis aggravated after applying steroid ointment. Methods : We treated a 63-year-old woman with allergic contact dermatitis on the both forearm, jaw, neck, chest with Korean medicine. Before Korean medicine treatments she has taken oral steroids and applied steroid ointment for several years to treat dermatitis, but long-tern steroid therapy aggravated her symptoms like skin pruritus, erythema, exudates or edema. After Korean medical treatment for 27 days, we found that the size of erythema was reduced, and symptoms like pruritus, exudates and edema were lost. We recorded pictures of changes on symptoms. Results & Conclusions : The symptoms of allergic contact dermatitis were improved. Erythema, edema, exudate were lost. Thus Korean medicine treatments are effective on allergic contact dermatitis and could be a great alternative to steroid treatment.

• 척추신경추나의학회지
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• 제4권2호
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• pp.149-161
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• 2009

Objective : The purpose of this study is to report the improvement after the acupuncture therapy and herbal medicine about a patient who has latrogenic Cushing with steroid induced myopathy and compression fracture of L-spine. Methods : We treated the patient with Neutral Blood Stasis herbal acupuncture, acupuncture therapy and herbal medication. Results : We have experienced one case of latrogenic Cushing syndrome with steroid induced myopathy and compression fracture of L-spine. This case improved significantly through acupuncture and herbal medication treatment. Conclusions : This study suggests manual acupuncture therapy and herbal medication is effective for the improvement of latrogenic Cushing syndrome with steroid induced myopathy and compression fracture of L-spine.