• 한국임상수의학회지
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• 제26권3호
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• pp.259-262
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• 2009

Focal adnexal dysplasia(FAD) is a rare non-neoplastic lesion of adnexal appendages that occurs in dogs and has good prognosis. We report a case in which FAD diagnosis was favored by its histopathological features. A 8-year-old, castrated male American cocker spaniel dog presented with papillomatous masses on the distal phalanx of left forelimb. Histopathologically, the stroma was sharply demarcated from the adjacent dermis and subcutis. The adnexa was surrounded and interspersed with abundant, hyalinized collagen and the numerous sebaceous lobules distributed haphazardly around hair follicles, which is thickened, dilated and tortuous with abundant keratin. Epidermis was acanthotic. Proliferative lesions of the skin region are very common with similar gross features, thus the basic histopathological examination supported by additional diagnostic methods allow to establish the definitive diagnosis in most cases of cutaneous tumor or tumor-like lesions. And it is important that physicians and pathologists are aware of this unusual tumour-like nonneoplastic lesion.

• 대한한방부인과학회지
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• 제28권3호
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• pp.74-86
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• 2015

Objectives To identify whether Sovereign-Minister-Assistant-Courier (君臣佐使) Theory and Meridian Tropism (歸經) Theory of oral herbal medicine can be applied to trans-dermal medicine and whether pharmaceutical efficacy can be delivered to skin by Courier herb (使藥). Methods We reviewed previous studies related to Sovereign-Minister-Assistant-Courier Theory. And we examined whether prescription compositions based on Sovereign-Minister-Assistant-Courier Theory correspond with efficacy results of trans-dermal medicine experimentally identified. Results When Sovereign-Minister-Assistant-Courier Theory is applied to trans-dermal medicine, Courier herb act as delivering the effective components to the lesion penetrating skin barrier. And we identified that medicine absorbed through the digestive processes may not correspond with Courier herb applied topically. Conclusions We identified that Courier herb act as delivering the effective components to the lesion. But to strength evidences, additional studies on this action will be needed.

• 한국임상수의학회지
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• 제39권4호
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• pp.185-191
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• 2022

An Amur softshell turtle with multiple shell injuries was admitted to the Seoul Wildlife Center on 19 May 2021. The most severe lesion was a puncture wound requiring urgent closure. In addition to routine supportive therapy, the damaged shell was patched with biocompatible polymethyl methacrylate (PMMA) materials (bone cement and dental acrylic) and fiberglass. Despite a few methods to repair the carapace or plastron of hard-shelled turtles, shell repair in the Amur softshell turtle has rarely been reported. This paper reports the repair process of a puncture wound in the carapace of a softshell turtle using polymethyl methacrylate (PMMA). PMMA is a biocompatible acrylic polymer that forms a tight structure that holds the implant against tissue defects, such as skin, bones, and dentures. Fiberglass, a preferred fiber in various medical fields, was used with PMMA to provide extra strength and waterproof capability. After the procedure, there were no signs of edema, inflammation, bleeding, skin discoloration, or any other complications. Accordingly, this can be a method of choice in softshell turtles using biocompatible materials to cover the lesion in the carapace and provide appropriate wound management, supportive therapy, and a suitable course of antibiotics considering all other circumstances.

• 한국어병학회지
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• 제5권2호
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• pp.159-164
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• 1992

어류의 피부는 각종 환경성 저해인자에 대한 최외측 방어장벽으로써, 어체내의 생리적인 기능을 유지하는 데 중요한 역할을 담당하기 때문에, 피부의 상태는 각종 질병에서 매우 중요하다 하겠다. 어류는 형태학적으로나 생리학적으로 수중의 환경에 적응되어 있기 때문에, 육상 포유동물과는 또다른 다수의 어류 특이의 조직학적 소견을 갖고 있다. 그러므로, 피부에서 일어나는 병리조직학적인 소견에 대한 보다 정확한 해석을 가하기 위하여는 이러한 조직학적 특성을 잘 이해해 둘 필요성이 있다. 정상 환경하의 어류피부는 육상 고등동물에 비하여 한계적 장벽으로써 그 생리학적 요구에 보다 미묘히 적응되어 있다. 그러나, 이러한 피부의 적응상은 오히려 인공적인 사육시설이나, 수질의 오염등에 의하여 더욱 피부의 항상성은 쉽게 파괴될 수 있다. 피부색조의 변화, 궤양등과 같은 소견은 임상적으로 빈번히 접하게 되지만, 이와 같은 가시적 병변이 유도되기 까지는 다양한 생리학적 또는 병리학적 반응이, 피부의 각층에서 일어날 수 있다. 지금까지, 경골어류의 피부에 대한 조직학적 정보를 기술한 참고서는 그 수에 있어 빈약할 뿐 아니라, 정보의 체력적 정리가 부족하다. 게다가, 병리조직학적 기술도 체계적인 실험적 연구에 의하기 보다는 임상 병리학적인 소견에 근거 기술하고 있는 것이 대부분이다. 그러므로, 여기에서는, 새로운 조직학적 정보를 기술하기 보다는, 지금까지 정설화된 피부에 대한 조직학적 및 병리조직학적 소견의 일반을 모아 정리하고자 하였다.

• 한국임상수의학회지
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• 제38권2호
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• pp.56-62
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• 2021

Madecassoside, an active ingredient extracted from Centella asiatica, is used for treatment of various skin disorders in humans. However, the effect of madecassoside on the skin of dogs and cats has not been studied yet. The purpose of this study was to evaluate clinical efficacy of topical madecassoside cream in dogs and cats with skin diseases. A total of twenty-one dogs and ten cats with various skin diseases were included in the study. The 1% topical madecassoside cream was applied to the animal's skin lesion at least once a day for 7 days, and the skin condition was evaluated before the application of madecassoside cream (day 0) and 7 days after the application (day 7). The skin condition was scored by five clinical indices: canine atopic dermatitis extent and severity index-4 (CADESI-4), coat condition, pruritus, scale, and general condition. In dogs, all five clinical indices (CADESI-4, coat condition, pruritus, scale, and general condition) were significantly decreased on day 7 compared to those on day 0 (p < 0.0001, p < 0.05, p < 0.001, p < 0.01, and p < 0.05, respectively). In cats, the CADESI-4 and scale were significantly decreased on day 7 compared to those on day 0 (p < 0.01 and p < 0.05, respectively). No adverse effects were observed during the trial period in the dogs and cats included in this study. The results of this study demonstrate that the topical madecassoside cream is applicable to skin lesions in dogs and cats.

• Pediatric Infection and Vaccine
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• 제23권2호
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• pp.102-108
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• 2016

목적: 가와사끼병(Kawasaki disease, KD)은 여러 기관을 침범하여 다양한 임상적 징후를 나타낸다. 임상적 징후들의 중증도와 관상동맥병변(coronary artery lesion, CAL)과의 연관성은 잘 알려져 있지 않다. 본 연구는 심한 피부병변이나 관절염을 가진 환자군들이 나타내는 임상 양상들과 CAL의 발생 위험도를 평가하고자 하였다. 방법: 면역글로불린을 투여 받은 KD 환아 220명을 대상으로 후향적으로 조사하였다. 심한 피부병변이 있는 환자군(52명)과 경하거나 피부 병변이 없는 환자군(168명), 관절염이 있는 환자군(6명)과 관절염이 없는 환자군(124명)간의 임상 양상 및 검사실 소견을 각각 비교하였다. 결과: 전체 환자들의 평균 나이는 $2.23{\pm}1.87$세였고 남아와 여아의 비는 1.5:1 (138/82)이었다. 220명 중에 52명(23.6%)은 CAL을 동반하였고 29명(13.2%)은 비전형적 KD를 보였다. CAL을 동반한 군이 나이가 많고 발열 기간이 길었으며 면역글로불린 치료에 반응하지 않는 비율이 높았다. 심한 피부 병변을 가진 환자군은 심한 피부 병변이 없는 환자군보다 평균 나이가 많고(P<0.001), 발열 기간이 길고(P=0.041), CAL 발생율이 높았으며(P=0.033), neutrophil 및 neutrophil-to-lymphocyte ratio 수치가 높았다(P=0.031, P=0.001). 관절염이 있는 환자군은 methylprednisolone 또는 infliximab으로 더 많이 치료를 받게 된 경향이 있었다. 결론: 가와사끼병에서 CAL의 발생 빈도는 심한 피부병변이 있는 군에서 더 높았다. 본 연구는 피부 병변, 경부 림프절병, 관절염과 같은 가와사끼병의 임상적 징후의 중증도가 CAL의 위험도와 연관성이 있을 것이라 제안한다.

• 대한피부과학회지
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• 제56권10호
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• pp.603-608
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• 2018

Background: It is well known that skin cancer and precancerous disease develop more frequently in patients undergoing solid organ transplantation than normal populations in the normal population in Western countries. However, to date, the clinical and demographic features of skin cancer and precancerous disease after solid organ transplantation are not established in Asian countries. We evaluated the clinical and demographic features of primary skin cancer and precancerous lesions after solid organ transplantation and compared these with the trends observed in Western countries. Methods: We retrospectively reviewed the medical records of patients who underwent kidney, liver, heart, and lung transplantation between January 1995 and April 2017 and who developed skin cancer or precancerous lesions after transplantation. The various lesions observed were squamous and basal cell carcinoma, malignant melanoma, Kaposi sarcoma, Bowen's disease, and actinic keratosis. Results: We identified 4604 patients who received organ transplant. The mean age of patients was 44.8 years (male, 64.6%; female, 35.4%), and the sum of the person-year of observation time was 31,024 person-years. The incidence rate per 100,000 person-years was 29.01 for squamous cell carcinoma, 19.34 for basal cell carcinoma, 6.45 for malignant melanoma 3.22 for Kaposi sarcoma, and 74.17 for Bowen's disease and actinic keratosis. The incidence rate per 100,000 person-years was the highest in patients undergoing heart transplantation (610.50), followed by those who underwent kidney transplantation (136.54) and liver transplantation (90.15). Koreans showed lower incidence rates than those observed in Westerners. Conclusion: The incidence of primary skin cancer and precancerous lesions after solid organ transplantation in Koreans was lower than that in Westerners. Squamous cell carcinoma was the most common skin cancer in patients undergoing solid organ transplantation and the incidence rate of skin cancer and precancerous lesions was the highest in patients undergoing heart transplantation.

• Archives of Reconstructive Microsurgery
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• 제22권2호
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• pp.78-81
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• 2013

Neurofibroma may present as a solitary lesion or as multiple lesions. Although there is no site of predilection for solitary lesions, occurrence on the hand is rare. Plexiform neurofibroma can develop in isolation or more commonly as a part of neurofibromatosis type 1. In those that apper in isolation, trauma has been suggested as a precipitating factor. A 68-year-old male farmer had experienced repetitive prior episodes of trauma in the involved finger. He presented with a painless mass on the dorsal aspect of the fifth finger. Physical examination showed a protruding mass measuring approximately $15{\times}20mm$ which was not tenderness to palpation and any skin changes or pigmentation. Ultrasonography showed a cystic mass on the dorsal aspect of the middle phalanx. Microsurgical dissection was applied in order to seperated the lesion from the ulnar side of the dorsal branch of the digital nerve. Pathologic examination of the specimens revealed neurofibroma. At three-month follow-up, motor and sensory function were intact, and range of motion was fully recovered. Traumatic solitary neurofibroma is a rare tumor of the hand, especially in the finger. Hand surgeons should be aware of the diagnostic possibilities of this tumor based on examination, history taking and imaging studies.

• 대한두경부종양학회지
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• 제32권1호
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• pp.49-52
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• 2016

The lobular capillary hemangioma (LCH) was previously known to pyogenic granuloma and is benign vascular lesion which grows rapidly on skin and mucosa. It arises from whole body, but oral and nasal cavities are most predilection sites in the head and neck area. The laryngeal LCH looks like a granulomatous lesion of posterior glottis and its common etiology are tracheal intubation and laryngopharyngeal reflux disease etc. The LCH in larynx can cause blood tinged sputum and lump sense. The lesions refractory to medical therapy or causing dyspnea may require surgical excision. A 74-year-old man who presented gradually aggravated dyspnea, lump sensation and hoarseness of one month came to our hospital. The stroboscopic examination revealed large well-margined glottic mass. It was excised with $CO_2$ laser and finally diagnosed as LCH. We present a rare unique case of glottic LCH with a review of literatures.

• 미생물학회지
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• 제53권2호
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• pp.126-128
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• 2017

Cutibacterium acnes (이전 학명 = Propionibacterium acnes)은 혐기성, 그람 양성 간균으로 사람 피부 및 점막조직 표면의 정상 세균총에 해당할 뿐만 아니라 여드름, 유육종증, 뇌종양, 심내막염, 전립선암, 치주질환 및 치수감염질환과도 연관성이 있는 것으로 보고되고 있다. C. acnes KCOM 1861 (= ChDC B594) 균주가 사람 악골 골수염 병소에서 분리되었으며 그 유전체 염기서열을 해독하여 보고한다.