• Title/Summary/Keyword: skin lesion

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Malassezia Dermatitis in a South American Sea Lion (Otaria byronia) (오타리아 물개(South American Sea Lion, Otaria byronia)에서 발생한 Malassezia 피부염)

  • Ahn, Miji;Bae, Seulgi;Oh, Taeho
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.156-158
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    • 2014
  • Malassezia spp. was isolated from the skin lesion of a South American Sea Lion (Otaria byronia) in South Korea. Colonies were cream to yellowish with smooth margin on Sabouraud dextrose agar without lipid supplements. Yeast cells were ovoid to cylindrical in shape and budding daughter cells from broad base. We conducted 26s rRNA sequencing to specify the strain of the yeast and found out this isolate highly matched with Malassezia pachydermatis isolated from canine otitis. The pulse therapy of oral itraconazole was very effective in this case. M. pachydermatis has a wide range of host animals but this is the first report in a sea lion in South Korea.

Diagnosis of swine sarcoptic mange(Sarcoptes scabiei var. suis) by ELISA (ELISA를 이용한 돼지 옴 (Sarcoptes scabiei var. suis) 감염증의 진단)

  • Jee, Cha-Ho;Lee, Sam-sun;Chang, Lai-hun
    • Korean Journal of Veterinary Research
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    • v.41 no.4
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    • pp.565-570
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    • 2001
  • The diagnosis of swine sarcoptic mange (Sarcoptes scabiei var. suis) was investigated by ELISA in order to replace current diagnostic methods such as skin scraping, scratching index, or lesion score of dermatitis. The current methods need many efforts and much times and cost much. They can not handle many samples simultaneously. Therefore, in this research we developed ELISA that can handle many samples at a time. The antigens of swine sarcoptic mite were isolated and examined by 12.5% SDS-PAGE and silver staining. The antigenicity of antigen was confirmed by Western blotting using the swine from the artificailly-infested swine with swine sarcoptic mite. The optical density (OD) values of the artificailly-infested positive sera and the naturally-infested positive sera of sows were measured and read in order to confirm the stability of antigens, the reproducibility and validity (sensitivity and specificity) of the manufactured ELISA of swine sarcoptic antigens. In above results, the developed ELISA would be possible to use the diagnostic tool of sarcoptic mange if OD values of piglets, fattening pigs and sows are interpreted reasonably and classified as mange-free and infested.

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A Case of Tuberous Sclerosis with Pulmonary Involvement (폐를 침범한 결절성 경화증 1예)

  • Ahn, Jong-Ho;Suh, Gee-Young;Kim, Young-Whan;Shim, Young-Soo;Kim, Keun-Youl;Han, Yong-Chol
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.5
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    • pp.433-437
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    • 1992
  • Tuberous sclerosis is a syndrome characterized by the facial skin lesion, epilepsy, and mental retardation. Pulmonary involvement is uncommon, but when the lung is involved by tuberous sclerosis it shows characteristic reticulonodular infiltration and cystic changes. We experienced a 34-year-old female patient of known tuberous sclerosis admitted due to pneumothorax. Chest PA showed diffuse fine reticulonodular infiltration and chest CT revealed diffuse cystic changes of the lung. Pleurodesis with tetracycline was done to prevent recurrence, but chylothorax occurred four months after the treatment. Pleurosis was tried again and anti estrogen treatment began.

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Malignant Acanthosis Nigricans with Oral Florid Papillomatosis ; A Case Report (구강내 개화성 유두종증을 가진 악성 흑색극세포증의 증례보고)

  • Jung, Jae-Kwang;Shin, Hong-Ihn;Min, Bo-Kyung
    • Journal of Oral Medicine and Pain
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    • v.35 no.4
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    • pp.237-243
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    • 2010
  • Acanthosis nigricans usually has the characteristics that involve the development of darker pigmented patches and thickened skin with velvety texture on the body folds, and papillomatosis on lip and intraoral regions including tongue, gingiva, mucosa, palate. Malignant acanthosis nigricans, a type of acanthosis nigricans, occurs most commonly in association with underlying malignancy and characterically appears with three characteristic mucocutaneous lesion : especially of the lips and eyelids, hyperkeratosis of the palms and soles, the sign of Leser-Trelat. In the present report, the patient had typical clinical and histological findings of oral acanthosis nigricans, as well as past medical history associated with malignant gastric adenocarcinoma.

A CASE OF SYPHILIS RELATED CERVICAL NECROTIZING FASCIITIS (매독 환자의 경부 괴사성 근막염의 치험례)

  • Myoung, Shin-Won;Lee, Jung-A;Kang, Myoung-Guen;Kim, Kyung-Mok;Park, Je-Uk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.6
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    • pp.540-544
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    • 2004
  • The oral lesion of acquired syphilis - primary, secondary, and tertiary - is comparatively rare. Most of the time secondary syphilis manifests itself as a systemic disease with maculopapular eruptions of the skin, generalized lymphadenopathy, fever, and occasional eruptions on the mucous membranes. The lesions of the tertiary stage may occur anywhere in the body, including the oral cavity. Necrotizing faciitis of the head and neck is an uncommon, rapidly spreading soft tissue infection of polymicrobial origin characterized by extensive necrosis and gas formation in the subcutaneous tissue and superficial fascia. This is characterized by its fulminating, devastating, and rapid-progressing course. The mortality rate is high if it is not treated promptly and vigorously. Patients with an impaired immune system and those with small-vessel disease such as diabetes mellitus are more prone to develop this infection.

Pleural Effusion Followed by Multiple Intercostal Nerve Blocks in the Patient with Postherpetic Neuralgia (대상포진후 신경통 치료중에 발생한 흉막 삼출액)

  • Song, Jung-Ja;Han, Young-Jin;Choe, Huhn
    • The Korean Journal of Pain
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    • v.5 no.2
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    • pp.269-272
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    • 1992
  • We experienced a case of pleural effusion while treating postherpetic neuralgia in a 70 year old male patient. The patient had scar and color change on the skin along the course of the right Th4-5 intercostal nerve, characteristics of healed herpes zoster. The patient also complained of severe pain along the lesion site which made sleeping difficult. He had been treated with; epidural blocks with or without catheterization; epidural or regional corticosteroids; multiple intraspinal and intercostal blocks with local anesthetic; or neurolytic, alcohol, transcutaneous electrical nerve stimulation, etc., for about six months by the time of pleural effusion development. We came to the conclusion that the effusion was due to pleural irritation by multiple intercostal nerve blocks, because it was bloody and developed on the affected right side, although the patient had a history of a certain hepatic pathology and pulmonary tuberculosis which may be a predisposing factor to the effusion.

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Multiple Myopericytoma of the Face and Parotid Gland

  • Jung, Yun-Ik;Chung, Yoon-Kyu;Chung, Seum
    • Archives of Plastic Surgery
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    • v.39 no.2
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    • pp.158-161
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    • 2012
  • Myopericytoma is a benign tumor that is composed of myoid-appearing oval to spindle-shaped cells with a concentric perivascular pattern of growth. The tumor is morphologically heterogeneous and can exhibit a broad histologic spectrum. We describe a case of multiple myopericytoma occurring in the head and neck skin region with involvement of the parotid gland where it is known to occur very rarely. A 40-year-old woman noticed multiple enlarging, painless, round-shaped masses on her left cheek. The patient had experienced a similar lesion of the same area 8 years earlier which was completely excised and the pathological diagnosis was spindle cell type myoepithelioma. On a computed tomographic image, one mass involved the superficial parotid gland and was well encapsulated. Excision of the facial masses and superficial parotidectomy with facial nerve preservation were performed. A diagnosis of myopericytoma was established in light of the immunohistochemical pattern with the histopathological findings. Over the 4-year follow-up period, there was no evidence of recurrence. As many perivascular myoid neoplasms share common morphologic features with myopericytoma, we should consider the differential diagnosis, and confirm the histological findings with appropriate immunohistochemical staining. After identifying myopericytoma, it should be treated with wide surgical excision to prevent local recurrence.

A Case of Cutaneous Myiasis Caused by Cordylobia anthropophaga Larvae in a Korean Traveler Returning from Central Africa

  • Ko, Joo Yeon;Lee, In-Yong;Park, Byeong Jin;Shin, Jae Min;Ryu, Jae-Sook
    • Parasites, Hosts and Diseases
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    • v.56 no.2
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    • pp.199-203
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    • 2018
  • The cutaneous myiasis has been rarely reported in the Republic of Korea. We intended to describe here a case of furuncular cutaneous myiasis caused by Cordylobia anthropophaga larvae in a Korean traveler returned from Central Africa. A patient, 55-year-old man, had traveled to Equatorial Guinea, in Central Africa for a month and just returned to Korea. Physical examinations showed 2 tender erythematous nodules with small central ulceration on the left buttock and thigh. During skin biopsy, 2 larvae came out from the lesion. C. anthropophaga was identified by paired mouth hooks (toothed, spade-like, oral hooklets) and 2 posterior spiracles, which lack a distinct chitinous rim. Although rarely described in Korea until now, cutaneous myiasis may be encountered more frequently with increasing international travel and exchange workers to tropical areas.

Hypertrophic Scar with Chronic Pain after Acute Herpes Zoster -A case report- (대상포진 후 발생한 비대흉터에 동반된 만성 통증 -증례 보고-)

  • Choi, Jong Cheol;Bae, Hong Beom;Jeong, Sung Tae;Kim, Seok Jai;Jeong, Seong Wook;Yoon, Myung Ha;Chung, Sung Soo;Yoo, Kyung Yeon;Jeong, Chang Young;Choi, Jeong II
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.229-231
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    • 2005
  • The most common and cumbersome complication of herpes zoster is postherpetic neuralgia, which typically presents as neuropathic pain. However, the painful symptoms of the postherpetic period might be associated with other causes, such as skin lesions of the herpes zoster. We report a case of a hypertrophic scar that developed in the lesion of an acute herpes zoster patient and was accompanied by pain.

Herpes Zoster Meningitis Confirmed by Detection of Varicella-Zoster Virus DNA Using the Polymerase Chain Reaction -A case report- (중합효소 연쇄반응을 이용한 Varicella-Zoster Virus DNA 검출로 확인된 대상포진 수막염 -증례 보고-)

  • Heo, Hu Man;Choi, Yu Sun;Park, Seong Kyu
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.210-213
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    • 2005
  • Acute viral meningitis and myositis are rare complications of varicella-zoster virus (VZV) reactivation. A 71-years-old immunocompetent man, who presented with lower back pain radiating to the left lower extremities, developed vesicles on the L5 dermatomal area. The next day, he had complained of aberrant vesicles on the trunk, face and scalp, with generalized myalgia, headache and dizziness. He was confirmed with VZV meningitis and myositis, as demonstrated by the presence of VZV DNA in the blood and cerebral spinal fluid using a polymerase chain reaction (PCR) amplification. PCR has been used in patients with a VZV infection associated neurological symptoms, and provides a useful tool for the early diagnosis of VZV-associated neurological disease. The patient was treated with bed rest, with intravenous acyclovir for the VZV infection, and intravenous Patient-controlled Analgesia for pain management and the prevention of postherpetic neuralgia. When he visited the outpatient department 3 months later, the skin lesion, leg pain, headache and myalgia had all improved, without sequelae. Here, this case is reported, with a discussion of the relevant literature on its diagnosis and management.