BACKGROUND: The incidence of skin diseases in the university hospital may not truely indicate their province in the population, nevertheless it offers the only available source of information.Objective and Method: To study the prevalence of common dermatoses and compare this with previous reports, we reviewed 20, 000 new outpatients who visited the Department of Dermatology at Wonju Christian Hospital from 2000 to 2004, and have statistically analyzed the findings. RESULTS: The study results are summarized as follows: 1. Of the 20, 000 outpatients, the total number of male patients was 9, 871 (49.4%), and the numbers of female patients was 10, 129 (50.6%). 2. As for age distribution, the most frequent age group was the first decade (15.3%), fifth decade (15.1%), fourth decade (13.9%) and sixth decade (13.7%), comprising 58% of the total outpatients. 3. The 19 most common dermatoses were found to be dermatophytosis, atopic dermatitis, allergic contact dermatitis, other eczema, urticaria, alopecia, herpes zoster, seborrheic dermatitis, psoriasis, bacterial infection, pruritus, drug eruption, vitiligo, acne, verruca, irritant contact dermatitis, benign epidermal tumors, nevocellular nevus and hyperpigmentary disorders. 4. Those dermatoses which showed a decreasing tendency to be treated by medicine included allergic contact dermatitis, other eczema, bacterial infections, acne, and irritant contact dermatitis. An increasing tendency was noted in dermatophytosis, urticaria, alopecia, herpes zoster, seborrheic dermatitis, psoriasis, pruritus, drug eruption, vitiligo, verruca, benign epidermal tumors and nevocellular nevus. There was no significant annual difference in incidences of hyperpigmentory disorders compared to atopic dermatitis. 5. Diseases with high seasonal distribution in summer were dermatophytosis and verruca. However, atopic dermatitis, alopecia, herpes zoster and pruritus showed high incidence in the winter period. Acne showed a peak incidence in both summer and winter. 6. As for gender distribution, dermatophytosis, alopecia, seborrheic dermatitis, bacterial infection and vitiligo showed a high frequency in males, whereas allergic contact dermatitis, urticaria, herpes zoster, psoriasis, pruritus, drug eruption, acne, epidermal benign tumors, nevocellular nevus and hyperpigmentary disorders showed a high freguency in female. 7. In age distribution, atopic dermatitis, bacterial infection, vitiligo, verruca and nevocellular nevus were found to be the most frequent in the first decade, and acne and alopecia in the second decade. Urticaria and psoriasis were most frequent in the third decade; dermatophytoses, allergic contact dermatitis, irritant contact dermatitis and hyperpigmentary disorders in the fifth decade; other eczema, seborrheic dermatitis and pruritus in the sixth decade; herpes zoster and drug eruption in the seventh decade; and epidermal benign tumors in the eighth decade. 8. In the distribution of dermatoses as disease groups, eczema (25.5%), diseases of the skin appendages (10.8%), dermatophytosis (10.0%), erythema, urticaria and drug eruption(10.2%), viral infections (8.4%), papulosquamous disease (4.1%), and pruritus and neurocutaneous disease (3.9%) constituted 72.5% of the total. CONCLUSION: The distribution of skin disease in our hospital was similar to studies wnducted in other provinces. Comparing the alone results with earlier studies carried out in the same area by Lee (3), Won (2) and Song (1), there was a relatively low incidence of dermatoses caused by animal parasites. However, a predominently high incidence of age related dermatoses was found.
Acne Vulgaris ; Age Distribution ; Alopecia ; Animals ; Bacterial Infections ; Dermatitis, Allergic Contact ; Dermatitis, Atopic ; Dermatitis, Contact ; Dermatitis, Seborrheic ; Dermatology ; Drug Eruptions ; Eczema ; Epidemiology ; Erythema ; Female ; Gangwon-do ; Herpes Zoster ; Humans ; Incidence ; Male ; Music ; Nevus ; Outpatients ; Parasites ; Prevalence ; Pruritus ; Psoriasis ; Seasons ; Skin ; Skin Diseases* ; Statistics as Topic* ; Tinea ; Urticaria ; Vitiligo ; Warts

A 7 year-old boy visited our hospital with a 2 week history of inflammatory, pustular, tender patches and plaques on the right scalp and face area. He had been treated with topical steroid and antibiotics in a private clinic. In a KOH smear mount, multiple hyphaes and spores appeared on stratum corneum of the outer root sheath layer of his hair. The diagnosis of kerion celsi induced by dermatophytes was made. The patient was treated with oral griseofulvin, and on the 2nd day after starting treatment, multiple erythematous and tendered subcutaneous nodules occurred on his shin. A photosensitive dermatitis like lesion also occurred on his periorbital area. Griseofulvin changed to terbinafine. On the 6th day after treatment, the skin lesions on his face and scalp had improved, as had his shin lesions. The interest of this case lies in the unusual association of kerion and erythema nodosum, of which only eleven cases have been reported in dermatologic literature, and all cases were kerion induced Trichophyton species.
Anti-Bacterial Agents ; Arthrodermataceae ; Child* ; Dermatitis ; Diagnosis ; Erythema Nodosum* ; Erythema* ; Griseofulvin ; Hair ; Humans ; Hyphae ; Male ; Scalp ; Skin ; Spores ; Tinea Capitis* ; Trichophyton

No abstract available.
Acupuncture* ; Metals*

Tethered cord syndrome is a kind of spinal dysraphism with low-lying conus frequently associated with intraspinal lipoma, diastematomelia or fibrous band. The clinical manifestations varies from long periods of no overt symptoms to back pain, scoliosis, progressive neurological deficit of legs and incontinence. Therefore the diagnosis requires a strong clinical suspicion and aggressive investigation. It shows various cutaneous manifestations including hyperpigmentation, skin dimple, dermal sinus or hypertrichosis. This 34-year-old female patient has had a lozenge shaped hair tuft with terminal hair on the lumbosacral area since her birth. Her MRI scan showed dermal sinus and a low-lying conus at the lower border of L5. The filum terminale was also thickened. These findings are compatible for tethered cord syndrome.
Adult ; Back Pain ; Cauda Equina ; Conus Snail ; Diagnosis ; Female ; Hair ; Humans ; Hyperpigmentation ; Hypertrichosis ; Leg ; Lipoma ; Magnetic Resonance Imaging ; Neural Tube Defects* ; Parturition ; Scoliosis ; Skin ; Spina Bifida Occulta ; Spinal Dysraphism

The sign of Leser-Trelat refers to the sudden appearance and rapid increase in size and number of seborrheic keratosis. It is considered to be a sign of internal malignant tumors. A 60-year-old male who had received chemotherapy for bladder cancer showed multiple rice to bean-sized dark brownish papules on the scalp and trunk. Skin lesions had suddenly appeared 4 months ago, and he had been diagnosed with transitional cell carcinoma of bladder cancer. The lesions had rapidly increased in number and size. The histopathologic finding of the skin lesions revealed seborrheic keratosis.
Carcinoma, Transitional Cell ; Drug Therapy ; Humans ; Keratosis, Seborrheic ; Male ; Middle Aged ; Scalp ; Skin ; Urinary Bladder Neoplasms* ; Urinary Bladder*

No abstract available.
Hyaluronic Acid* ; Injections, Intra-Articular*

Lichen striatus and linear lichen planus are rare disorders that can be confused because they share similar clinical and histopathologic findings. We report a case of lichen striatus on the left wrist and fingers in a 54-year-old woman, who was initially diagnosed with linear lichen planus. She had overlapping clinico-histopathologic features of both lichen striatus and linear lichen planus. To discriminate between the two disorders, careful histological and clinical evaluations are needed, especially when a lichen striatus-like eruption occurs in adults.
Adult ; Female ; Fingers ; Humans ; Lichen Planus ; Lichens* ; Middle Aged ; Wrist

Cutaneous lymphadenoma (CL) is a rare, benign, epithelial neoplasm with a prominent lymphocyte infiltration of unknown histogenesis. Both pilosebaceous and eccrine origins have been suggested, and the current view is that CL is a variant of trichoblastoma with adamantinoid features. We report a case of cutaneous lymphadenoma which developed on the left postauricular area of a 46-year-old woman, plus a review of the related literature.
Female ; Humans ; Lymphocytes ; Middle Aged ; Neoplasms, Glandular and Epithelial

A cholesterol embolism is a systemic disease resulting from the occlusion of arteries by cholesterol crystals released from atheromatous plaques. It has been associated with inflammation, sheering forces from blood flow due to hypertension, aneurysm formation, infection, mechanical manipulation during surgery or vascular procedures, and anticoagulation. We report a case of a cutaneous cholesterol embolism in a 66-year old man who had purpuric skin lesions on both feet associated with diabetes mellitus, hypertension, and anticoagulation for a cerebral infarction.
Aneurysm ; Arteries ; Cerebral Infarction ; Cholesterol ; Diabetes Mellitus ; Embolism, Cholesterol ; Foot ; Hypertension ; Inflammation ; Plaque, Atherosclerotic ; Skin

Lobulated intradermal nevus is an unusual form of regressing melanocytic nevus. Clinically, it shows a lobulated plaque and biopsy specimens display fatty infiltration within nests of nevus cells, dermal fibrosis and neuroid differentiation of nevus cells. We report a case of lobulated intradermal nevus resembling linear epidermal nevus in a 45-year-old female patient.
Biopsy ; Female ; Fibrosis ; Humans ; Middle Aged ; Nevus ; Nevus, Intradermal* ; Nevus, Pigmented