Journal Detail Information

1

Cite

Share

Kyoung Ae JANG ; Gwang Jin KOH ; Jee Ho CHOI ; Kyung Jeh SUNG ; Kee Chan MOON ; Jai Kyoung KOH

Annals of Dermatology.1999;11(2):75-77. doi:10.5021/ad.1999.11.2.75

Purpura fulminans may be seen in three different clinical settings: (1) in the neonatal period from protein C and S deficiencies, (2) during severe bacterial infections such as “sepsis-associated” purpura fulminans, and (3) during the convalescence of an otherwise benign “preparatory” infectious disease most commonly involving the skin. We report a case of a 20-month-old male child with purpura fulminans as a presenting sign of disseminated intravascular coagulopathy (DIC). He had suffered from fever of unknown origin for a month. Although purpura fulminans is not a common disorder to dermatologists, the awareness of this disorder may be the clue to diagnose and treat underlying diseases.
Bacterial Infections ; Child ; Communicable Diseases ; Convalescence ; Fever of Unknown Origin ; Humans ; Infant ; Male ; Protein C ; Purpura Fulminans* ; Purpura* ; Skin

2

Cite

Share

Frequency Trends of Basal Cell Carcinoma, Squamous Cell Carcinoma and Melanoma in Korea, between Mid-1980s and Mid-1990s.

Ki Hyun LEE ; Ai Young LEE ; Chang Woo LEE ; Chan Keum PARK ; Jung Il SHU ; In Sun KIM

Annals of Dermatology.1999;11(2):70-74. doi:10.5021/ad.1999.11.2.70

BACKGROUND: Malignant skin cancers in Korea have been increasing as in other countries, but the previous epidemiological studies have been only attempted by a single hospital unit in a limited period of time. OBJECTIVE: This study aimed to investigate and compare the frequencies, age, sex distribution, and anatomical location of the frequent skin cancers collected from several hospitals over a 10 year period between 1984-5 and 1994-5. METHODS: 258 cases of skin cancer from 4 different places in Seoul were collected for the study. Histopathological records from pathology departments and medical records were reviewed to obtain information about the frequencies. RESULTS: Overall there were 141 cases of squamous cell carcinoma (SCC)1 basal cell carcinoma (BCC), and malignant melanoma (MM) in the mid-eighties and 117 in the mid-nineties. SCC was the most common skin cancer in both periods but the frequencies and the SCC/BCC ratio dropped at the later period. The ratio of males to females was getting smaller at 1.4:1 in the mid-eighties and 1.1:1 in the mid-nineties. BCC was concentrated on the face and SCC was rather evenly distributed over the body surface. The predilection site of malignant melanoma (MM) was quite different between the two periods. The lower extremities was the main site in the mid-nineties and the head and neck in the mid-eighties. CONCLUSION: Although there was no statistical significance, the BCC/SCC ratio was increased and the male/female ratio decreased at the later period.
Carcinoma, Basal Cell* ; Carcinoma, Squamous Cell* ; Epidemiologic Studies ; Epithelial Cells* ; Female ; Head ; Hospital Units ; Humans ; Korea* ; Lower Extremity ; Male ; Medical Records ; Melanoma* ; Neck ; Pathology ; Seoul ; Sex Distribution ; Skin Neoplasms

3

Cite

Share

Porokeratosis: Clinical Observation of 29 Cases.

Kyoung Ae JANG ; Jeong Yeob LEE ; Jee Ho CHOI ; Kyung Jeh SUNG ; Kee Chan MOON ; Jai Kyoung KOH

Annals of Dermatology.1999;11(2):65-69. doi:10.5021/ad.1999.11.2.65

BACKGROUND: Porokeratosis is a disorder of epidermal keratinization which is characterized by the presence of cornoid lamellae. Since the original description of the plaque form of Mibelli, various types of porokeratosis have been reported. OBJECTIVES: The purposes of this study were aimed at evaluating the clinical and biological features of porokeraosis. METHODS: The hospital charts and slides of 29 patients with porokeratosis were reviewed. Only the cases showing characteristic cornoid lamellae by histopathological examinations were included. RESULTS: Female patients outnumbered the male ones (M:F = 1:2.2). Ages of the onset of porokeratosis varied from infancy to 68 years. Disseminated superficial actinic porokeratosis (DSAP) was the predominant type (22 cases). The Mibelli type was seen in 3 cases and the linear type in 4 cases. Only one case had a family history of porokeratosis. Two patients had complained of pruritus in the lesions, which were the DSAP and linear type, respectively. In that linear type, squamous cell carcinoma developed. Eight patients had other associated diseases. Although 6 patients were treated with CO₂ laser, topical isotretinoin or cryotherapy, the lesions tended to recur, persist or even progress. CONCLUSIONS: Porokeratosis showed various clinical features. DSAP was the predominant type. Two patients complained of itching of the lesions, which were the DSAP and linear types, respeciively. Within that linear type, squamous cell carcinoma developed. We speculate that pruritus might be an ominous sign of malignant transformation of the porokeratosis. We suggest that the Mibelli type and linear type of porokeratosis should be either excised or destroyed, or in widespread cases close follow-up should be mandatory.
Carcinoma, Squamous Cell ; Cryotherapy ; Female ; Follow-Up Studies ; Humans ; Isotretinoin ; Male ; Porokeratosis* ; Pruritus

4

Cite

Share

A Case of Steatocystoma Multiplex Limited to the Scalp.

Sun Ji KIM ; Hyun Jeong PARK ; Shin Taek OH ; Jun Young LEE ; Baik Kee CHO

Annals of Dermatology.2009;21(1):106-109. doi:10.5021/ad.2009.21.1.106

We report here on a 63-year-old woman who had several small, yellowish papules on the scalp for the previous 2 years. There was no family history of similar lesions. Yellowish, creamy material was expressed from a papule during punch biopsy. Histologic examination from the lesion revealed the typical features of steatocystoma multiplex. We report here on this rare variant of steatocystoma multiplex that was limited to the scalp.
Biopsy ; Female ; Humans ; Middle Aged ; Scalp ; Steatocystoma Multiplex

5

Cite

Share

Two Cases of Annular Skin Defects Repaired with Quadruple Fan Flaps (O-X Flap).

Ji Eun OH ; Sang Min LEE ; Kyu Kwang WHANG

Annals of Dermatology.2009;21(1):102-105. doi:10.5021/ad.2009.21.1.102

Nowadays, patients have high expectations when it comes to minimization of postoperative scarring after dermatologic surgical procedures. When an annular lesion is being excised, normal skin should be excised, as well, to prevent a dog ears resulting in a long scar. We introduce a new flap reducing the scar length in annular defects. In order to avoid a long scar, we designed a quadruple fan flap (O-X flap) that is a variation of the rotation flap. It consists of four rotation flaps arranged like fans, with open and closed configuration. We suggest that the quadruple fan flap (O-X flap) is a viable option for treating annular skin defects, because it shortens the scar line, preserves normal tissue, and provides a cosmetically favorable outcome.
Animals ; Cicatrix ; Dermatologic Surgical Procedures ; Dogs ; Ear ; Humans ; Skin

6

Cite

Share

A Case of Varicella Combined with Hand-foot-mouth Disease in a Healthy Child.

So Young NA ; Young Min SON ; Hye Young LEE ; Jin Ok BAEK ; Joo Young ROH ; Jong Rok LEE

Annals of Dermatology.2009;21(1):98-101. doi:10.5021/ad.2009.21.1.98

We report here on an 11-year-old child with a pustulovesicular eruption on her whole body, including her palms, soles and oral mucosa, and this was accompanied with fever. A serologic test was positive for IgM varicella zoster antibody and coxsackievirus A16 antibody. The histopathologic examination from the palm revealed intraepidermal pustules that showed neither inclusion bodies nor multinucleated giant cells. We made the final diagnosis, according to the serologic tests and histopathologic findings, as varicella combined with hand-foot-mouth disease caused by coxsackievirus A16 in a previously healthy child
Chickenpox ; Child ; Fever ; Giant Cells ; Herpes Zoster ; Humans ; Immunoglobulin M ; Inclusion Bodies ; Mouth Mucosa ; Serologic Tests

7

Cite

Share

A Patient with Delayed Contact Dermatitis to Coral and She Displayed Superficial Granuloma.

Hyo Sang AHN ; Sun Young YOON ; Hyun Jeong PARK ; Jun Young LEE ; Baik Kee CHO

Annals of Dermatology.2009;21(1):95-97. doi:10.5021/ad.2009.21.1.95

Contact with coral may cause a rare type of contact dermatitis, and the resulting skin reaction can be divided into different reactions: the acute, delayed and chronic types of coelenterate dermatitis. Granulomas of delayed skin reactions have rarely been reported. Herein, we report on a rare case of a delayed reaction of the skin to coral injury, and the patient displayed superficial granulomas and atypical CD30+ lymphocytes.
Anthozoa ; Dermatitis ; Dermatitis, Contact ; Granuloma ; Humans ; Lymphocytes ; Skin

8

Cite

Share

Facial Verruca Plana That Developed after Semipermanent Tattooing.

Jae Yoon JUNG ; Hyo Seung SHIN ; Chong Hyun WON ; Soyun CHO

Annals of Dermatology.2009;21(1):92-94. doi:10.5021/ad.2009.21.1.92

Tattooing is becoming more popular around the world. As a result, the reported complications of tattoo are increasing. Local inflammation, infection and allergic reactions are the most common adverse effects. We report here on a healthy 39-year-old woman who developed multiple verruca plana lesions after undergoing semipermanent tattooing. The tattooing had been done 1 year earlier by an amateur.
Adult ; Female ; Humans ; Hypersensitivity ; Inflammation ; Tattooing ; Warts

9

Cite

Share

The Photosensitivity Localized in a Vitiliginous Lesion Was Associated with the Intramuscular Injections of Synthetic Progesterone during an In Vitro Fertilization-embryo Transfer.

Kyu Won CHOI ; Chae Young LEE ; Yeong Kyu LEE ; Young Hun KIM ; Ki Ho KIM

Annals of Dermatology.2009;21(1):88-91. doi:10.5021/ad.2009.21.1.88

The cutaneous diseases associated with progesterone are autoimmune progesterone dermatitis, erythema multiforme- like eruption, drug-induced progesterone dermatitis and solar urticaria. Estrogen and progesterone are widely used in oral contraceptives and hormone replacement therapies, and they are rarely known to cause a photosensitive reaction. The mechanism of contraceptive-induced photosensitivity is uncertain. Estrogen, rather than progesterone, in the combined oral contraceptive pill has been most frequently implicated in the induction of photosensitivity. A 32-year-old woman presented with an erythematous patch with an itching sensation on the centrofacial area of a residual vitiligious lesion. She had a history of being previously treated with narrow band UVB for 1 year. Her skin lesions had mostly subsided, but some lesions continued. She underwent an in vitro fertilization-embryo transfer 3 months previously, and she then took synthetic progesterone for 3 weeks starting at the 4th week of pregnancy. She was in good health with neither a family history of photosensitivity nor a personal history of any other drug ingestion or topical agent such as sunscreen in association with the beginning of her lesions. Phototesting revealed her to be markedly photosensitive in the UVB and UVA ranges. The intradermal skin reactions to progesterone combined with irradiation with UVA or UVB were positive. We report here on an unusual case of photosensitivity that was localized in a vitiliginous lesion, and this was associated with the intramuscular injections of synthetic progesterone that she had received during an in vitro fertilization-embryo transfer.
Adult ; Autoimmune Diseases ; Contraceptives, Oral ; Dermatitis ; Eating ; Erythema ; Estrogens ; Female ; Hormone Replacement Therapy ; Humans ; Injections, Intramuscular ; Pregnancy ; Progesterone ; Pruritus ; Sensation ; Skin ; Urticaria

10

Cite

Share

A Case of Skin and Soft Tissue Infection Caused by Mycobacterium abscessus.

Yong Hyun KWON ; Ga Young LEE ; Won Serk KIM ; Kea Jeung KIM

Annals of Dermatology.2009;21(1):84-87. doi:10.5021/ad.2009.21.1.84

Mycobacterium abscessus (M. abscessus) is an acid-fast bacillus that's classified as a pathogenic "rapid growing" nontuberculous mycobacteria. It is an uncommon cause of human disease, but it can cause skin and soft tissue infection after skin injury following inoculation, minor trauma and surgery. The single most important factor for determining the course and prognosis of a M. abscessus infection is the underlying immune status of the host. We report here on a 71-year-old female who presented with multiple painful erythematous cutaneous nodules on her left forearm. She had diabetes mellitus and had taken oral steroid by herself for two years because of her osteoarthritis. Histologically, granulomas and inflammatory cell infiltration were observed and M. abscessus was identified via the mycobacterial culture. We performed curettage and drainage, followed by 6 months of oral clarithromycin and the patient's disease completely healed.
Aged ; Bacillus ; Clarithromycin ; Curettage ; Diabetes Mellitus ; Drainage ; Female ; Forearm ; Granuloma ; Humans ; Mycobacterium ; Nontuberculous Mycobacteria ; Osteoarthritis ; Prognosis ; Skin ; Soft Tissue Infections

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share