A Case of Allergic Contact Dermatitis to Dermovate(R) and Eumovate(R) Ointment / 대한피부과학회지

Allergic contact dermatitis to topical corticosteroids seems to occur more frequently than previously supposed. But it is not easily recognized because the allergic condition for which the steroid is mostly prescribed masks the sensitization. Moreover, corticosteroids evoke some anti-inflammatory effect, even in case of steroid hypersensitivity. A 40-year-old man visited our department for the evaluation of aggravated skin lesion of trunk. Previously he was treated with Dermovate(R) and Eumovate(R) ointment for chronic dermatitis. He was patch tested to the Korean standard series, with Dermovate(R) and Eumovate(R) ointment as is. Patch test showed positive reactions to both ointments.

The Survey of Occupational Dermatoses in a Semiconductor Industry(II) (1996.6 - 2000.5) / 대한피부과학회지

BACKGROUND: Occupational dermatoses are the most prevalent of all occupational diseases. Over the past few decades, the incidence of occupational dermatoses in Korea is increasing with rapid growth in industry. However, there have been only a few reports about occupational dermatoses in Korean dermatologic literature. OBJECTIVE: The purpose of this article is to study the prevalence of occupational dermatoses in a semiconductor industry and to compare these with previous reports. METHODS: A dermatologist attended regularly at the clinic in a semiconductor industry once a week from June 1995 to May 2000. 4, 985 workers diagnosed with skin disease were analyzed. RESULTS: The results can be summarized as follows: Annual incidences are 6.5%(1995.6-1996.5), 5.3%(1996.6-1997.5), 5.2%(1997.6-1998.5), 5.7%(1998.6-1999.5), 5.8%(1999.6-2000.5) and average incidence is 5.7%. In the distribution of dermatoses as disease groups, eczema(28.8%), fungal infection(19.2%), disease of skin appendage(17.6%), erythema, urticaria and drug eruption(9.4%), viral infection(4.9%), constituted 79.9% of the total. Ten most common dermatoses include contact dermatitis(13.1%), acne(12.5%), tinea pedis(11.2%), urticaria(7.5%), hand eczema(6.6%), seborrheic dermatitis(6.2%), onychomycosis(3.0%), alopecia(2.9%), tinea cruris(1.7%) and lichen simplex chronicus(1.6%). Diseases which shows high seasonal distribution in summer are contact dermatitis, tinea pedis, urticaria, tinea cruris. Contact dermatitis(1.7%), acne(1.6%), chemical burn(1.3%) and hand eczema(1.1%) were the most important occupational dermatoses in this survey. The occupational contact dermatitis and acne mainly came from the mask, hood and dust preventing clothes which the workers must wear for 8 hours a day at their work place. Hydrofluoric acid(1.0%) was the main cause of chemical burn. Hand eczema was primarily due to kitchen work, cleaning work and gloves. The other dermatoses related to occupation were trauma, seborrheic dermatitis, atopic dermatitis, xerosis cutis, urticaria, etc. CONCLUSIONS: Comparing these results about occupational dermatoses with previous report (1992.6-1995.5) in a semiconductor industry before, there was relatively low incidence of hydrofluoric acid burn and high incidence of contact dermatitis, acne and hand eczema.

A Case of Bednar Tumor / 대한피부과학회지

Bednar tumor is an uncommon pigmented subtype of dermatofibrosarcoma protuberans(DFSP). The histopathological finding is characterized by a typical storiform pattern composed of spindle-shaped cells resembling DFSP except for the presence of melanin-containing cells scattered within the lesion. The origin of the spindle-shaped cells and melanin-containing cells within the tumor remains unknown. We report a case of Bednar tumor in a 26-year-old woman on the right shoulder which was presented as asymptomatic, firm, black-colored, 1x1.5 cm nodule over 2 years. Histologically, the proliferated spindle-shaped cells showed a cartwheel pattern and stained positively with CD34, similar to those of a common DFSP. The tumor was widely excised and there is no evidence of recurrence from follow-up of 6 months.

A Case of Sweet's Syndrome associated with Rheumatoid Arthritis / 대한피부과학회지

Sweet's syndrome, also referred to as acute febrile neutrophilic dermatosis(AFND), is an unusual entity characterized by painful erythematous plaques. Histologically a dense perivascular infiltrate composed predominantly of neutrophils without discernable vascular wall change. Sweet's syndrome can be associated with several disorders, such as inflammatory bowel diseases, various malignant tumors, and autoimmune diseases including rheumatoid arthritis, but the association of Sweet's syndrome with rheumatoid arthritis seems to be uncommon and no case has ever been reported in Korea. Herein we describe a patient who had Sweet's syndrome associated with rheumatoid arthritis.

A Case of Kaposi's Sarcoma Occurring in Membranous Glomerulonephritis / 대한피부과학회지

Kaposi's sarcoma is a neoplasm of multifocal origin which manifests primarily as vascular nodules in the skin and other organs. Kaposi's sarcoma in iatrogenically immunocompromised patients is the result of immunosuppressive therapy in organ-transplant recipients, autoimmune disease patients and cytotoxic chemotherapy in cancer patients. We report a case of Kaposi's sarcoma in a 50-year-old man who developed well-defined purple-colored papules and plaques on both hands and feet after prednisolone treatment for underlying membranous glomerulonephritis. The histologic finding showed abnormally proliferated and dilated vessels, vascular slits, spindle-shaped cells and extravasated erythrocytes in the dermis. He was treated with cryotherapy, and the dosage of prednisolone was reduced. Improvement was seen in 6 weeks

Pigmented Contact Dermatitis Due to After Shave Lotion / 대한피부과학회지

Pigmented contact dermatitis is characterized by a dark brown pigmentation that results from repeated exposure to small amounts of contact allergen. Histopathologic findings are liquefactive degeneration of the basal layer cells and melanophages in the upper dermis. We report a case of a 73-year-old man with dark brownish mottled hyperpigmented patches on the both cheeks and forehead. Patch tests were positive to isoeugenol, benzyl salicylate and after shave lotion. After shave lotion that the patient used maybe contain these fragrances. Improvement was seen 3 months after ceasing the use of after shave lotion.

A Clinical Study of the Ankle Fracture / 대한정형외과학회잡지

The ankle is a modified hinge joint consisting of tibial plafond, medial and lateral malleolus, talus and many soft tissue structures, which plays important role in weight bearing and walking. Hence, the ankle injuries include not only fractures of bone but often also the rupture of ligaments and soft tissues, so if the structures were not accurately repaired, many complications may develop. The authers analysed 98 cases (96 patients) of the ankle fractures which were admitted and treated in Orthopaedic Department, Soon Chun Hyang University Hospital from January 1979 to August 1983. The results obtained are as follows: 1. Of the 98 cases, male was 70 cases(71.9%), female was 28 cases and the average age of the patient was 31,1 years. 2. The most common cause of the fracture was traffic accident and the other causes were slip down, sports injury, fall down and industrial injuries in order. 3. 83 cases(84.7%) out of the 98 cases of ankle fractures were closed fracture and the rest was open fracture. 4. The most common type of the ankle fracture, according to the classification of Lauge-Hansen, was supination external rotation type. 5. 68 cases were treated with open reduction and internal fixation and 30 cases were treated with closed reduction, among the cases of closed reduction, the 14 cases were indicated to open redu- ction but it was impossible due to improper skin condition, severe comminution and anesthetic problem. 6. The average duration of the cast immobilization in closed treatment was 10.1 weeks and in operative treatment was 6.3 weeks. 7. The results of the treatment was better in those cases of the open reduction, the early reduction and the mildly displaced cases than the results of closed reduction, delayed reduction and severely displaced cases. 8. The incidence of complication, such as traumatic arthritis and nonunion occured higher in the cases treated with closed method.