Histological Findings in Korean Patients with Rosacea / 대한피부과학회지

BACKGROUND: Rosacea is characterized by erythema of the face that persists for several months or longer. Rosacea is usually diagnosed based on clinical presentation and a biopsy is rarely performed for diagnostic purposes. However, a biopsy may be helpful when the symptoms are atypical. OBJECTIVE: We identified commonly appearing histological characteristics of rosacea such as inflammation, sebaceous hyperplasia, granulomatous reaction, epidermal hyperplasia, Demodex, pustules, and fibrosis. In addition, we evaluated these according to clinical subtype. METHODS: We examined the histological findings of 200 rosacea patients who visited our hospital. Histological findings were evaluated according to clinical subtype. The standard classification and staging method published by the National Rosacea Society was used for clinical classification. RESULTS: The erythematotelangiectatic and papulopustular types of rosacea were the most common. Mild inflammation was found in 56.0% of the patients (1 and 1+) and 49.0% showed inflammation greater than 2 degrees. The most commonly observed histological features across all subtypes were sebaceous hyperplasia followed by epidermal hyperplasia and Demodex. However, sebaceous hyperplasia and Demodex were not observed in ocular rosacea. CONCLUSION: Some histological findings such as inflammation, granulomatous reaction, sebaceous hyperplasia, pustule, Demodex, epidermal hyperplasia, and fibrosis were commonly observed in rosacea. There were no distinctive subtype-specific characteristics, but various histological characteristics were observed in a single clinical subtype.

Deep Dermatophytosis Induced by Trichophyton rubrum / 대한피부과학회지

No abstract available.

Diagnosis of Localized Scleroderma Assisted by Magnetic Resonance Imaging / 대한피부과학회지

Localized scleroderma, also known as morphea, is characterized by skin hardening caused by increased collagen deposition. Since lesions are usually limited to the skin and subcutaneous fat tissue, its prognosis is usually good. However, it can extend over muscular fascia, muscle tissue and tendons; thus, early diagnosis and treatment are important. Although the diagnosis of scleroderma is based on clinical manifestations and histopathologic findings, it is sometimes delayed due to nonspecific clinical appearances. Magnetic resonance imaging (MRI) visualizing the internal structures of the body can evaluate soft tissue lesions very well and is helpful in diagnosis as well as diagnosing extension of scleroderma. A 49-year-old woman complained of a 10-cm-diameter skin colored hard plaque on her right upper arm, which was suspicious due to muscular involvement. The MRI revealed subcutaneous fat and interlobular septa over the deltoid muscle showing high signal, but no change in the underlying muscle or bone. We report here a case of localized scleroderma that developed in a 49-year-old Korean woman. The diagnosis was assisted by MRI with regards to the depth and extension of invasion.

Piebaldism with Neurofibromatosis Type I: A Familial Case

No abstract available.

Pruritic Urticarial Papules and Plaques of Pregnancy with Unique Distribution Developing in Postpartum Period

No abstract available.

Incidental Focal Acantholytic Dyskeratosis in the Setting of Rosacea

No abstract available.

A Case of Steatocystoma Multiplex Treated with Combination of Needle Aspiration and Trichloracetic Acid / 대한피부과학회지

Steatocystoma multiplex is a clinical condition characterized by numerous dermal cysts that have their origin in the pilosebaceous duct, which appear and grow at puberty. The cystic nodules range from 3 mm to 3 cm in size, and they are soft and freely movable. Although there are numerous reports of different treatment methods, the long-term management of steatocystoma multiplex remains to be difficult. We, herein, report on a case of 23-year-old man with steatocystoma multiplex on the buttock. He was successfully treated with dot peeling of 100% trichloracetic acid after aspiration of the oily contents without any complications, such as atrophy, scarring and skin necrosis. We report the combination therapy of needle aspiration and trichloroacetic acid peeling as new therapeutic modality for multiple steatocystoma multiplex.

Effects of Perception of Job Stress and Stress Coping Style on Mental Health of Firefighters / 정신간호학회지

PURPOSE: This study was conducted to identify factors which influence mental health of firefighters. METHODS: Participants in this study were firefighters from D city who were doing activities like extinguishing fire or rescuing sufferer at fire or accident scenes. A survey was conducted from September 14 to 24, 2010. Research tools were perception of job stress, problems-focused coping, seeking social support, emotion-focused coping, and wishful thinking coping which are sub-domain of coping stress, and SCL-90-R. Data were analyzed using SPSS/WIN 14.0, and included t-test, one-way ANOVA, and Scheffe back-testing. Pearson's correlation coefficient and stepwise multiple regression were also conducted to identify factors influencing mental health. RESULTS: Mental health was positively correlated with perception of job stress, emotion-focused coping, and wishful thinking coping. Effective variables were perception of job stress (beta=.38, p<.001), emotion-focused coping (beta=.28, p<.001), and problemfocused coping (beta=-.15, p=.012). These variables explained 26% of the variance in mental health. CONCLUSION: The results suggest that improvements in problem-focused coping and decreases in perception of job stress and emotion-focused coping are important in promoting the mental health of firefighters.

Compliance with Nosocomial Infection Control and Related Factors among Emergency Room Nurses / 기본간호학회지

PURPOSE: This study was done to examine the level of compliance and the relation of related factors of nosocomial infection control among nurses in emergency rooms. The data will provide fundamental information for developing programs for nosocomial infection control in the emergency room. METHOD: Study participants were 183 nurses working in emergency rooms in general hospitals that had more than 500 beds and were located in Daegu, Daejeun, and Pusan. The survey was carried out from March 7 to March 26, 2006 and a structured questionnaire was used. Descriptive statistics, t-test, ANOVA and Sheffe test with SPSS 14.0 were used to analyze the data. RESULTS: The average level for practice of infection control was relatively low. Levels of compliance were high when the participants had: 1) regular conferences for nosocomial infection control, 2) positive perception of protection devices, 3) knowledge of whom to report and experiences of reporting needle stick injuries, 4) hospital guidelines for infection control and 5) enough equipment supplies from the hospital. CONCLUSION: Nosocomial infection control among emergency room nurses could be improved via personal, psychosocial, and organizational factors and related education.