Study of Surgical Treatment for Osmidrosis / 대한피부과학회지

The authors evaluated the results of various operative methods for the treatment of axillary osmidrosis in 256 axillae of 132 patients. The methods studied herein are elliptical excision with(without Z-plasty, excision by modified W-plasty, undercutting of apocrine glands with preserving deep dermal vascular plexus (DDP) designed by the authors, undercutting of apocrine glands with ignoring deep dermal vascular plexus. With the undercutting methods, the skin incision was made by three different ways ', single vertical line, double vertical lines or single horizontal line in respect to the long axis of axillary vault. The results were as follows: 1. In the undercutting methods the stitch removals were done earlier than those of the excision methods by 3 to 8 days. The earliest stitch removal was in the undercutting methods with preservation of DDP done by single vertical incision (UPS). 2. Operative complications (wound disruption, flap necrosis or hematoma) occured in 12.9%. The wound disruption was main complication in the excision methods, the hematoma and flap necrosis in the undercutting methods. In the undercutting methods flap necrosis was seen only when DDP was ignored. 3. 123 axillae were followed up for more than 6 months after the operations. Among these the widely extended scars were seen in 94% of simple elliptical excisions(31 cases) and in 100% of excision with Z-plasty(16 cases) or modified W-plasty(3 cases). In the undercutting methods the scars were linear or invisible and best in UPS. 4. Success rate for the eradication of the malodor showed somewhat better results with undercutting methods compared with excisionmethods, but there was no statistical differences between the different groups. 5. In 6 axillae with the undercutting methods, histological examinations were done after more than three months. Apocrine glands were not seen in all the specimens. But some of them showed eccrine glands.

A Case of Squamous Cell Carcinoma with Metastasis Developed in Acne Conglobata / 대한피부과학회지

Squamous cell carcinoma developed from the lesion of acne conglobata is very rare and none of the cases reported hitherto showed metastasis. A 42 year-old male with widespread lesions of acne conglobata complicated by giant ulcerative. squamous cell carcinoma on the sacral area is reported. It metastasized to both inguinal lymph nodes. Radiation therapy was tried but the patient died 3.5 years after the development of the carcinoma.

Two Cases of Folliculitis Decalvans / 대한피부과학회지

Two cases of folliculitis decalvans are reported. One case is a 51 year-old woman showing the lesion first on the left occipital scalp and then, 4 years later, on the left mandibular area. The other case, a 57 year-old woman. showed the lesion typically encircled with pustules and crusts for the 20 years on the vertex area.