• 제목/요약/키워드: Dermatoses

검색결과 28건 처리시간 0.027초

직업성 피부질환에 대한 현황 파악 및 관리 대책 수립을 위한 연구 (A Study on the Establishment of Management Methods about Occupational Dermatoses)

  • 임현술;정해관;최병순;김지용;성열오;김양호
    • Journal of Preventive Medicine and Public Health
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    • 제29권3호
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    • pp.617-637
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    • 1996
  • Occupational dermatosis is one of the most prevalent occupational disorders. However, the extent of the occupational dermatoses including incidences and prevalencies of each disease entity, and etiologic materials are not yet welt stated in Korea. Authors reviewed the literatures on the statistic data and reports on the occupational dermatoses, and surveyed on the occupational dermatoses in two factories, and surveyed the physicians responsible to the occupational dermatoses with formed questionnaire. The results are as follows; 1. Among medical journals published since 1964, there were 31 articles on the occupational dermatoses. Of 31 articles, 18 were case reports and all others were review articles. Of 18 case reports, 9 were epidemiologic survey. The Workers' Periodic Health Examinations revealed that prevalence of the occupational dermatoses was highest(4.36 per 10,000 workers) in 1974, but number of the cases reported were decreased sharply since 1978 with some tendency to increase since 1981. There were 2,240 reported cases of occupational dermatoses between 1966 and 1992, which is 1.90% of all the reported occupational diseases. Skin infection and injuries due to chemicals were most frequent and there were 6 cases of skin cancer. 2. In an epidemiological survey on the dermatoses among 995 workers in a metal product manufacturing factory and 225 workers in a coal chemical factory, there were 794 with dermatomycosis, 296 workers with acne, 130 workers with scar, 123 workers with deformity of toe nails. Scars, photosensitivity dermatitis, deformity of finger and toe nails, and acne were more prevalent in the metal product manufacturing factory(p<0.05). In the metal prouct manufacturing factory, workers treating organic solvents and oils had more dermatoses than those without treating the materials(p<0.05). On the skin patch performed on 16 workers in the metal product manufacturing factory, there were 8 cases of irritation dermatitis and 5 cases of contact dermatitis. Prevalence of contact dermatitis in the metal product manufacturing factory was 1.3%. 3. On the questionnaire survey, 34 dermatologists, 29 doctors of preventive medicine, and 22 family physician replied. The proportion of occupational etiology among all dermatoses assumed by the physicians were below 9%, and the most important occupational dermatosis in Korea was contact dermatitis. Main etiologic materials related to the occupational dermatosis were organic solvent, acid and alkali, and metals. The reason for the scarcity of report of occupational dermatoses were difficulty in diagnosis and physician's ignorance of the occupational etiology. They replied that to prevent the occupational dermatoses in the workplace, the use of protective devices was most important, and development of diagnostic criteria on the occupational dermatoses is urgent. Above results shows us that there is many workers with occupational dermatoses, but they are mostly unreported. Measures to prevent and manage the occupational dermatoses are not satisfactory at present. Hence, authors suggest measures for the precise diagnosis, report and prevention of the occupational dermatoses. a. Dermatologist, preventive physician, and industrial hygienist should work as a team to examine the high risk group and establish the preventive measures. b. Disease entities, diagnostic criteria of occupational dermatoses should be listed, criteria for the compensation and job fitting at recruitment should be established, and manual for the proper treatment and effective prevention of each occupational dermatosis should be developed. c. Patch test antigens against each occupational category should be developed and it should be available to any physicians responsible. d. To facilitate the diagnosis of occupational dermatoses by the doctors responsible for the Workersr Periodic Health Examination, development of standardized questionnaire, education on the techniques of the patch test, and cooperation with the dermatologist in diagnosis of occupational dermatoses is essential.

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소풍산가미방(消風散加味方)으로 호전된 임신신양(姙娠身痒) 환자 치험 2례 (Two Cases Report of the Dermatoses Gravidrum Treated with Sopungsan-gamibang)

  • 이승아;유동열
    • 혜화의학회지
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    • 제19권2호
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    • pp.201-205
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    • 2011
  • Purpose: This paper is aim to report the effects of Sopungsan-gamibang(消風散加味方) on the Dermatoses Gravidrum. Methods: Two women who had been suffering from itching, plague, erythema during pregnancy were enrolled in this study and they were diagnosed Dermatoses Gravidrum. They received oriental treatment such as herbal medicine. we gave them Sopungsan-gamibang 3 times. During the treatments, we requested them to visit hospital twice a week. If they could not come to hospital, we called them to take follow-up. Conclusion: This clinical cases indicate that Sopungsan-gamibang is effective in treatment of the Dermatoses Gravidrum and can prevent chronic progress and relapse of symptoms. More clinical data and studies are requested for the treatment of Dermatoses Gravidrum.

귀 피부병이 있는 애완견에서 진드기 감염률 (Mite infestation rate of pet dogs with ear dermatoses)

  • 박건수;박진성
    • Parasites, Hosts and Diseases
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    • 제34권2호
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    • pp.143-150
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    • 1996
  • 애완견에서 진드기에 의한 피부병의 빈토 및 원인 진드기를 조사하고 인체의 소양성 피부 질환의 원인으로 애완견 진드기의 의의를 조사하기 위하여 1990년 1월부터 1995년 12월까지 청운동물병원에서 귀 부위에 피부병이 있었던 970마리의 애완견의 털과 인설에서 진드기를 수세법으로 검출하고 분류하였으며 가족의 소양성 피부질환 유무를 조사하였다. 애완견 피부염의 원인으로 추정되는 진드기로는 Qctodectes Wnotis Hering. 1,838 (귀진드기)와 Sarcoptes canis Gerlach. 1,857 (개옴진드기)가 검출되었으며 귀진드기는 970마리의 애완견 중 382마리 (39.4%)에서 총 2 117마리가 검출되었다. 개옴진드기는 970마리의 애완견 중 3마리 (0.3%)에서 총 30마리가 검출되어 원인 진드기가 검출된 애완견은 970마리 중 385마리 (39. 7%)이었다. 귀진드기가 검출된 382마리의 애완견 사육 가족 중 2가족에서 소양성 피부질환이 발생하였으나 귀진드기와는 관련이 없었으며 개옴진드기가 검출된 3마리의 애완견 사육 가족 중 2가족에서 개옴진드기에 의한 것으로 추정되는 피부염이 발생하였다. 그러므로 본 저자들은 귀진드기가 애완견에서 가장 흔히 검출되는 진드기이지만 사람에게 전파되어 피부염을 유발하지 않으며 개옴진드기는 감염률은 매우 낮지만 사람에 전염성이 강함을 확인하였다.

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皮膚?痒症에 관한 文獻的 考察 (A literatual studies on the pruritic dematoses.)

  • 이정용;노석선
    • 한방안이비인후피부과학회지
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    • 제11권1호
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    • pp.219-239
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    • 1998
  • In the literatual studies on the pruritic dermatoses, the results were as follows. 1. In Oriental medicine, Pruritic dermatoses is belong to the cartegory of the 'Pung- soyang(風瘙痒)', 'Pungyang(風痒)', 'Yangpung(痒風)', 'Sinyang(身痒)' etc. 2. Pruritic dermatoses is occurring idiopathically without primary lesion, marked by intense itching. 3. The pathogenic factors of Pruritic dermatoses is divided two parts. One is exo- genous pathogenic factors which including the wind-cold and wind-heat The other is endogenous pathogenic factors which including the blood-deficiency, the blood-heat, the wetness-heat of liver & gallbladder, the spleen-asthenia and impairment of the liver & kidney etc. 4. In the prescription of Pruritic dermatoses, it was used Gyejimahwanggakbantang(桂枝麻黃各半湯) in exogenous pathogenic factors, was used Danggyiyumja(當歸飮子), Sopungsan(消風散), Bangpungtongsungsan(防風通聖散), Yanghyulyunbuyum(養血潤膚飮) etc.

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혈허풍열형(血虛風熱型)으로 판증(辦證)된 임신신양(姙娠身痒) 환자(患者)의 소풍산가미(消風散加味) 치험(治驗) 4례(例) (4 Cases Report of Hyeolheopungyeol type(血虛風熱型) Dermatoses Gravidarum treated with sopungsan-gami(消風散加味))

  • 최창민;조한백;김송백;오광우;오탁근;이수정
    • 대한한방부인과학회지
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    • 제20권3호
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    • pp.229-237
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    • 2007
  • Purpose: The purpose of this study was to report the clinical application of traditional korean medicine(TKM) treatment to hyeolheopungyeol type of dermatoses gravidarum. Methods: We experienced four patients who had been suffering from itching, plaque, erythema during pregnancy. They had already been treated with antihistamine or ointment, but they were not improved. We diagnosed their case as hyeolheopungyeol type of dermatoses gravidarum, and treated with sopungsan-gaml. Results: After TKM treatment, itching, plaque and erythema were alleviated or resolved. And they gave birth to a healthy baby. Conclusion: The results indicate that TKM, sopungsan-gami can be effective for the management of hyeolheopungyeol type of dermatoses gravidarum.

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애완견에서 귀진드기 및 옴진드기에 의한 피부질환 (Canine Dermatoses Caused by Otodectes cynotis and Sarcoptes scabiei)

  • 박철종;백승철;장미숙;이종육;오영진;조백기;조준행
    • 대한수의사회지
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    • 제26권7호
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    • pp.424-431
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    • 1990
  • This study was performed in order to investigate the incidence of the canine dermatoses caused by mites and the relativity of the causative mites of canine dermatoses to the pruritic dermatoses of the families posessing the pet dogs. Samples were collecte

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서울 강동지역 소재 한방병원 피부과 내원환자의 질환 빈도에 따른 임상적 관찰 (A Clinical Study of According to Prevalence of Dermatoses in a Oriental Medicine Hospital of Gang-Dong Area in Seoul)

  • 손병국;최인화
    • 한방안이비인후피부과학회지
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    • 제20권3호
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    • pp.161-168
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    • 2007
  • Objective and Methods : To study the prevalence and patterns of common dermatoses and compare these to previous reports, we reviewed 128 new outpatients who visited Allergy/Derma-cosmetic Clinic at Kyung Hee Neo Medical Center in Gang-Dong area of Seoul from January to June, 2007. Results : The results of this study are summarized as follows : 1. Among the 128 outpatients, the total number of male patients were 40(31.2%) and female patients were 88(68.8%). 2. In the age distribution, the most frequently visited age groups were 10-19 years old and 20-29 years old(each 21.1%). 3. The most common dermatoses were atopic dermatitis(27.3%), acne(14.1%), allergic contact dermatitis(11.7%), other eczemas(7.8%) and seborrheic dermatitis(7.0%). 4. Among atopic dermatitis patients, the most populated age groups were 0-9 years old and 10-19 years old(each 37.1%), these results are different from past studies revealing that 0-9 years old patients are dominant. 5. Among acne patients, the most frequent age groups were 20-29 years old(50%) and 30-39 years old(27.8%), these results are different from past studies revealing that 20-29 years old and 10-19 years old patients are dominant. 6. Among Allergic contact dermatitis patients, each age group showed no difference of population. And Allergic contact dermatitis patients visited outpatients department at early stage. Conclusion : This study shows that Oriental medicine is popular especially in atopic dermatitis, acne and allergic contact dermatitis. We should investigate long-period and multi-centered study in order to know prevalence tendency of dermatoses in Oriental Medicine. And it is nessessary to research using more efficient evaluation method and treatment for these special diseases.

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피부(皮膚) 소양증(搔痒症) 환자 1례에 대한 증례보고 (A Case Report of Pruritic Dermatoses)

  • 나건호;이동현;류충열;채우석;윤여충;조명래;신정철
    • Korean Journal of Acupuncture
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    • 제22권3호
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    • pp.157-163
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    • 2005
  • Objective : The main purpose of this report is to investigate the effect of Korean traditional medical care about Pruritic Dermatosis Methods : The patient was treated with Acupuncture, herb medicine, Herbal-acupuncture. we evaluated the change of symptom through Visual Analogue Scale(VAS) and photos of the skin Results : After 10 times of treatment, There was remarkable improvement in symptoms of the patient. Conclusion : We confirmed the superiority of Korean traditional medical care about Pruritic Dermatoses. We think that we must research effective remedy through many more case reports.

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농촌지역 주민들의 피부 질환에 대한 치료 행태 (The Patterns of Medical Utilization on Dermatoses among Rural Inhabitants)

  • 김창윤;주리;사공준;정종학;곽태훈
    • 농촌의학ㆍ지역보건
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    • 제24권1호
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    • pp.103-113
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    • 1999
  • 이 연구는 1997년 3월부터 1999년 2월까지 경상북도 소재 일개 군지역에서 피부질환으로 피부과 전문의의 검진을 받은 환자 847명 중 설문조사가 가능하였던 760명의 환자를 대상으로 이들 환자별 성별연령별 분포를 조사하고 치료 경험 여부와, 처음 치료를 시작한 곳과 민간 요법이나 개인적인 치료법 사용여부 및 치료 경험이 있을 경우 그 효과에 대한 만족도를 조사하여 환자들이 피부 질환의 진료 및 치료에 있어 어떤 경로를 밟고 그 일반적인 치료 행태의 경향은 어떠한지를 분석하고자 시행하였으며 다음과 같은 결과를 얻었다. 1. 총 760명의 조사대상자는 남자가 283명으로 37.2%였고 여자가 477명으로 67.3%였다. 총 대상환자 중 20대 환자가 3.3%로 가장 적었고 60대 환자가 21.3%로 가장 많았다. 2. 대상 환자들에게 빈도가 높은 15개 질환은 족부 백선이 34.9%로 가장 많았고 노인성 소양증, 접촉성 피부염, 주부습진, 지루성 피부염, 화폐상 습진, 아토피성 피부염, 체부 백선, 조갑 백선, 심상성 여드름, 전염성 농가진, 박탈성 각질용해층, 만성 두드러기 및 전염성 연속중의 순이었다. 3. 환자들이 피부질환을 위해 최초로 치료받은 곳은 약국이 39.6%로 가장 많았으며, 피부과 전문의가 아닌 개인의원, 피부과 의원 및 종합병원 피부과의 순이었다. 4. 대상환자 760명 중 121명(15.9%)이 민간 요법을 사용한 경험이 있었으며 이 중 가장 많이 사용하는 방법으로서는 환부를 식초에 담그거나 도포하는 방법이었다. 이러한 민간 요법을 시행한 후 환자 본인이 느끼는 자각증상은 변화가 없었다는 경우가 가장 많았고 호전되었다, 악화되었다의 순으로 빈도가 높았다. 결론적으로 농촌지역의 경우 다수의 피부과 환자들이 약국에서 일차진료를 받고 있는 현실이며 피부질환에 대한 인식이 낮음으로 인해 의학적 근거가 없는 다양한 민간요업을 시행하고 있었다. 그러므로 환자들이 잘못된 치료 행태로 인해 경제적, 시간적 손실을 입지 않게 올바른 보건교육이 이루어져야 될것으로 생각된다.

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