• 제목/요약/키워드: erythema

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광민감물질이 배제된 광선역학요법이 여드름 피부에 미치는 효과 (Effects of Photodynamics Therapy on the Acne Skin without Light Sensitive Material)

  • 박선남;김경연
    • 한국산학기술학회논문지
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    • 제16권5호
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    • pp.3131-3138
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    • 2015
  • 피부과에서는 여드름 피부관리 시 광민감물질인 5-aminolevulinic acid(ALA)를 도포한 후 광선역학요법(Photodynamic therapy, PDT)을 실시한다. 피부관리실에서는 의약품 사용은 금지되어 있다. 따라서 이 연구의 목적은 의약품인 ALA를 도포하지 않고 광선역학요법을 여드름 피부관리 프로그램에 도입하여 그 효과를 알아보았다. 연구 방법은 면포 및 경도 여드름을 가진 여대생 24명을 네 그룹(1군: 대조군, 2군: 420 nm 파장의 청색광 조사, 3군: 660 nm 의 적색광 조사, 4군: 청색광과 적색광을 조사)으로 나누어 2, 3, 4군을 6주간 주 1회 가시광선을 20분씩 조사한 후, 대조군과 비교하였다. 그 결과 가시광선이 조사된 그룹은 홍반, 유분량, 구진, 농포의 수가 감소하였고, 모공의 크기가 축소되었으며 수분량은 증가하였다. 피부관리실의 현재 여드름관리와 광선역학요법을 병행한다면 피부관리실의 여드름 프로그램에 긍정적인 효과를 줄 것이라 기대된다.

아토피 피부염에 대한 화피(樺皮), 만형자(蔓荊子), 선학초(仙鶴草) 함유 외용제의 임상 효과 (Clinical Efficacy of External Application Containing Betula platyphyllae Cortex, Viticis Fructus, Agrimoniae herba in Atopic Dermatitis)

  • 홍지희;정현아
    • 한방안이비인후피부과학회지
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    • 제27권1호
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    • pp.1-16
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    • 2014
  • Objectives : The aim of this study is to examine the effect of external application containing herbal extracts (Betula platyphyllae Cortex, Viticis Fructus, Agrimoniae herba) to patients with atopic dermatitis. Methods : Twenty patients (experiment group) were treated with the external application containing herbal extracts (Betula platyphyllae Cortex, Viticis Fructus, Agrimoniae herba) and other twenty patients (control group) were treated with normal external application that doesn't contain herbal extracts for 2weeks. We observed comparisons between experiment and control group after 1week, 2weeks. Degrees of severity of atopic dermatitis were measured by SCORAD index (Scoring of Atopic Dermatitis Index). Statistical significance was achieved if the probability was less than 5% (p<0.05). Results : 1. After 1week of external application treatment, SCORAD Index in experiment group was significantly decreased comparing with control group, which is a marginally significant result between two groups. But after 2weeks the experiment group showed no statistically significant result. 2. After 1week of external application treatment, Intensity Criteria (Erythema, Edema/papulation, Total) in experiment group was significantly decreased comparing with control group, which is a statistically significant result between two groups. But after 2weeks the experiment group showed no statistically significant result. 3. After 1week and 2weeks of external application treatment, comparison of changes in Subjective Symptoms (Pruritus, Insomnia) indicated that the experiment group showed no statistically significant result. 4. After 1week of external application treatment, Total Quality of life through Skindex-29 in experiment group was significantly decreased comparing with control group, which is a marginally significant result between two groups. But after 2weeks the experiment group showed no statistically significant result. Conclusions : As a result of applying the external application containing herbal extracts to patients with atopic dermatitis and watching the progress, we can speculate that the external application containing herbal extracts has especially short-term therapeutical effects in mitigating the symptoms of Atopic Dermatitis. Thus, it is concluded and considered that the external application containing herbal extracts can be used by atopic patients effectively with almost no side-effect.

구강과 인후두의 악성종양 치료시 발생한 누공의 진단과 치료 (Diagnosis and Treatment of Pharyngocutaneous Fistula After Treatment of Oral Cavity and Pharyngolaryngeal Cancer)

  • 홍현준;송승용;이원재;유대현;나동균
    • Archives of Plastic Surgery
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    • 제36권5호
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    • pp.611-616
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    • 2009
  • Purpose: The rate of fistulas occuring followed by resection of oral cavity, oropharyngeal, hypopharyngeal, and laryngeal cancer are reported to be 9 ~ 23% according to various documents. Neglected treatment of the fistula can result in a setback in proper treatment with restrictions in oral intake leading to delayed return to daily life. Furthurmore, in severe cases, it may injure important vessels and adjacent structures of the neck area. The author reviewed previously reported cases of treatment methods for fistulas recurring after diverse head and neck operations and with sharing the treatment experiments of our patients, we tried to present a treatment algorism for different fistula types. Methods: Our study was based on retrograde analysis of 64 patients who were clinically diagnosed with fistula after operation for cancer of the head and neck from 1997 to 2008 at Severance Hospital. Their primary sites of cancer were 8 oral cavity, 22 oropharynx, 25 hypopharynx, and 9 larynx. The patients were aged 45 to 75 years and the male to female ratio was 11 to 1. The patient's operation records and progress notes were evaluated for determination of degree of fistula and treatment methods. Results: Most fistulas were clinically suspected after postoperative 5 days and symptoms noted for detection of the fistula were erythema, purulent discharge, edema, tenderness, and fluctuation. The fistula was definitely diagnosed at postoperative 2 weeks with barium test and treatment method ranging from conservative management to operative procedure were applied to each patients. Total 21 patients were managed with conservative protocol. In 15 cases, direct repair of the fistula was done and more stable repair of the fistula was possible with using of TachoComb$^{(R)}$. Pharyngostoma was performed in 14 patients. Among them, 4 patients healed spontaneously, 5 patients were taken direct closure, 4 patients were taken pectoralis major musculocutaneous flap, and one patient was taken esophageal transfer. The other 14 patients were taken 11 pectoralis major musculocutaneous flaps and 3 free flaps without pharyngostoma formation. Conclusion: Fistula is a troublesome complication resulting after resection of head and neck cancer. Early detection and adequate treatment according to the period and condition of the fistula may prevent further complications and reduce the pain of the patient.

개 모낭충증에 있어서 약침과 기존 치료의 병용 : 증례 보고 (Injection-Acupuncture Combined by Conventional Treatment in Canine Demodicosis : Case Report)

  • 전형규;한지원;오현욱;이현화;박배근;박성준;조성환;김덕환
    • 한국임상수의학회지
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    • 제24권3호
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    • pp.432-436
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    • 2007
  • 개 모낭충증의 새로운 치료법을 확립하기 위하여 항생제의 약침과 일반 치료의 병행을 이용한 치료 효과를 조사하였다. 본 연구에서는 모낭충으로 진단된 개 3두를 이용하였다. Enrofloxacin의 약침을 폐수(BL13) 위중(BL40), 대추(GV14), 족삼리(ST36), 합곡(LI04), 곡지(LI11) 및 삼음교(SP06)의 혈위에 각각 5주간 실시하였다. 또한 일반 치료법인 invermectin과 0.05% amitraz 약욕을 5주간 추가로 실시하였다. 소양증, 찰과상, 홍반 및 탈모와 같은 임상증상은 약침과 일반치료에 의해서 치료 전에 비하여 현저하게 완화되었다. Case 1은 4주 후에 완치되었고, case 2는 5주 후에 증상이 약간 잔존하였으며, 그리고 case 3은 5주 후에 완치되었다. 혈중 백혈구 수는 치료와 더불어 모든 케이스에서 감소하는 경향을 보였으나, 호중구/림프구 비율은 일정한 경향을 나타내지 않았다. 5주째 병리조직 검사 소견상에서 case 1과 case 3은 뚜렷한 병리조직학적 변화가 관찰되지 않았으나, case 2는 경도의 변화가 관찰되었다. 결론적으로 개 모낭충에 이환된 본 환축들은 항생제 약침과 일반 치료법의 병행으로 양호한 치료반응을 나타낸 증례이었다.

2011~2018년 라임병의 역학적 특성 연구 (Study on the Epidemiological Features of Lyme Disease in Korea between 2011 and 2018)

  • 서충원
    • 대한임상검사과학회지
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    • 제51권4호
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    • pp.436-443
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    • 2019
  • 라임병은 2010년 법정감염병 지정 이후 환자발생이 지속적으로 증가하고 있다. 첫 환자가 보고된 2011년부터 2018년 12월 31일까지 신고된 환자 119명의 신고 자료 및 역학조사서를 국내발생과 해외유입으로 구분하여 분석하였고, ArcGIS Pro를 이용하여 추정 감염 지역에 대한 공간분석을 하였다. 2011년부터 2018년 12월 31일까지 국내발생은 70명(58.8%) 해외유입은 49명(41.2%)이다. 환자 발생은 2017년에 31명(26.0%), 계절은 여름~가을(6~11월)이 91명(76.5%)으로 가장 많았다. 진단일_신고일은 국내발생이 2.8±14.7일, 해외유입이 1.4±4.5일로 차이를 보였고, 임상 증상 중 발열과 발진은 국내발생과 해외유입이 통계적으로 유의하였다(P<0.001). 임상 경과는 초기 국소성 감염 61명(52.1%), 초기 파종성 감염 43명(35.3%), 만성 감염 15명(12.6%)이었다. 국내 추정 감염 지역은 충남 12명(17.1%), 경기 12명(17.1%), 강원 8명(11.4%), 경남 7명(10.0%)으로 지역적인 차이를 보였고, 해외유입은 미국이 21명(42.9%), 유럽이 17명(34.7%)으로 가장 많았다. 라임병 환자는 2016~2018년이 환자수가 증가 하여 발생 지역이 확대된 것으로 추정된다. 해외유입도 증가하고 있어 환자 관리는 더욱 중요할 것으로 판단되며 전 연령에서 환자가 발생하고 있어 홍보 및 예방교육과 역학적 특성 파악은 꾸준히 실시되어야 할 것이다.

만성두드러기에 대한 임상적 고찰 (Clinical study of Chronic Urticaria)

  • 김혜정
    • 한방안이비인후피부과학회지
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    • 제15권2호
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    • pp.252-260
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    • 2002
  • Introduction Urticaria is widely spread disease. About 15-20 $\%$ of population has experienced at least once in a life time. The etiology of urticaria is uncertain till now, and the affcting factors are various chemical material, physical factors, alcohol, fever, exercise, and hormone, etc. The symptoms of urticaria are small or large wheal-erythema reaction and itching or tingling sense. Cause there is no probe to detect the urticaria clearly, the treatment of urticaria is symptomatic. And mostly urticaria can be chronic and very hard to treat it fundamentally. Nowadays, many trials to treat the urticaria in oriental medical way show good curability. In this paper I'd like to report the treatment rate and degree of urticaria patients mostly using anti-histamine medication. Subjects From the outpatients who visited Korean Hospital of Kyunghee Kangnam during 2000-4 and 2002-1, the 36 chronic urticaria patients, at least more than 4 weeks from onset and 2weeks of treatment period, were chosen. Methods I evaluated the results of treatment with the following scale. Very Good: The all symptoms are clearly disappeared or one third of symptoms remain and sometimes eruption is appeared. Good: Half of the symptoms are improved but most of symptoms remain. No Change: No change appears before and after treatment. Worse: The degree and duration of eruption get worse than pre-treatment state. Results For Acupuncture treatment, I chose the several Acu points like Hapgok(합곡), Taichung(대충), Gokji(곡지), Yanggok(양곡), Yanggea(양계), and lmeup(족임읍), and usually lasted it 15 minutes. With the acupuncture treatment and herb medicine, 2-3 times a week, the patients whose treatment period was 2 to 4 weeks were 17(47.2$\%$), 4 to 8 weeks were 11(30.5$\%$), 8 to 12 weeks were 3(8.3$\%$), 12 to 16 weeks were 3(8.3$\%$), longer than 16 weeks were 2(5.5$\%$) Collecting the statistics of the frequency of prescripted herb medicine, Hyangsosan(향소산) was prescripted 21 times(58.3$\%$), Hyangsapyungwisan(향사평위산) was 15 times(41.6$\%$), Hwapisan(화피산) was 9 times(25$\%$), Yangwitang(양위탕) was 6 times(16.6$\%$), Bojungikkitang(보중익기탕가미) was 4 times(11.1$\%$), Yongdamsagantang (용담사간탕가미) was 4 times(11.1$\%$). The result of the treatments, evaluating with mentioned rate scale, was 11 cases(30.5$\%$) were Very Good degree, 19 cases(52.7$\%$) were Good , 6 cases(16.6$\%$) were No Change. No cases were Worse degree. Conclusion According to this research, we could say that chronic urticaria can be treated with Oriental medical methods. But more precise probes in both Oriental and Western medicine to diagnose the chronic urticaria should be established and we need to make standards for testing and diagnosing the chronic urticaria.

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아토피양 접촉피부염 유발 NC/Nga mouse에서 도고 온천수에 첨가한 게르마늄 성분의 효과 (Effect of DOGO phreatic water containing germanium on Atopic Dermatitis in NC/Nga mouse)

  • 이진욱;고가연;정찬호;유선종;김윤희;안택원
    • 한방안이비인후피부과학회지
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    • 제27권4호
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    • pp.141-157
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    • 2014
  • Objectives : The purpose of this study is to investigate the effects of DOGO phreatic water containing germanium on Atopic Dermatitis in NC/Nga mouse. Methods : We made DOGO phreatic water added germanium. After making atopic dermatitis caused by sensitizing NC/Nga mouse to DNCB(dinitrochlorobenzene), we made mouse swim in tanks each filled with distilled water, tap water, DOGO phreatic water, DOGO phreatic water(added germanium) for 30minutes everyday. 3weeks later, we analyzed skin clinical score, total IgE levels(by ELISA), WBC differential counting(Neutrophils, Monocytes), absolute cell number of $Neutrophil^+Gr-1^+$, CCR3 mRNA expressions(by Real-time PCR), IL-4, IFN-${\gamma}$ production levels(by ELISA), histologic test(by H&E staining, toluidine blue staining). Results : The results of making NC/Nga mouse induced atopic dermatitis swim in tanks filled with DOGO phreatic water(contain germanium) are as follows. 1. Skin clinical scores were decreased significantly in comparison to control group. 2. Total IgG levels were decreased significantly in comparison to control group. 3. WBC differential counting(Neutrophils, Monocytes) were decreased significantly in comparison to control group. 4. Absolute cell number of $Neutrophil^+Gr-1^+$ were decreased significantly in comparison to control group. 5. CCR3 mRNA expressions were decreased significantly in comparison to control group. 6. IL-4, IFN-${\gamma}$ production levels were decreased significantly in comparison to control group. 7. The epithelial tissue thickness, leucocytes infiltration, erythema, edema, excoriation, scaling, mast cells infiltrations in dorsal skin were decreased in comparison to control group. Conclusions : These results indicate that DOGO phreatic water(contain germanium) can be used for helping treat atopic dermatitis.

A Retrospective Study on the Clinical Safety of Bee Venom Pharmacopuncture at Craniofacial Acupuncture Points for the Treatment of Facial Disorders

  • Lee, Chang Hee;Yoon, Jin-Young;Shim, Sung-Eun;Kim, Jeong Hyun;Kim, Jun-Yeon;Kim, Ha-Na;Hwang, Ji-Min;Kim, Jung-Hyun;Goo, Bon Hyuk;Park, Yeon-Cheol;Seo, Byung-Kwan;Baek, Yong-Hyeon;Nam, Sang-Soo
    • Journal of Acupuncture Research
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    • 제36권4호
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    • pp.245-250
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    • 2019
  • Background: This study was designed to evaluate the clinical safety of Bee Venom (BV) pharmacopuncture at craniofacial acupuncture points. Methods: This was a retrospective study of 108 patients diagnosed with peripheral facial paralysis, trigeminal neuralgia, or facial spasm who were admitted to Kyung Hee University Korean Medicine Hospital at Gangdong, from April 1st, 2017 to August 30th, 2017. Patients were allocated into either, Group 1 (the non-allergy group of patients who did not have an allergic reaction to BV) or Group 2, the group who had allergic reactions to BV. To evaluate the clinical safety of BV pharmacopuncture after each treatment, several criteria were used to measure any side effects: outcome, Common Terminology Criteria for Adverse Events scale, Mueller HL scale, treatment decision after adverse reaction, causality, measures performed for patients with adverse reactions, and efficacy assessment. Results: BV pharmacopuncture delivered in 0.1-0.2 mL at a concentration of 1:30,000 at the craniofacial acupuncture points, showed no statistically significant differences in baseline characteristics between non-allergy Group 1 and allergy Group 2. Amongst the 108 patients, 11 reported side effects after BV pharmacopuncture treatment. These adverse events included rash (n = 7), pruritus (n = 5), swelling (n = 1), vesicles (n = 1), erythema (n = 1), and hives (n = 1). All side effects resolved without sequelae. Conclusion: In this study, BV pharmacopuncture delivered at low doses at the craniofacial acupuncture points, resulted in 10% of patients experiencing non serious side effects suggesting that BV pharmacopuncture was clinically well tolerated.

산국 에센셜오일을 함유한 화장품의 주름개선 임상효능에 관한 연구 (A Study on the Anti-wrinkle Properties of Cosmetics Containing Essential Oil from Chrysanthemum boreale MAKINO)

  • 최인호;황대일;김도윤;김하빈;이환명
    • 생명과학회지
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    • 제29권4호
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    • pp.442-446
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    • 2019
  • 산국 에센셜오일의 채취시기별 특성과 in vitro 항산화, 미백, 피부재생 및 주름개선 활성이 본 연구진에 의해 최근 보고되었다. 본 연구는 산국 에센셜오일(0.1%, v/v)이 함유된 크림제형의 화장품에 대해 주름개선 효능 및 안전성을 확인하였다. 피시험자는 자연주름이 형성되어 있는 42세에서 60세까지의 22명의 여성을 대상으로 8주 동안 산국 에센셜오일 함유 화장품을 눈가주변에 도포하였다. 인체 피부 안전성은 피부과 전문의의 육안관찰 소견을 확보하고, 피부 주름개선 효능은 visiometer를 이용하여 roughness를 측정 하였다. 산국 에센셜오일 함유 화장품 및 대조시료는 시험기간 동안 인체에 홍반, 알러지 등의 이상반응을 유발하지 않았으며, 시험부위(test)는 대조부위(placebo)에 비해 roughness 지수 감소의 폭이 더 우수한 것으로 확인되었다. 또한 R1, R2, R3 지수는 크림 사용 2주 후부터 시험부위가 대조부위에 비해 통계적으로 유의(p<0.05)한 감소를 나타내었다. 따라서 "산국에센셜오일 함유 화장품"은 인체 안전성이 확보되었으며, 피부주름 개선 활성을 나타내는 것으로 확인되어 향후 비고시 주름개선 기능성화장품으로 개발이 가능할 것으로 사료된다.

3T3-L1 지방전구세포와 고지방 식이로 유도된 비만 HR-1 마우스 피부에 도포한 한약 추출 복합물의 항비만 효과 및 안전성 평가 (Anti-obesity Effects and Safety of the Mixture of Herbal Extracts in 3T3-L1 Cells and HR-1 Mice Fed a High Fat Diet)

  • 정의선;박소이;이기훈;나주련;김진석;박경목;김선오
    • 동의생리병리학회지
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    • 제32권6호
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    • pp.384-395
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    • 2018
  • The aim of this study was to investigate whether a novel formulation of an herbal extracts has an inhibitory effect on obesity. To determine its anti-obesity effects, we performed anti-obesity-related experiments in vitro and in vivo. Thus, our present study was carried out to evaluate the anti-obesity effect of herbal extracts using a high fat diet (HFD)-induced obese mouse model and 3T3-L1 adipose cells. The effects of each herbal extracts on lipid accumulation in 3T3-L1 cells were examined using Oil Red O staining. Results showed that treatment with each herbal extracts at $10{\sim}100{\mu}g/ml$ had no effect on cell morphology and viability. Without evidence of toxicity, herbal extracts treatment decreased lipid accumulation compared with the untreated adipocytes controls as shown by the lower absorbance of Oil Red O stain. Futhermore, compared with control-differentiated mature adipocytes, each herbal extracts significantly inhibited lipid accumulation in mature 3T3-L1 adipocytes. In the HFD-fed obese mice, body weight, liver weight and white adipose tissue weights were significantly reduced by mixture of herbal extracts administration in mouse skin. Futhermore, we found that mixture of herbal extracts administration suppressed serum triglyceride (TG), and total cholesterol (TCHO) in HFD-induced obese mouse model. The mixture of herbal extracts of permeability was estimated by measuring the transepithelial electrical resistance (TEER) value in pig skin. The optimized formulations of herbal extracts (Test 3 formulation) showed skin permeation. However, test 1 formulation containing essential oil as enhancer showed maximum skin permeation. After confirming the enhanced skin permeability, in vivo studies were performed to assess whether skin irritation potential on the basis of a primary irritation index (PII) in rabbit skin. Reactions were scored for erythema/edema reactions at 24 h, 48 h and 72 h post-application. It was concluded that the test 1 formulation was not irritation (PII = 0). The present study suggests that the test 1 formulation might be of therapeutic interest with respect to the treatment of obesity.