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논문검색

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논문 검색
Seung Han Song, M.D., Soon Je Kim, M.D., Joo Hak Kim, M.D., Nak Heon Kang, M.D.
Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University, Daejeon, Korea
Chronic Ulcerating Lesions due to Limited Form of Wegener’s Granulomatosis on the Face: Cosmetic Consideration
Seung Han Song, M.D., Soon Je Kim, M.D., Joo Hak Kim, M.D., Nak Heon Kang, M.D. 2012 (Jan) 18(08) 111-114
Wegener granulomatosis, Uveitis, Keratoconjunctivitis
Ksaps18-2-08.pdf Ksaps18-2-08.pdf
Wegener’s granulomatosis (WG) is a systemic disease characterized by necrotizing granulomas and
vasculitis involving the upper and lower respiratory tract as well as the kidneys. Limited form of WG usually
involves the head and neck, lacks renal involvement, and may not progress to generalized disease. We
report the case of limited form of WG who presented not systemic symptom but several times relapsed
multiple ulcerating lesions on the face, uveitis and keratoconjunctivitis. A 23 year-old female initially
presented with ulcerative skin lesions on the left cheek and nose. The skin lesion had commenced as an
ulcerative and nodulopapular lesion on her right cheek initially, 8 months ago. Subsequently, there was
progression of the disease to her left cheek and nose. The patient was treated with oral prednisolone and
oral cyclophosphamide. Two weeks later, skin lesion had started to heal, oral prednisolone tapered to 15
mg. Eight weeks later, all of skin lesions were healed well. With silicone gel sheets and Laser therapies, we
gained excellent cosmetic results. In the aesthetic aspect, early recognition of rare variants of limited form of
WG, facial chronic ulcerative wounds that are nonresponsive to conservative treatment, is very important as
appropriate therapy can prevent facial mutilation.
송승한, 김순제, 김주학, 강낙헌
충남대학교 의과대학 성형외과학교실
창상처치에 반응하지 않는 국한성 베게너육아종증에 의해 발생한 다발성 안면부 궤양: 미용적 측면
2012 (Jan) 18(08) 111-114