著者

古川 福実 船坂 陽子 師井 洋一 山本 有紀 米井 希 松永 佳世子 秋田 浩孝 上田 説子 薄木 晶子 菊地 克子 幸野 健 田中 俊宏 林 伸和

出版者

公益社団法人 日本皮膚科学会

雑誌

日本皮膚科学会雑誌 (ISSN:0021499X)

巻号頁・発行日

vol.118, no.3, pp.347-356, 2008

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Chemical peeling is one of dermatological treatments for certain cutaneous diseases or conditions or aesthetic improvement, which consists of the application of one or more chemical agents to the skin. Chemical peeling has been very popular in medical fields as well as aesthetic fields. Since scientific background and adequate approach is not completely understood or established, medical and social problems have been reported. This prompted us to establish and distribute standard guideline of care for chemical peeling. Previous guidelines such as 2001 version and 2004 version included the minimums for the indications, the chemicals used, their applications, associated precautions, and postpeeling care and findings. The principles were as follows :1) chemical peeling should be performed under the control and the responsibility of the physician. 2) the physician should have knowledge of the skin and subcutaneous tissue and understand the mechanism of wound-healing. 3) the physician should be board-certified in an appropriate specialty such as dermatology. 4) the ultimate judgment regarding the appropriateness of any specific chemical peeling procedure must be made by the physician in light of all standard therapeutic ways, which are presented by each individual patient. Keeping these concepts, this new version of guidelines includes more scientific and detailed approaches from the evidence-based medicine.

著者

大日 輝記 古賀 哲也 城戸 真希子 師井 洋一 占部 和敬 古江 増隆 名和 行文

出版者

日本皮膚科学会西部支部

雑誌

西日本皮膚科 (ISSN:03869784)

巻号頁・発行日

vol.64, no.4, pp.452-455, 2002-08-01 (Released:2010-09-02)

参考文献数

12

被引用文献数

1

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31歳,男性。タイへ渡航し現地リゾートの海岸を訪れた後,右足底に爬行様線状疹を認め,次第に移動した。病理組織にて肥厚した表皮内に小水疱を認め,水疱内,表皮および真皮上層血管周囲に高度の好酸球浸潤および中程度のリンパ球浸潤を認めた。一方,虫体は認めなかった。各種寄生虫の免疫血清学的検査はいずれも陰性であったが,渡航歴,経過および臨床所見からイヌ鉤虫による皮膚幼虫移行症と診断した。近年,海外リゾート地での感染例が相次いで報告されており,同地渡航者における本症の診断に注意が必要である。

著者

大森 睦美 占部 和敬 辻田 淳 内 博史 幸田 太 師井 洋一 古江 増隆

出版者

Western Division of Japanese Dermatological Association

雑誌

西日本皮膚科 (ISSN:03869784)

巻号頁・発行日

vol.71, no.1, pp.17-20, 2009

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73歳,女性。初診の8ヶ月前,顔面中央に青灰色の色素沈着が出現し,次第に体幹,手掌に拡大した。受診時,顔面,胸部,上背部,両手掌外側に青灰色の色素沈着を認めた。病理組織学的に汗腺や毛包周囲に黒褐色粒子の沈着を多数認めた。詳細な問診により初診の3ヶ月前まで約3年間,口内炎に対して連日硝酸銀を含む口腔含嗽液を使用していたことが判明し,銀皮症と診断した。診断後,外来にて3年間の経過観察を行っているが全身の色素沈着は軽快していない。

著者

古川 福実 松永 佳世子 秋田 浩孝 上田 説子 薄木 晶子 菊地 克子 幸野 健 田中 俊宏 林 伸和 船坂 陽子 師井 洋一 山本 有紀 米井 希

出版者

公益社団法人 日本皮膚科学会

雑誌

日本皮膚科学会雑誌 (ISSN:0021499X)

巻号頁・発行日

vol.118, no.3, pp.347-356, 2008-03-20 (Released:2014-12-03)

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Chemical peeling is one of dermatological treatments for certain cutaneous diseases or conditions or aesthetic improvement, which consists of the application of one or more chemical agents to the skin. Chemical peeling has been very popular in medical fields as well as aesthetic fields. Since scientific background and adequate approach is not completely understood or established, medical and social problems have been reported. This prompted us to establish and distribute standard guideline of care for chemical peeling. Previous guidelines such as 2001 version and 2004 version included the minimums for the indications, the chemicals used, their applications, associated precautions, and postpeeling care and findings. The principles were as follows :1) chemical peeling should be performed under the control and the responsibility of the physician. 2) the physician should have knowledge of the skin and subcutaneous tissue and understand the mechanism of wound-healing. 3) the physician should be board-certified in an appropriate specialty such as dermatology. 4) the ultimate judgment regarding the appropriateness of any specific chemical peeling procedure must be made by the physician in light of all standard therapeutic ways, which are presented by each individual patient. Keeping these concepts, this new version of guidelines includes more scientific and detailed approaches from the evidence-based medicine.