DOI QR코드

DOI QR Code

한포진으로 진단된 소양인 환자 치험 1례

A Clinical Case Report of Soyangin Patient with Dyshidrosis

  • 박민영 (강동경희대학교병원 사상체질과) ;
  • 오현주 (강동경희대학교병원 사상체질과) ;
  • 황민우 (경희대학교 한의과대학 사상체질과)
  • Park, Minyoung (Dept. of Sasang Constitutional Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Oh, Hyunjoo (Dept. of Sasang Constitutional Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Hwang, Minwoo (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2018.08.17
  • 심사 : 2018.09.06
  • 발행 : 2018.09.30

초록

Introduction The aim of this study was to report significant improvement of Dyshidrosis(Pompholyx) patient who was diagnosed with 'Soyangin chest-bind symptomatic pattern' based on Sasang Constitutonal medicine. Methods The patient was treated with herbal medicine, acupuncture, as well as western medicine. To evaluate the results of this treatment, the patient assessed discomfort of dyshidrosis by using Numeral Rating Scale(NRS), percentage(%) and we assessed severity of dyshidrosis by using Dyshidrotic Eczema Area and Severity Index(DASI). Results At the time of admission, the degree of discomfort in the dyshidrosis symptoms was NRS 8 and the severity of dyshidrosis was DASI 16(moderate). After the treatment, her symptoms was improved(NRS 0, DASI 0). Sleep, digestion and defecation condition were also improved. Discussion The patient who had frequent recurrence showed a significant improvement of dyshidrosis and accessory symptoms without any side effects, who was treated with Hyeongbangdojeok-san, acupuncture and western medicine.

키워드

참고문헌

  1. Wollina U. Pompholyx: a review of clinical features, differential diagnosis, and management. Am J Clin Dermatol. 2010;11(5):305. https://doi.org/10.2165/11533250-000000000-00000
  2. Veien NK. Acute and recurrent vesicular hand dermatitis. Dermatol Clin. 2009;27(3):337. https://doi.org/10.1016/j.det.2009.05.013
  3. Jung JY, Han KH. Common Skin Diseases in Korea. Seoul: MD World, 2009.
  4. Hwang MW. Lecture of Sasang Constitutional Medicine. 1st ed. Seoul:Koonja Publishing. 2012. (Korean)
  5. Weon YH, Bak JY, Bak CE, Three Case of Pompholyx Treated by Sasang Medicine, J Korean Med Ophthalmol Otolaryngol Dermatol 2014;27(4):221-229. https://doi.org/10.6114/jkood.2014.27.4.221
  6. E. Vocks, S.G. Plotz, J. Ringa. The Dyshidrotic Eczema Area and Severity Index - A Score Developed for the Assessment of Dyshidrotic Eczema. Dermatology 1999;198:265-269. https://doi.org/10.1159/000018127
  7. David R Adams, MD, PharmD, James G Marks, Jr, MD. (2017). Acute palmoplantar eczema (dyshidrotic eczema). https://www.uptodate.com
  8. Yang MS, Kim JS, Choi JH, Jung MY, Park SY, Two Cases of Dyshidrotic Eczema Treated with Gagam-tongcheong-san, J Korean Med Ophthalmol Otolaryngol Dermatol 2016;29(4):199-205. https://doi.org/10.6114/jkood.2016.29.4.199
  9. Kang DH, Kim JH, Lim HW, Kim JY, Kwon K, A Case Study of Chronic Plantar Pompholyx Including Steroids Side Effects, The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology 2011;24(1):181-191.
  10. Shin SH, Yun JM, Heo JE, Ko WS, Yoon HJ, A Case Study on Steroid Rebound Phenomenon after Steroids Treatment for Pompholyx. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014;27(3):155-161. https://doi.org/10.6114/jkood.2014.27.3.155
  11. Hameed AF. Steroid Dermatitis Resembling Rosacea: A Clinical Evaluation of 75 Patients. ISRN Dermatol [serial online] 2013 Apr 21;2013:491376. Available from: URL:http://dx.doi.org/10.1155/2013/491376.
  12. Forte WCN, Sumita JM, Rodrigues AG, Liuson D, Tanaka E. Rebound phenomenon to systemic cortico- steroid in atopic dermatitis. Allergol Immunopathol (Madr). 2005;33(6): 307-11. https://doi.org/10.1016/S0301-0546(05)73248-1