DOI QR코드

DOI QR Code

A Case Report about Treatment by a Combination of Traditional Korean Medicine and Western Medicine in a Patient with Progressive Multifocal Leukoencephalopathy and HIV/AIDS

진행성 다발성 백질뇌병증을 합병한 HIV/AIDS 환자의 한양방 협진 치료 치험 1례

  • Lim, Myong-ah (Dept. of Cardiology and Neurology of Korean medicine, Grauate School, Kyung-Hee University) ;
  • Lee, Hee-jung (Dept. of Oriental Internal Medicine, National Medical Center) ;
  • Seo, Ho-seok (Dept. of Oriental Internal Medicine, National Medical Center) ;
  • Kim, Pan-kyoo (Sa-sang-dang Traditional Korean Medical clinic) ;
  • Kim, Jin-won (Dept. of Oriental Internal Medicine, National Medical Center)
  • 임명아 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 이희정 (국립중앙의료원 한방내과) ;
  • 서호석 (국립중앙의료원 한방내과) ;
  • 김판규 (사상당한의원) ;
  • 김진원 (국립중앙의료원 한방내과)
  • Received : 2017.11.23
  • Accepted : 2017.12.28
  • Published : 2017.12.30

Abstract

Objectives: This report describes the case of a patient with progressive multifocal leukoencephalopathy (PML) with hemiplegia, who was treated with a combination of traditional Korean medicine and western medicine. Methods: The patient received traditional Korean medical treatments, including acupuncture, during robust antiretroviral therapy with rehabilitative exercise. Results: During 24 months of treatment, the patient showed improvement in hemiplegia on a manual muscle test. Conclusions: The combination of traditional Korean medicine and western medicine was effective in the treatment of PML in a patient with hemiplegia.

Keywords

References

  1. Cho JY. Common Infectious Diseases in HIV Infected Persons. The Korean Journal of Medicine 2013;84(2):179-85. https://doi.org/10.3904/kjm.2013.84.2.179
  2. Kwak DM, Jeong HI, Park SM, Cha HH, Jung JY, Bang JH, et al. A report of seven cases of progressive multifocal leukoencephalopathy in patients with acquired immune deficiency syndrome. The Korean Journal of Medicine 2010;78(6):771-5.
  3. Wang J, Zou W. Recent advances of HIV/AIDS treatment with traditional Chinese medicine in China. J Tradit Chin Med 2010;30(4):305-8. https://doi.org/10.1016/S0254-6272(10)60062-3
  4. Wang JR, CHen XR, Zhang Q. Moxiibution on immune function of AIDS patients of spleen kidney yang deficiency. Chineses Acupuncture and Moxibution 2007;27:892-4.
  5. Guo H, Wang J, Li Z, Jiang Z, Xu Q, Xu L. Effect of treatment course of comprehensive intervention with Traditional Chinese Medicine on mortality of acquired immunodeficiency syndrome patients treated with combined antiretroviral therapy. J Tradit Chin Med 2016;36(4):411-7. https://doi.org/10.1016/S0254-6272(16)30056-5
  6. He JH, Mai ED. Review of AIDS treatment with Chinese medicine. J Tradit Chin Med 2004; 4(6):454-6.
  7. Shlay JC, Chaloner K, Max MB, Flaws B, Reichelderfer P, Wentworth D, et al. Acupuncture and amitriptyline for pain due to HIV-related peripheral neuropathy: a randomized controlled trial. Terry Beirn Community Programs for Clinical Research on AIDS. JAMA 1998;280(18):1590-5. https://doi.org/10.1001/jama.280.18.1590
  8. Lang W, Miklossy J, Deruaz JP, Pizzolato GP, Probst A, Schaffner T, et al. Neuropathology of the Acquired Immune Deficiency Syndrome (AIDS) : A Report of 135 Consecutive Autopsy Cases from Switzerland. Acta Neuropathologica 1989; 77(4):379-90. https://doi.org/10.1007/BF00687372
  9. Monforte A, Cinque P, Mocroft A, Goebel FD, Antunes F, Katlama C, et al. Changing Incidence of Central Nervous System Diseases in the EuroSIDA Cohort. Annals of Neurology 2004; 55(3):320-8. https://doi.org/10.1002/ana.10827
  10. Sacktor N. The Epidemiology of Human Immunodeficiency Virus-associated Neurological Disease in the Era of Highly Active Antiretroviral Therapy. Journal of Neurovirology 2002;8(2):115-36. https://doi.org/10.1080/13550280290101094
  11. Knowles WA. Discovery and Epidemiology of the Human Polyomavirus BK Virus (BKV) and JC Virus (JCV). Advances in experimental midicine and biology 2006;577:19-45.
  12. Cinque P, Koralnik IJ, Clifford DB. The Evolving Face of Human Immunodeficiency Virus-related Progressive Multifocal Leukoencephalopathy: Defining a Consensus Terminology. J Neurovirol 2003;9(1):88-92. https://doi.org/10.1080/13550280390195298
  13. Lawn SD. AIDS in Africa: the impact of coinfections on the pathogenesis of HIV-1 infection. J Infect 2004;48(1):1-12. https://doi.org/10.1016/j.jinf.2003.09.001
  14. Kwon OJ, Lee SJ, Lee SW, Na HY. Lee BC, Ahn YM, et al. A Case of Male HIV/AIDS Patient. J Int Korean Med 2014;Published online October 30:376-80.
  15. Jin HS, Nam SH, Lee WC. A Bibliographical Study of the Historical Treatment of Stroke. Dong-Seo Medicine 1992;17(2):22-39.
  16. Koo BH, Lee KS, Bea HS, Kim YS, Lee WC, Cardiology and neurology of oriental medicine. Seoul: Seo-Won-Dang; 1992, p. 229-47.
  17. Tong S, Su L, Lu HB, Liu JQ. Observation on the efficacy of acupuncture at key acupoints combined with rehabilitation therapy for spasmodic hemiplegia after cerebral infarction. Zhongguo Zhen Jiu 2013;33(5):399-402.
  18. Zhong P, Fu WB, Xu ZH, Zhu XP. Randomized controlled study on rehabilitation of hemiplegia in cerebral infarction at the early stage with acupuncture and moxibustion based on meridian harmonization and zang-organ regulation. Zhongguo Zhen Jiu 2011;31(8):679-82.
  19. Koo S, Kim S, Park H, Shin S, Lee S, Jang I, et al. Safety guidelines of Acupuncture and Moxibution. 1st edi. Seoul: Koonja Press; 2011, p. 23-57.
  20. Choi JP. The Palliative Care and Hospice for the People Living with HIV. Korean J Hosp Palliat Care 2017;20(3):159-66. https://doi.org/10.14475/kjhpc.2017.20.3.159