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A Case Report of an Adult Atopic Dermatitis Patient Whose Eczema and SCORAD Index Were Improved by Herbal Medicine and Acupuncture Therapy

한약 및 침치료 후 피부습진의 SCORAD 점수를 호전시킨 성인 아토피성 피부염 환자 증례보고

  • Hong, Seungcheol (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital) ;
  • Kim, Youngji (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital) ;
  • Song, Juyeon (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital) ;
  • Park, Song-won (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital) ;
  • Yi, Chan-sol (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital) ;
  • Jeong, Ji-cheon (Dept. of Oriental Internal Medicine, Dong-Guk University Ilsan Oriental Medicine Hospital)
  • 홍승철 (동국대학교 일산한방병원 한방내과) ;
  • 김영지 (동국대학교 일산한방병원 한방내과) ;
  • 송주연 (동국대학교 일산한방병원 한방내과) ;
  • 박송원 (동국대학교 일산한방병원 한방내과) ;
  • 이찬솔 (동국대학교 일산한방병원 한방내과) ;
  • 정지천 (동국대학교 일산한방병원 한방내과)
  • Received : 2018.08.03
  • Accepted : 2018.10.28
  • Published : 2018.10.30

Abstract

This case reports the effect of herbal medicine and acupuncture therapy on the scoring atopic dermatitis (SCORAD) index for an adult atopic dermatitis patient. An adult male in his 30s with complaints of severe eczema on the whole body was diagnosed with heat toxin blazing exuberance pattern (熱毒內蘊) and treated with herbal medicine, including an orally-administrated decoction, externally-applied decoction, extracted powder capsule, and acupuncture for a total of 30 days. We observed skin symptoms, SCORAD index, follow-up photographs, and any adverse events. After treatment, SCORAD index decreased from 74.5 to 38.7 (51.9% from baseline). Skin symptoms such as redness, itching, and exudation were improved without any adverse events reported. This case suggests that herbal medicine and acupuncture therapy could be effective in improving eczema in adult atopic dermatitis patients.

Keywords

References

  1. Tollefson MM, Bruckner AL. Atopic Dermatitis:Skin-Directed Management. Pediatrics 2014:134(6):e1735-44. https://doi.org/10.1542/peds.2014-2812
  2. Park YL, Kim HD, Kim KH, Kim MN, Kim JW, Ro YS, et al. Report from ADRG:A Study on the Diagnostic Criteria of Korean Atopic Dermatitis. Korean J Dermatol 2006 Jun;44(6):659-63.
  3. Cho JM, Hong EJ, Seo HS. Reviewing Research on Laser Therapy of Atopic Dermatitis. J Korean Med Ophthalmol Otolaryngol Dermatol 2013:26(1):82-96. https://doi.org/10.6114/jkood.2013.26.1.082
  4. Cha KB, Kim YS, Seol IC. Literatual study on Atopic dermatitis. Journal of Haehwa Medicine 2005:14(2):113-26.
  5. KIOM. Korean Medicine Clinical Practice Guideline: Atopic Dermatitis. Seoul: Elsevier Korea: 2015. p. 6, 36-51, 58.
  6. Lee HS. An overview of herbal medicine for atopic dermatitis. Herbal formula science 2009;:17(2):99-110.
  7. Park HJ, Kwon JH, Yoo JH. Quantity and Quality Assessment of Randomized Controlled Trials in the Atopic Dermatitis. J Korean Med Ophthalmol Otolaryngol Dermatol 2014:27(4):45-57. https://doi.org/10.6114/jkood.2014.27.4.045
  8. Yang SW, Kim YB, Kim SY, Choi H, Sohn YJ, Park SK, et al. Effect of Several Herbal Medicines on Atopic Dermatitis Patients'SCORAD and Cytokine Levels. Herbal formula science 2008:16(1):185-205.
  9. Son JS, Choi IH. A Case of Atopic Dermatitis. J Korean Med 2001:22(4):151-7.
  10. Yun YH, Choi IH. Quality of life and economic impact of adult atopic dermatitis patient in seoul. J Korean Med Ophthalmol Otolaryngol Dermatol 2010:23(1):199-214.
  11. Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol Suppl (Stockh) 1980:92:44-7.
  12. Yoon HJ, Ko WS. Clinical Study of the Classification of Oriental Medical Type of Atopic Dermatitis. J Korean Med 2001:22(2):43-57.
  13. Park SG, Noh HM, Kweon SH, Jo EH, Jang HC, Kim H, et al. The Study on the Environmental Factors of Atopic Dermatitis in Oriental-Western Medicine. J Korean Med Ophthalmol Otolaryngol Dermatol 2018:31(1):52-70. https://doi.org/10.6114/jkood.2018.31.1.052
  14. Lee SH, Yun YG. Study for treatment of atopic dermatitis in oriental medical prescription. J Traditional Korean Med 2006:15(1):56-69.
  15. Shin SH, Kim MB, Byun SM, Lee HS, Park SG, Ko WS, et al. A Review on External Treatment for Atopic Dermatitis in Korean Journals. J Korean Med Ophthalmol Otolaryngol Dermatol 2008:21(2):80-93.
  16. An JH, Hwang MR, Yoon HJ, Jung HA. A Review on the Sihocheonggan-tang & Sihocheonggan-san for the treatablity of Atopic Dermatitis. J Korean Med Ophthalmol Otolaryngol Dermatol 2017:30(1):10-6. https://doi.org/10.6114/jkood.2017.30.1.010
  17. Yoon HJ, Yoon JW, Yoon SW, Ko WS. A Study on the Severity Scoring Systems of Atopic Dermatitis:Comparision, Analysis and Establishment. J Korean Med 2002:23(4):15-26.
  18. Ahn SH, Lee JH. Changes in transepidermal water loss after medication of Gagampalmultang to 104 patients with atopic dermatitis. Herbal formula science 2003:11(1):194-204.
  19. Kim SH, Yun DC, Kim HT, Ho DS, Yoon KS. A Clinical Research of Atopic Dermatitis treated by Yeongyuseungmatang in cosmetics. J Korean Med Ophthalmol Otolaryngol Dermatol 2008:21(2):126-41.
  20. Jo H, Shin BC, Kim H. Effects of Herbal Prescriptions on the Immunological Parameter in Patients with Atopic & Allergic Diseases; Clinical Observational Study. J Physiol & Pathol Korean Med 2007:21(6):1646-54.