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한방치료로 호전된 진성적혈구증가증으로 환자의 현훈 치험 1례

Treatment of Dizziness with Polycythemia Vera by Korean Medicine: Case Report

  • 김나연 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 윤미정 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 조나경 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 최홍식 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 김승모 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 김경순 (대구한의대학교 한의과대학 간계내과학교실)
  • Kim, Na-yeon (Dept. of Korean Internal Medicine of Hepatology. College of Korean Medicine, Daegu Haany University) ;
  • Yoon, Mi-jung (Dept. of Korean Internal Medicine of Hepatology. College of Korean Medicine, Daegu Haany University) ;
  • Cho, Na-kyung (Dept. of Korean Internal Medicine of Hepatology. College of Korean Medicine, Daegu Haany University) ;
  • Choi, Hong-sic (Dept. of Korean Internal Medicine of Hepatology. College of Korean Medicine, Daegu Haany University) ;
  • Kim, Seung-mo (Dept. of Korean Internal Medicine of Hepatology. College of Korean Medicine, Daegu Haany University) ;
  • Kim, Kyung-soon (Dept. of Korean Internal Medicine of Hepatology. College of Korean Medicine, Daegu Haany University)
  • 투고 : 2020.11.28
  • 심사 : 2020.12.21
  • 발행 : 2020.12.30

초록

Objectives: Patients with polycythemia vera can experience many symptoms, including dizziness, headache, and fatigue, caused by a high red blood cell mass and blood viscosity. Some symptoms persist even after appropriate treatment. The purpose of this study was to examine the effect of Korean medicine on dizziness following polycythemia vera treatment. Methods: A patient diagnosed with polycythemia vera was treated with Korean medicine, including pharmacopuncture, acupuncture, and herbal medicine. We used a numeral rating scale (NRS) and the Dizziness Handicap Inventory (DHI) to observe the effects of the treatment. Results: After treatment, the hematocrit and hemoglobin increased to within normal range, and the NRS scores for dizziness and fatigue, subjective discomfort, and DHI scores decreased compared with the preadmission values. Conclusions: This report shows that Korean medicine helped to relieve dizziness in a patient with polycythemia vera. However, we need further studies to establish treatment regimens for polycythemia vera symptoms.

키워드

참고문헌

  1. Dennis K. The Korean Association of Internal Medicine. Harrison's Principles of Internal Medicine. Vol. 1. 19th. Seoul: MIP; 2017, p. 1048-51.
  2. Harrison CN, Koschmieder S, Foltz L, Guglielmelli P, Flindt T, Koehler M, et al. The impact of myeloproliferative neoplasms (MPNs) on patient quality of life and productivity: results from the international MPN Landmark survey. Ann Hematol 2017;96(10):1653-6. https://doi.org/10.1007/s00277-017-3082-y
  3. Kim SY. Advances in Treatment for Polycythemia Vera and Essential Thrombocythemia. Korean J Med 2016;90(4):288-92. https://doi.org/10.3904/kjm.2016.90.4.288
  4. Grunwald MR, Burke JM, Kuter DJ, Gerds AT, Stein B, Walshauser MA, et al. Symptom Burden and Blood Counts in Patients With Polycythemia Vera in the United States: An Analysis From the REVEAL Study. Clin Lymphoma Myeloma Leuk 2019;19(9):579-84. https://doi.org/10.1016/j.clml.2019.06.001
  5. Choi JE, Lee YW, Cho CK, Yoo HS. A Case Report of One Polycythemia Vera Patient Treated with Oriental Medicine in Conjunction with Conventional Medicine. J of Kor Traditional Oncology 2010;15(10):105-10.
  6. Jang EY, Jo YH, Choi ES, Kim YC, Lee JH, Woo HJ. Treatment of Three Patients with Polycythemia Vera by Herbal Medicine: Case Report. J Int Korean Med 2014;35(6):387-93.
  7. Han GC, Lee EJ, Lee JH, Park SN, Lee HY, Jeon EJ, et al. The Study of Standardization for a Korean Adaptation of Self-report Measures of Dizziness. Res Vestib Sci 2004;3(2):307-25.
  8. Tefferi A, Rumi E, Finazzi G, Gisslinger H, Vannucchi AM, Rodeghiero F, et al. Survival and prognosis among 1545 patients with contemporary polycythemia vera: an international study. Leukemia 2013;27(9):1874-81. https://doi.org/10.1038/leu.2013.163
  9. Byun JM, Kim YJ, Youk TM, Yoo JH, Park TS. Real world epidemiology of myeloproliferative neoplasms: a population based study in Korea 2004-2013. Ann Hematol 2016;96(3):373-81.
  10. Kim YS, Song IC, Jeong SH, Lee AY, Kim JM. Gaze-Evoked and Perverted Head-Shaking Nystagmus in a Patient with Polycythemia Vera. Res Vestib Sci 2017;16(4):142-6. https://doi.org/10.21790/rvs.2017.16.4.142
  11. Spivak JL. Polycythemia vera: myths, mechanisms, and management. Blood 2002;100(13):4272-90. https://doi.org/10.1182/blood-2001-12-0349
  12. Staab JP, Ruckenstein MJ. Expanding the Differential Diagnosis of Chronic Dizziness. Arch Otolaryngol Head Neck Surg 2007;133(2):1706.
  13. Surapaneni P, Scherber RM. Integrative Approaches to Managing Myeloproliferative Neoplasms:the Role of Nutrition, Exercise, and Psychological Interventions. Curr Hematol Malig Rep 2019;14(3):164-70. https://doi.org/10.1007/s11899-019-00516-w
  14. Woo HJ, Lee JH, Kim YC, Kim GS, Son CK, Jo JH, et al. Oriental Internal Medicine on Hepatobiliary System, Hematology and Toxicology. 6th. Seoul: Nado; 2016, p. 568-74.
  15. Kim DC, Noh SH, Lee SI, Lee YJ, Joo YS. Bangjehak. Seoul: YoungRimsa; 2007, p. 531-2, 549-50.
  16. Kim IR, Kim HC, Park SJ, Park JH, Seo BI, Seo YB, et al. Bonchohak. 3th. Seoul: Binglimsa; 2014, p. 186-8, 396-7, 497-8, 574-6, 645-7.
  17. Kim HC, Jung DG. A study of the comparative effect of Kuibitang, Kamiondarmtang, and Kuibiondarmtang on serum levels in rats under the immobilization stress. J of Oriental Neuropsychiatry 1993;4(1):99-119.
  18. Hwang DW. Bangyakhappyun. Seoul: Namsandang; 1992, p. 201-2.
  19. Jang JG. Shanghanlunjeonghae. 3th. Seoul: Han-uimunhwasa; 2011, p. 239-41.
  20. Lee YH. 5 Cases Report of Climacteric Symptoms with Shihogayonggolmoryo-tang. J Korean Obstet Gyneco 2013;26(1):121-34. https://doi.org/10.15204/jkobgy.2013.26.1.121

피인용 문헌

  1. 침치료로 임상증상이 호전된 진성적혈구증가증 환자 치험 1례 vol.42, pp.5, 2021, https://doi.org/10.22246/jikm.2021.42.5.976