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Management of Steroid Rebound Phenomenon in Patients with Eczema

습진 환자의 스테로이드제 반동 현상 관리 및 치험 1례

  • So-Eun Son (Department of Korean Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Dongshin University) ;
  • Hye-Jin Park (Department of Korean Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Dongshin University) ;
  • Song Choi (Department of Internal Korean Medicine, Mokpo Korean Medicine Hospital, Dongshin University) ;
  • Min-Yeong Jung (Department of Korean Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Dongshin University)
  • 손소은 (동신대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 박혜진 (동신대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 최송 (동신대학교 한방병원 한방내과) ;
  • 정민영 (동신대학교 한의과대학 한방안이비인후피부과학교실)
  • Received : 2023.10.10
  • Accepted : 2023.11.07
  • Published : 2023.11.25

Abstract

Objectives : We would like to report what symptoms appear in patients experiencing steroid rebound phenomenon and how to manage and treat them at Korean medicine hospital. Methods : A 20-year-old woman who had been using topical and oral steroids for more than 6 weeks presented to the hospital. She hospitalized for 5 weeks and stopped using steroid. The treatment applied was acupuncture, wet dressing therapy and herbal medicine including Yangdokbackho-tang, Sunbangpaedok-tang and Danguieumja. We assessed symptoms through Inflammation Index and Chronicization Index. Results : Right after she stopped using steroid, symptoms of skin got worse gradually. However, after 5 weeks of treatment, all symptoms except itching and dryness disappeared. When symptom was severe, Inflammation Index and Chronicization Index was 12 and 9 points and after the treatment they were 2 and 4 points. Conclusions : This study shows various symptoms in patients with topical steroid addiction and how to manage at Korean medicine hospital.

Keywords

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