• 제목/요약/키워드: Alopecia areata

검색결과 53건 처리시간 0.027초

저출력 레이저 요법 및 침 치료를 이용한 반흔성 탈모 및 원형탈모증에 대한 치험 1례 (Case Study on Treating Scarring alopecia and Alopecia arreata Using Low Level Laser Therapy and Acupuncture)

  • 김철윤;서형식;이득주;권강
    • 한방안이비인후피부과학회지
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    • 제29권4호
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    • pp.182-188
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    • 2016
  • Objectives : The purpose of this study is to report the effect of low level laser therapy and acupuncture on hair loss. Methods : The patient with alopecia caused by bed sore and alopecia areata was treated with 29 times of laser therapy, acupuncture and took herbal medicine during about 3 months. The treatment effect was evaluated by standardized photography. Results : Hair loss had shown a marked improvement. Entire scalp had been replaced with new hairs. Conclusions : LLLT(low level laser therapy) is effective method for treating alopecia. It can shorten the length of treatment of alopecia.

교정치료시 병발된 탈모증 (Alopecia : An unexpected effect of orthodontic treatment)

  • 이영준;제프 다비도비치;정규림;박영국;벨리머 맷코빅
    • 대한치과교정학회지
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    • 제29권6호
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    • pp.663-672
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    • 1999
  • 이 증례 보고는 치조성II급 1류 부정교합의 해결을 위한 통상적 교정치료 중 탈모를 보인 청소년기 환자에 대한 것이다. 22개월 간 지속된 교정치료의 결과는 성공적이었다. 그러나 치료 시작 8개월 후 환자는 완전탈모현상을 보였다. 환자에 대한 포괄적인 의학적 검사와 감별진단은 교정치료에 의하여 유발된 심리적 스트레스로 그 원인을 결론지었다. 다수 선학들의 보고에서 심리적 스트레스는 면역체계에 영향을 줌으로써 탈모를 유발할 수 있다고 지적하고 있다. 따라서 이 증례의 경우 면역체계에 대한 스트레스의 결과 두피 모낭 주위의 조직에 대한 자동면역질환과 유사한 상태가 초래됨으로써 탈모가 발생한 것으로 추정함이 타당할 것으로 생각된다. 환자의 탈모는 비타민 D의 경구 및 경피적 투여로 완전 치유되었다. 이러한 증례는 면역체계야 말로 치아주위조직의 개조를 위한 중추적 역할을 담당하며, 면역체계에 영향을 줄 수 있는 어떠한 상태도 교정치료시 탈모의 발생 등과 같은 예기치 않은 결과를 초래할 수 있음을 시사한다.

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脫毛에 對한 臨床的 考察 (A Clinical Study on Alopecia)

  • 김혜정;채병윤
    • 한방안이비인후피부과학회지
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    • 제9권1호
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    • pp.166-172
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    • 1996
  • The alopecia is classified to Alopecia areata, Telogen effluvium, Anagen effluvium and Androgenetic alopecia. The exact cause of alopecia is not known, but a inherent and immunologic anc psychosomatic and endocrinic factors are suspected. We analysed clinical study in 77 patients, who had visited to the Dept. of Dermatology, Hospital of Oriental Medicine, Kyung Hee University to treat alopecia from June, 1994 to March, 1995. The results were summarized as follows; 1. In the series of 77 patients, $52\%\;were\;male\;and\;48\%$ were female. The peak incidence of age group was 20 to 29 ($55\%$). 2. The peak incidence of age group at on set was 20 to 29 ($49\%$). 3. The most frequent feature was insomnia ($25\%$). Frequent appeared signs and symptoms in descending order were head itching, head scale, fatigue and dizziness. 4. The personal history of patient were seborrheic dermatitis ($17\%$), atopic dermatitis, disorder of thyroid gland and acne in descending order. 5. The patients with family history occupied $25\%$. 6. Shineung Yangjin Dan was most used in treatments as $36\%$.

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 감초건강탕(甘草乾薑湯) 투여 후 호전된 수면 장애 관련 증례 2례 (Two Case Reports of different chief complaints combined with Sleep Disorder treated by Gamchogungang-tang based on Shanghanlun Provisions)

  • 박서연;이성준
    • 대한상한금궤의학회지
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    • 제11권1호
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    • pp.113-123
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    • 2019
  • Objective : The purpose of this study was to report the improvement in two patients with different complaints of sleep disorder treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system (DPIDS), and hypothesize the meaning of word '更'. Methods : According to DPIDS, patients were diagnosed with Taeyang-byung no. 29 provision, and took Gamchogungang-tang herb medication 15 or 90days. The results of administration were evaluated by the hyperhidrosis disease severity scale (HDSS) and the visual analog scale (VAS). Results : After administration of Gamchogungang-tang 15 or 90days, based on 29 provision of Gamchogungang-tang diagnosed according to Shanghanlun provisions, in one case the HDSS decreased from 3 to 1 and the VAS decreased from 10 to 1. In the other case, the VAS decreased from 10 to 1. Conclusions : Each patient not only recovered from symptoms of hyperhidrosis and alopecia areata, but also from sleep disorders following administration of a single medication of Gamchogungang-tang. This case report suggests that the word '更' in the 29 provisions of Shanghanlun means sleep disorder in this case.

Immunopathology and Immunotherapy of Inflammatory Skin Diseases

  • Ahreum Song;Sang Eun Lee;Jong Hoon Kim
    • IMMUNE NETWORK
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    • 제22권1호
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    • pp.7.1-7.20
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    • 2022
  • Recently, there have been impressive advancements in understanding of the immune mechanisms underlying cutaneous inflammatory diseases. To understand these diseases on a deeper level and clarify the therapeutic targets more precisely, numerous studies including in vitro experiments, animal models, and clinical trials have been conducted. This has resulted in a paradigm shift from non-specific suppression of the immune system to selective, targeted immunotherapies. These approaches target the molecular pathways and cytokines responsible for generating inflammatory conditions and reinforcing feedback mechanisms to aggravate inflammation. Among the numerous types of skin inflammation, psoriasis and atopic dermatitis (AD) are common chronic cutaneous inflammatory diseases. Psoriasis is a IL-17-mediated disease driven by IL-23, while AD is predominantly mediated by Th2 immunity. Autoimmune bullous diseases are autoantibody-mediated blistering disorders, including pemphigus and bullous pemphigoid. Alopecia areata is an organ-specific autoimmune disease mediated by CD8+ T-cells that targets hair follicles. This review will give an updated, comprehensive summary of the pathophysiology and immune mechanisms of inflammatory skin diseases. Moreover, the therapeutic potential of current and upcoming immunotherapies will be discussed.

탈모 환자의 적외선 체열 진단상 안면부 체열 특성 (Infrared Thermographic Imaging in Patients with Alopecia)

  • 이태후;문정배;안경애;이혜정
    • 대한한의학회지
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    • 제27권2호
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    • pp.244-252
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    • 2006
  • Objectives : To examine any potential relationships between the types of alopecia and the facial heat distribution in patients with alopecia. Methods : 183 patients with alopecia participated in this study to provide facial heat distribution measured by the Infrared Thermography Scanner (ITS, Nec San-ei Instruments Ltd, Japan). The thermography scan was used in a light- and heat-protected room after 20 minutes' of rest. 1.5m of distance was maintained between the patients and the scanner. Results : Specificity in the type of facial heat distribution was found as follow. 1. Types of facial heat distribution can be classified as T-type and diffused patterns. 2. There was a significant difference in the pattern of facial heat distribution among different types of alopecia (p=0.002): facial heat distribution appeared T-type in androgenic alopecia, alopecia areata, and telogen effluvium (71.3%, 85.7%, 70.4%), whereas diffused pattern was dominant in seborrheic alopecia (55.6%). 3. There was a significant difference in the pattern of facial heat distribution between men and women (p<0.001) : While the T-type and diffused type appeared equally in men (50.6% : 49.4%), T-type was dominant in women (88.0% vs. 12.0%). Conclusions : We conclude that the pattern of facial heat distribution differs depending on the types of alopecia and gender. These differences may provide useful information for diagnosis and clinical therapy for this population.

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탈모 환자의 적외선 체열 진단상 안면부 체열 특성 (Infrared thermographic imaging in patients with alopecia.)

  • 이태후;문정배;안경애;이혜정
    • 대한한방체열의학회지
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    • 제5권1호
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    • pp.78-86
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    • 2006
  • Objectives: To examine any potential relationships between the types of alopecia and the facial heat distribution in patients with alopecia Methods: 183 patients with alopecia participated in this study to provide facial heat distribution measured by the Infrared Thermography Scanner (ITS, Nec San-ei Instruments Ltd, Japan). The thermography scan was used in a light-and heat-protected room after 20 minutes’of resting period. 1.5m of distance maintained between the patients and ITS. Results: Specificity in the type of facial heat distribution was found as follow. 1. Types of facial heat distribution can be classified as T-type and diffused patterns. 2. There was a significant difference in the pattern of facial heat distribution among different types of alopecia (p=0.002): facial heat distribution appeared T-type in Androgenic Alopecia, Alopecia Areata, and Telogen Effluvium (71.3%, 85.7%, 70.4%), whereas diffused pattern was dominant in Seborrheic Alopecia(55.6%). 3. There was a significant difference in the pattern of facialheat distribution between men and women (p<0.001): While the T-type and diffused type were equally appeared in men (50.6%: 49.4%), T-type was dominant in women (88.0% vs. 12.0%). Conclusions: We conclude that the pattern of facial heat distribution differs depends on the types of alopecia and gender. These differences may provide useful information for the diagnosis and clinical therapy for this population.

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모발에 대한 동서의학적 고찰 (The Study about the Comparison of Korean-Western Medicine on Hair)

  • 장인욱;고우신;윤화정
    • 한방안이비인후피부과학회지
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    • 제29권4호
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    • pp.1-13
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    • 2016
  • Objectives : The purpose of this study is to compare hair and alopecia of Korean Medicine with those of western medicine. Methods : We studied relationships between hair and essense(精), qi(氣), blood(血), five vicera(五臟) and meridians(經絡) through literature review about hair and alopecia. We compared Korean medicine with western medicine on physiology of hair and treatment of alopecia based on the study. Results & Conclusion : 1. Congenital essense(先天之精) is related with genetic factor and acquired essence(後天之精) is connected with nutritional factor. Defending function of Defense qi(衛氣) is related with immune reaction and qi stagnation(氣鬱) is associated with stress reaction. Atrophy of vascular tissues observed in alopecia scalp means deep relationship between blood(血) and alopecia, further deficiency of blood can cause telogen effluvium. 2. Kidney qi(腎氣) is related with inhibiting combination of Androgen receptor and Dihydrotestosterone(DHT) or activating hair growth factior. Pi(脾) is connected with alopecia seborrheica caused by damp-heat(濕熱) and alopecia areata caused by excessive prudence(思慮過度). Heart(心) is associated with atrophy in vascular tissue of scalp and liver(肝) is connected with metabolism. 3. Armpit hair and pubic hair as secondary sex characteristics are realated with Yangming Meridian(陽明經) and beard and hair at crown part where Type II $5{\alpha}$-reductase is activated much are associated with Taiyang Meridian(太陽經). 4. Juglandis Semen pharmacopuncture and Ganoderma lucidum pharmacopucture have better effects on inhibit $5{\alpha}$-reductase than Finasteride. Minoxidil and PRP are similar with promoting blood flow and removing stasis(活血祛瘀). Seven-star needling(七星針) is similar with microneedling. 5. Alopecia can be caused by due to lack of circulation Views we need solution to improve circulation coincide in opinion with Korean Medicine and Western medicine.

원형탈모로 시작된 전신형탈모 환자에 대한 봉독약침 효과에 관한 임상증례보고 (A Case Study of Beevenom Effect on Alopecia Universalis Started from Alopecia Areata)

  • 이승원;고정민;이소영;이민호;김영진;이승훈;유승연;정지윤;권효정;이윤호
    • Journal of Acupuncture Research
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    • 제25권6호
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    • pp.163-173
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    • 2008
  • Objectives : The purpose of this study is to see the effect of beevenom on inhibition of Alopecia Universalis. Methods : Beevenom was injected subcutaneously through the borderline of head scalp alopecia starting and, also, region feeling stiff tension. Results : Hair falling off seized and scalp tension was vanished. Conclusions : Beevenom seemed to inhibit the progression of Alopecia by recirculating the blood flow as stiff tension over head was solved and anti-inflammatory effect of beevenom seizing inflammation on the scalp. Further evaluation with big sample size control study would be required to manifest the rationale and effectness of Beevenom over Alopecia Universalis.

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C57BL/6N 생쥐에서 천남성 추출물과 분획물의 발모효과에 대한 실험적 연구 (Experimental Studies on the Hair Growth Activity of Fractions and Extract of Arisaematis Rhizoma in C57B/6N Mice)

  • 권경숙;이문원;정일국;정한솔;송범용;송정모;이창현
    • 동의생리병리학회지
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    • 제23권3호
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    • pp.619-630
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    • 2009
  • To investigate the hair growth activity of fractions and extract of Arisaematis Rhizoma in the hair removed skin of normal and spontaneous alopecia areata model in C57B/6N mice. These experiments were performed with the macroscopic, microscopic, immunohistochemical(VEGF, c-kit, PKC-${\alpha}$, TGF and FGF) and RT-PCR(TGF-${\beta}$, IGF, prolactin and placenta lactogen) methods. The results were as follows: Macroscopic observation after topical application of vehicle, 50% EtOH as control and extract of Arisaematis Rhizoma to the hair removed skin of C57BL/6N mice on the 9th, 11th and 15th day. Extensive hair growth activity was observed in treated group with extract of Arisaematis Rhizoma on the 9th, 11th and 15th day. In Arisaematis Rhizoma extracts treated group, hair follicles of middle stage of anagen was observed and it were grown down to subcutaneous tissue of skin in all the normal mice on 15th day. But in control group, most of hair follicles of telogen phase was observed in skin. The treatment of extract of Arisaematis Rhizoma increased expression of IGF(145%) and placenta lactogen(108%) in the skin of normal C57BL/6N mice on the 11th day compared to control group(100%). But expression of TGF-${\beta}$(90%) and prolactin(91%) decreased in the skin of normal C57B/6N mice on the 11th day compared to control group(100%). After application of fractions(chloroform, ethyl acetate and water fractions) of Arisaematis Rhizoma extract for 9th day, hair growth effect was observed in whole skin area in 50% of normal mice. But in control group, hair growth effect was not observed in whole skin area of normal mice. Immunoreactive density of VEGF, c-kit, PKC-${\alpha$ and FGF in skin of fractions of Arisaematis Rhizoma extracts was strongly stained in epidermis, bulge, secondary hair germ cells, cutaneous trunci m., subcutaneous tissue, root sheath compare to control group on the 9th day. In spontaneous alopecia areata model, The hair growth activity of Arisaematis Rhizoma extrat treated group(75%) was observed to be strong compared to control group(O%) on 7th day. These experiments suggest that fractions and extracts of Arisaematis Rhizoma may stimulate the topical hair growth activity. Thus it can be useful for treatment of alopecia areata.