• Title/Summary/Keyword: atopic disease

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A Case of Chronic Adult Atopic Dermatitis (만성 성인형 아토피 피부염의 외치 1례)

  • Sim, Sung-yong;Kim, Sung-beum;Kim, Kyung-jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.1
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    • pp.179-190
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    • 2003
  • Atopic dermatitis is a chronic, inflammatory skin disease characterized by intense pruritus and the course marked by exacerbation and remission. It has the characteristic symptoms of dry, itchy, scaly skin with cracks by typical distribution of lesions. Even though the etiology of atopic dermatitis is not fully understood, it is considered an allergic reaction whose onset is frequently and strongly associated with both hereditary and environmental factors. In the present clinical study, we studied the efficacy of internal herb-medicine, external herb medicine - ex. dermal oints, aqueous solutions, etc -, and steam therapy. The patient's SCORAD index was lowered 55.8 than before of which the SCORAD index was 74.8. On the basis of this study, it should be considered that the treatment of atopic dermatitis should be focused on the external therapy as steam therapy, dermal oint, a aqueous solution etc.

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Mouse Models of Atopic Dermatitis for Drug Discovery from Medicinal Plants (아토피 피부염 치료제 개발에 활용할 수 있는 마우스 모델에 대한 고찰)

  • Yun, Young-Gab;Hwang, Joo-Min;Kim, Hyung-Rul;Jang, Seon-Il
    • Herbal Formula Science
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    • v.15 no.1
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    • pp.145-161
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    • 2007
  • Atopic dermatitis (AD) is a chronic inflammatory skin disease associated with cutaneous hyperreactivity to environmental triggers. The clinical phenotype that characterizes AD is the product of interactions between susceptible genes, the environmental factors, defective skin barrier function, and immunologic responses. This review summarizes recent progress in our understanding of the immunopathophysiology of AD and the implications for mouse models of AD in drug discovery from medicinal plants.

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Retrospective Study about the Effectiveness of a Korean Medicine Treatment on 69 Infant and Young Child Atopic Dermatitis Patients (영유아 아토피피부염 환자 69명의 한의학적 치료효과에 대한 후향적 연구)

  • Min, Deul Le;Han, Myeong Hwa;Park, Gun;Seo, San;Han, Su Ryun
    • The Journal of Pediatrics of Korean Medicine
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    • v.28 no.3
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    • pp.17-30
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    • 2014
  • Objectives The purpose of this study is to report the effectiveness of Korean medicine treatment on 69 infant and young child atopic dermatitis patients. Methods 69 infants and young child atopic dermatitis patients who had visited oriental medical clinics from 2011.1.9 to 2012.1.31 were studied. All of them were continually treated for 3 to 9 months, and were analyzed by Objective SCORAD Index (OSI). A detailed analysis of OSI was done according to gender, age, using of topical steroid ointment, family history of atopic disease, treatment period, and intensity. Results 1. Male and female percentage of the study group was 56.5%: 43.5%. The average period of treatment was 6.09 months. 71.0% used topical steroid ointment, and 65.2% had family history of atopic disease. 2. The average period of treatment was significantly longer in patients who used topical steroid ointment, or who had family history of atopic disease. 3. 95.7% of total patients reported decrease in OSI score at the final visit. OSI was significantly lowered after 3, 6, and 9 months of treatment. The longer period of treatment, the lower average post-treatment OSI. 4. 85.5% of the study group had severe dermatitis, and 14.5% was moderate case based on the OSI intensity assessment at initial visit. These percentages got changed at the final visit as 34.8% of severe, 58.0% of moderate, and 7.2% of mild cases. The average treatment period of patients who were diagnosed as severe at the initial visit was 6.18 months, and their final OSI improvement rate was 39.58%. 58% of them were improved to be mild or moderate at the final visit. Conclusion The Korean medicine treatment is effective in treating infant and young child atopic dermatitis patients. There was significant decrease in OSI score after 3, 6, and 9 months of treatment. The difference increase with the treatment period.

A Literal Study of the Main Symptoms of Atopic Dermatitis (아토피 피부염의 주증상에 대한 문헌적 고찰)

  • Kim, Eun-Hee;Lee, Byung-Wook;Kim, Eun-Ha
    • Journal of Korean Medical classics
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    • v.22 no.1
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    • pp.207-228
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    • 2009
  • Objective : To find the main symptoms associated with atopic dermatitis and to get the utmost out of information about cause, treatment are contribute in the treatment of atopic dermatitis rather than looking for ways through how to connect modern atopic dermatitis and a listed symptom of classic literature. Method : In this research, we recorded about the main symptoms of atopic dermatitis such as itch, erythema, edema, pus and furuncle. Also we interpreted original text by extracting a sentence containing the terms like red[赤], pus[膿], flare[發赤], dermatosis[溞], swelling[洋], light red[紅], itch[瀁], worm running[蟲行], juice[汁], rash[癮疹], variegation[疹斑] and summarized cause of symptoms, disease sign, prescription. Results : There are the cause of many symptoms accompanied by atopic dermatitis in the body that recorded unpreparedness[虛], Wind[風], Fever[熱], unpreparedness & interruption of vitality hole[氣穴不通], unpreparedness & Wind, Wind Fever[風熱], Wind Coldness[風寒], Wind Humidity[風濕], Humidity Fever[濕熱], Wind Humidity Fever, Wind of Lungs[肺風], Wind of Lungs and Spleen[脾肺風], the Kidney Wind poison[腎臟風毒], Wind of Lungs Fever, Worm[蟲], miscellaneous vitality[雜氣], unpreparedness and Fever of Heart[心虛熱], old sore of kidney poison[久瘡腎臟風毒].

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A study on the alteration of general characteristics and therapeutic effect of GamiYeoldahansotang(加味熱多寒少湯) in patients with Atopic Dermatitis (가미열다한소탕(加味熱多寒少湯) 투여후 아토피 피부염 환자의 임상상 변화에 대한 연구)

  • Jung Hwan-Su;Lee Jin-Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.2
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    • pp.177-188
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    • 2001
  • Background : Atopic Dermatitis is thought to be a common and chronic relapsing inflammatory skin disease that probably results from allergic reaction. Because it make some serious problems in children, it is needed to treat and at least subside symptoms. Objective : The aim of this study was to evaluate the efficacy of GamiYeoldahansotang(加味熱多寒少湯) for treating Atopic Dermatitis and survey the general characteristics in children with Atopic Dermatitis. Method : Atopic Dermatitis with typical clinical symptoms were included in this study. Forty two patients were treated with hot water extract of GamiYeoldahansotang(加味熱多寒少湯) for four weeks. Clinical evaluation were made by Jacob T scoring system before and after treatment. Total Serum IgE, Eosinophil count were also conducted. Results : Reduction in body surface area was not observed. But significant reductions of severity scores before and after adminstration of GamiYeoldahansotang(加味熱多寒少湯) were observed in all of three groups: mind, moderate, severe. specially severe intensity group was very statistically significant.(p<0.05) Conclusion : We speculate that GamiYeoldahansotang(加味熱多寒少湯) has some therapeutic effects in mitigating the symptoms of Atopic Dermatitis.

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Two cases of Atopic Dermatitis with Gastrointestinal Disorders treated with Soshiho-tang (소시호탕(小柴胡湯)으로 호전을 보인 소화기계 문제를 동반한 아토피피부염의 치험 2례)

  • Noh, Hyeon-Min;Park, Sung-Gu;Park, In-Hae;Jo, Eun-Hee;Park, Min-Cheol
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.3
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    • pp.208-216
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    • 2016
  • Objectives : The purpose of this study is to report the effectiveness of Soshiho-tang on the patients who suffered from atopic dermatitis with gastrointestinal disorders.Methods : We diagnosed the symptoms and the signs of the patients who suffered from atopic dermatitis with gastrointestinal disorders as Soshiho-tang syndrome(嘔而發熱) according to 'Treatise on Cold Damage Disease(傷寒論)'. Patients are treated only with Soshiho-tang. The severity of Atopic dermatitis was evaluated by SCORAD index, visual analogue scale(VAS) and pictures. Gastrointestinal disorders(mainly food allergy, indigestion) were evaluated by patients' subjective complaint.Results : After the treatment, not only the severity of atopic dermatitis but gastrointestinal disorders were also improved.Conclusions : Soshiho-tang has improved the symptoms of Atopic dermatitis with gastrointestinal disorders in this study.

Inhibitory Effects of Camellia sinensis Extract on the Development of Atopic Dermatitis-like Lesions in NC/Nga Mice

  • Kim, Tae Hong;Ha, Si Young;Yang, Jae-Kyung
    • Journal of the Korean Wood Science and Technology
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    • v.42 no.5
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    • pp.579-589
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    • 2014
  • Atopic dermatitis (AD) syndrome is one of the most common and severe skin diseases in Korea; a large population has this disease. We examined the effects of the extract from the leaf and sprig of Camellia sinensis on the development of AD by using NC mice as a model of atopic dermatitis. Oral administration of the extract to NC/Nga mice treated with 2,4?dinitrochlorobenzene (DNCB) inhibited the development of AD-like skin lesions as shown by a significant decrease in the skin symptoms of the disease and a decrease in ear thickness and levels of immunoglobulin E (IgE) and thymus-and activation-regulated chemokine (TARC) level in the skin. Administration of the extract markedly suppressed the DNCB-induced mRNA expression of interleukin 4 (IL-4) and tumor necrosis factor ${\alpha}$ (TNF-${\alpha}$). The findings suggest that transdermal application of the extract may modulate in the skin of NC/Nga mice. The extract was effective for the prevention and treatment of AD.

Clinical Differences between Baekho-tang and Baekhogainsam-tang through Skin Disease Case (피부 질환 증례 연구를 통한 백호탕(白虎湯)과 백호가인삼탕(白虎加人參湯)의 비교)

  • Park, Sung-gu;Jo, Eun-hee;Choi, Hangyul;Hong, Jieun;Park, Min-cheol
    • Herbal Formula Science
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    • v.27 no.2
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    • pp.179-187
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    • 2019
  • Objective : The purpose of this paper is to analyze the difference between Baekho-tang(白虎湯) and Baekhogainsam-tang (白虎加人蔘湯). Methods : We compared the effect of Baekho-tang on atopic dermatitis and the effect of Baekhogainsam-tang on allergic contact dermatitis. We focused on the level of thirst. Results : After the Baekho-tang treatment, the SCORAD of atopic dermatitis patient decreased $63.8{\rightarrow}4.3$ and VAS of pruritus on atopic dermatitis patient were improved $8{\rightarrow}2$ respectively. Meanwhile, after the Baekhogainsam-tang treatment, the VAS of pruritus on allergic contact dermatitis patient was improved $7{\rightarrow}2$ and the thirst of the patient improved. Conclusions : There is a difference between Baekho-tang and Baekhogainsam-tang at the level of thirst. Baekhogainsam-tang continues to thirst hard enough to find water.

Severity of Atopic Dermatitis and Associated Factors in Korean Adolescents by Sex (성별에 따른 한국 청소년의 아토피 피부염 심각성과 영향요인)

  • Yi, Yunjeong;Hyun, Sook Jung;Lee, Jinhwa;An, Ji Yeon
    • Journal of the Korean Society of School Health
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    • v.30 no.2
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    • pp.164-173
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    • 2017
  • Purpose: Despite the high incidence, the incidence of atopic dermatitis among adolescents has been continuously increasing. The study was conducted to examine the severity of atopic dermatitis among middle school students and to identify the factors affecting the severity. Methods: The data used in the analysis are from 2015 Youth Health Behavior Online Survey. Complex sample analysis was conducted to analyze the severity of atopic dermatitis which was defined by the treatment experience of atopic dermatitis and the number of absent days due to the disease as its criteria. Binary logistic regression of the factors affecting the severity of atopic dermatitis by gender was done. Results: The severity of atopic dermatitis was high in male students who were in a lower grade (freshmen), who smoked, or who consumed soft drinks at least once a week, while in female students who were in a lower grade (freshmen, sophomore), who consumed alcohol, who consumed highly caffeinated drinks at least once a week or who consumed sweet drinks at least once a week. The severity of atopic dermatitis was lower in female students who lived in big cities or medium/small sized cities or engaged in physical activities less than three times a week. Conclusion: For atopic dermatitis among middle school students, the importance of dietary management should be considered. This indicates that families, schools, and communities have their own responsibilities and efforts to relieve the symptoms of the atopic dermatitis.

Clinical manifestations patterns of allergic disease in Korean children under the age of 6 : multi-center study (다 기관 설문 조사를 통한 알레르기 질환의 연령별 임상 양상)

  • Kim, Dong Il;Yang, Hyeon Jong;Park, Young Mean;Rha, Yeong Ho;Choung, Ji Tai;Pyun, Bok Yang
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.640-645
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    • 2008
  • Purpose : It is widely known that allergic diseases progress through an allergic march. However, there have not been any recent reports in Korea on how the diseases progress. Methods : Parents who visited one of the Pediatric Allergy Clinics of four university hospitals in Seoul with a child under the age of 6 years during the period from May 1-30, 2006 were asked to complete a questionnaire. Results : A total of 229 parents answered the questionnaire about their children, of which 122 were male and 107 were female. The most common allergic disease before 2 years of age was atopic dermatitis (79%). Meanwhile, in 2- to 4-year age group, allergic rhinitis (38%) and asthma (37%) were predominant. The most common allergic disease in the 4- to 6-year age group was asthma (72%), followed by allergic rhinitis (64%). Seventy-three percent of the children had a family history of allergic disease, most often in the fathers (39%). Among patients with allergic rhinitis, 50% had experienced asthma in their earlier days and 30% had experienced atopic dermatitis. In addition, 57% of the children with asthma had suffered from atopic dermatitis. Parents believed that asthma was the most serious allergic disease. Conclusion : In the present study, allergic disease showed a tendency to march from atopic dermatitis to asthma and then to allergic rhinitis. Early diagnosis and treatment of atopic dermatitis is, therefore, considered important for prevention of the allergic march.