• 제목/요약/키워드: eczema herpeticum

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아토피 피부염 환아에서 한방 치료 후 발생한 중증 포진상 습진(Eczema Herpeticum) 2례 (Two Cases of Severe Eczema Herpeticum after Herbal Medication in Children with Atopic Dermatitis)

  • 김진만;이소연;김영호;신언우;장우영;오필수;김광남
    • Pediatric Infection and Vaccine
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    • 제12권2호
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    • pp.208-212
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    • 2005
  • 포진상 습진(eczema herpeticum)은 헤르페스의 가장 심한 양상 중 하나로서, 아토피 피부염 등이 있는 피부에 HSV가 감염되어 발생하며 치명적일 수 있다. 포진상 습진은 HSV의 1차 감염 뿐만 아니라 2차 감염에 의해서도 발생할 수 있다. 포진상 습진에서 2차성 세균 감염은 흔하게 발생하는데, 황색포도상구균이 가장 흔하게 분리되는 호기성 균주이다. 포진상 습진의 치료에 중요한 점은 전신적인 항바이러스 치료를 빨리 시작하고 2차적인 세균 감염을 줄이기 위해 항균제를 사용하는 것이다. 저자들은 지속적인 아토피 피부염으로 인해 한방 치료를 받던 환아에게서 중증 포진상 습진이 발생한 2례를 화상 드레싱 및 항바이러스제 치료로 호전을 보인 경험을 하여 이를 보고하는 바이다.

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아토피 환자에 병발한 포진상 습진 치험 1례 (A case of eczema herpeticum with atopic dermatitis treated by Oriental Medicine)

  • 정민영;김민정;송진수;이유진;김종환;박수연;최정화
    • 한방안이비인후피부과학회지
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    • 제22권2호
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    • pp.290-297
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    • 2009
  • Eczema herpeticum is a widespread Herpes simplex virus(HSV) infection, which usually develops in patients with atopic dermatitis, because prutitis in patients with atopic dermatits leads them to scratch their bodies, it cause the dissemination of Herpes simplex virus. This study carried out to observe the progress of Eczema herpeticum and find effective remedy. The pastient was taken Herb-medicine with acupunture, cupping theraphy, aroma theraphy, and etc. After the treatment the grade of VAS was decressed and clinical symptoms were gradually disappeared. Those results suggest that herbal treatment was effective to Eczema herpeticum.

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외접근 비교정술 후 발생한 단순 포진 바이러스 감염 치험례 (Herpes Simplex Virus Infection after Corrective Rhinoplasty through External Approach: Two Case Reports)

  • 김홍일;황소민;안성민;임광열;정용휘;송제니퍼김;정재용
    • 대한두개안면성형외과학회지
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    • 제13권1호
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    • pp.68-71
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    • 2012
  • Purpose: Eczema herpeticum, caused by herpes simplex virus, is an infectious disease involving skin and internal organs. Varieties of physiologic, psychosocial, or environmental stress reactivate reservoir virus which exists in the trigeminal nerve ganglia. Authors report rare cases of nasal eczema herpeticum following corrective rhinoplasty. Methods: First case, 22-year-old female underwent corrective rhioplasty through an external approach in a local clinic. She developed progressive and painful erythema, nodules and vesicles on nose on the 9th day postoperatively. This unfamiliar lesion lead to a misdiagnosis as a bacterial infection, and had accelerated its progress to the trigeminal innervation of the nasal unit. Second case, a 23-year-old female underwent corrective rhinoplasty by external lateral osteotomy. Ten days after the surgery, disruption occurred on the external osteotomy site, and the ulceration gradually worsened. The surgeon misdiagnosed it as secondary bacterial infection and only an antibacterial agent was applied. Results: Both cases were healed effectively without any complication with proper wound dressing and antiviral therapy, and show no sequelae during an 8-month follow-up period. Conclusion: Eczema herpeticum is rare in the field of plastic surgery, but it should be kept in mind that secondary bacterial infections may lead to serious complications such as full-thickness skin loss. Thus, acknowledgement of the patient's past history regarding perioral or intraoral lesion may provide the surgeon with the possible expectancy of eczema herpeticum. Thus, if anyone develops eczema herpeticum, following facial plastic surgery, early diagnosis and immediate proper antiviral therapy will allow fast recovery without serious complications.

Common features of atopic dermatitis with hypoproteinemia

  • Jo, So Yoon;Lee, Chan-Ho;Jung, Woo-Jin;Kim, Sung-Won;Hwang, Yoon-Ha
    • Clinical and Experimental Pediatrics
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    • 제61권11호
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    • pp.348-354
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    • 2018
  • Purpose: The purpose of this study was to identify the causes, symptoms, and complications of hypoproteinemia to prevent hypoproteinemia and provide appropriate treatment to children with atopic dermatitis. Methods: Children diagnosed with atopic dermatitis with hypoproteinemia and/or hypoalbuminemia were retrospectively reviewed. The patients' medical records, including family history, weight, symptoms, treatment, complications, and laboratory test results for allergies and skin cultures, were examined. Results: Twenty-six patients (24 boys) were enrolled. Seven cases had growth retardation; 7, keratoconjunctivitis; 6, aural discharges; 5, eczema herpeticum; 4, gastrointestinal tract symptoms; and 2, developmental delays. In 21 cases, topical steroids were not used. According to the blood test results, the median values of each parameter were elevated: total IgE, 1,864 U/mL; egg white-specific IgE, $76.5kU_A/L$; milk IgE, $20.5kU_A/L$; peanut IgE, $30kU_A/L$; eosinophil count, $5,810/{\mu}L$; eosinophil cationic protein, $93.45{\mu}g/L$; and platelet count, $666.5{\times}10^3/{\mu}L$. Serum albumin and total protein levels decreased to 2.7 g/dL and 4.25 g/dL, respectively. Regarding electrolyte abnormality, 10 patients had hyponatremia, and 12, hyperkalemia. Systemic antibiotics were used to treat all cases, and an antiviral agent was used in 12 patients. Electrolyte correction was performed in 8 patients. Conclusion: Hypoproteinemia accompanying atopic dermatitis is common in infants younger than 1 year and may occur because of topical steroid treatment continuously being declined or because of eczema herpeticum. It may be accompanied by growth retardation, keratoconjunctivitis, aural discharge, and eczema herpeticum and can be managed through skin care and topical steroid application without intravenous albumin infusion.

Kaposi's Varicelliform Eruption in Atopic Dermatitis treated with Korean medicine

  • Lee, Dong-Jin;Kwon, Kang;Sun, Seung-Ho;Seo, Hyung-Sik
    • 대한약침학회지
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    • 제17권2호
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    • pp.80-83
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    • 2014
  • Objectives: This case report is to present a complete recovery from Kaposi's varicelliform eruption (KVE) that occurred in a patient with atopic dermatitis by applying Korean Medicine therapies. Methods: Hwangyeonhaedoktang pharmacopuncture (HP), 0.3 mL, and 25% bee venom pharmacopuncture (BVP), 0.1 mL, were injected, 0.2 mL each, at both BL13 acupoints once a day in the morning. Acupuncture was applied at Sama Upper, Middle and Lower of the Master Tung acupuncture points and at ST44 on the left lateral for 30 minutes twice a day. The affected face was gauze dressed with mixture of 2.0 mL HP and 1.0 mL 25% BVP with 20 mL of normal saline twice a day. Herbal Medicine, Seungmagalgeuntang, was administered three times a day after each meal. Results: Rashes and papules on the face were completely cleared after 10 days of treatments. Conclusion: KVE, an acute and urgent dermatitis, can be effectively treated with Korean medicine.

헤르페스 바이러스 감염으로 발생한 대식 세포 활성 증후군을 첫 증상으로 한 소아 전신 홍반 루푸스 (Macrophage Activation Syndrome Triggered by Herpes Viral Infection as the Presenting Manifestation of Juvenile Systemic Lupus Erythematosus)

  • 노지혜;정도영;전인수;김황민
    • Pediatric Infection and Vaccine
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    • 제22권3호
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    • pp.210-215
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    • 2015
  • 대식세포 활성 증후군(MAS, Macrophage activation syndrome)은 전신 홍반성 루푸스(SLE, systemic lupus erythematous) 환자에서 감염에 의해 나타날 수 있는 드문 합병증이다. MAS는 기저의 자가면역질환의 임상양상과 유사하게 나타나거나 혹은 감염성 합병증과 혼돈될 수 있어 감별에 주의 하여야 한다. 14세 여환이 2주간 지속되는 발열과 통증을 동반하는 얼굴의 피부 발진을 주소로 내원하였다. 피부 발진과 간비대, 범혈구 감소증, aspartate aminotransferase, lactate dehydrogenase, 혈청 ferritin이 상승하여, MAS를 의심하였다. 피부 병변과 항핵체 양성, C3와 C4의 감소, 간접 쿰스검사 양성으로 SLE를 진단하였다. 따라서 본 증례는 MAS가 HSV에 의하여 촉발된 것을, SLE의 첫 증상으로서 나타낸 증례로서, 촉발 요인 및 기저질환을 치료함으로써 중증의 합병증 없이 호전되었다.