• 제목/요약/키워드: skin severity score

검색결과 74건 처리시간 0.048초

Platycodin D를 포함하는 도라지 추출물이 DNCB 유도 알레르기성 아토피 피부염에 미치는 영향 (Inhibitory Effect of PG-Platycodin D on the Development of Atopic Dermatitis-Like Skin Lesions in ICR Mice)

  • 박세진;김윤석;김택중
    • 생명과학회지
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    • 제22권10호
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    • pp.1339-1343
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    • 2012
  • 알레르기성 아토피 피부염은 면역적 반응을 포함하는 복잡한 원인을 가진 염증성 질환이다. 본 연구는 ICR mice의 등쪽 부위에 반복적인 DNCB 도포를 통해 유발시킨 알레르기성 아토피 피부염에 있어서 PG-Platycodin D의 효능에 대해 연구하였다. PG-Platycodin D의 효능은 scratching behavior, skin severity score, 그리고 조직병리학적 관찰을 통해서 확인하였다. PG-Platycodin D가 scratching behavior, skin severity score 수준을 감소시킴을 확인할 수 있었다. 또한, 조직병리학적 관찰에 의해 PG-Platycodin D군에서 피부의 부종이 효과적으로 억제됨을 알 수 있었다. 이러한 결과로부터 알레르기성 아토피 피부염에 있어서 Platycodin D가 포함된 도라지 추출물이 유용한 천연 원료 물질로서 가능성을 가짐을 확인하였다.

Do Severity Score and Skin Temperature Asymmetry Correlate with the Subjective Pain Score in the Patients with Complex Regional Pain Syndrome?

  • Jeon, Seung Gyu;Choi, Eun Joo;Lee, Pyung Bok;Lee, Young Jae;Kim, Min Soo;Seo, Joung Hwa;Nahm, Francis Sahngun
    • The Korean Journal of Pain
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    • 제27권4호
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    • pp.339-344
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    • 2014
  • Background: The diagnostic criteria of complex regional pain syndrome (CRPS) have mainly focused on dichotomous (yes/no) categorization, which makes it difficult to compare the inter-patient's condition and to evaluate the intra-patient's subtle severity over the course of time. To overcome this limitation, many efforts have been made to create laboratory methods or scoring systems to reflect the severity of CRPS; measurement of the skin temperature asymmetry is one of the former, and the CRPS severity score (CSS) is one of the latter. However, there has been no study on the correlations among the CSS, temperature asymmetry and subjective pain score. The purpose of this study was to evaluate whether there is any correlation between the CSS, skin temperature asymmetry and subjective pain score. Methods: Patients affected with CRPS in a unilateral limb were included in this study. After making a diagnosis of CRPS according to the Budapest criteria, the CSS and skin temperature difference between the affected and unaffected limb (${\Delta}T$) was measured in each patient. Finally, we conducted a correlation analysis among the CSS, ${\Delta}T$ and visual analogue scale (VAS) score of the patients. Results: A total of 42 patients were included in this study. There was no significant correlation between the ${\Delta}T$ and VAS score (Spearman's rho = 0.066, P = 0.677). Also, the CSS and VAS score showed no significant correlation (Spearman's rho = 0.163, P = 0.303). Conclusions: The ${\Delta}T$ and CSS do not seem to reflect the degree of subjective pain in CRPS patients.

피부건조증 환자에 대한 아로마오일 사용시 스킨 pH.소양증 변화 (The Effects of Aromatherapy on Skin pH and Pruritis in Patients with Xerosis Cutis)

  • 김은정;유왕근
    • 대한예방한의학회지
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    • 제8권2호
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    • pp.55-63
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    • 2004
  • Objectives : This study was designed to identify the possibility of aroma oils as the complementary medical goods specially for the effects of aromatheraphy on xerosis cutis. Materials and Methods : The participants were 23 adult patients and all participants of this study use aroma oils which is known to effect on xerosis cutis. The subjects consist of voluntary patients with xerosis cutis in Seong-So Hospital in Andong Kyoungbuk, Korea. From April 1st to April 30th, 2004 for 4 weeks, the subjects massaged aroma oils on itching parts or the whole body. Aroma oils were Lavender, Losemary, Jasmine and blended drop by drop per 10ml jojoba oil which used a carrier oil. Skin pH was measured with a skin pH meter(Model : HI98110, Se-Chang instruments, made in Portuga. After 4weeks using aroma oils, the participants answered questions about the feeling of satisfaction with aroma oils. Results : Changes in the physiological indices. The mean deviation of skin pH was $5.58{\pm}0.47$ points before using aroma oils and $5.53{\pm}0.45$ points after 2 weeks, no statistical significance was found(p=0.221). MD was $5.36{\pm}0.41$ points after 4 weeks using aroma oils, which was statistically significant decrease of 0.22 points(p=0.001) Changes on the Pruritus Score Scale. A modified scale of the Pruritus Score Scale(Duo, 1987) was used to measure the severity, location, frequency, and the inconveniences of daily life due to prurius. The maximum scale of severity was 4 points, the full marks of location was 2 points, the full marks of frequency was 3 points, the full marks of inconveniences of daily life due to pruritus was 3 points. The scores ranged from 0 to 12, with 12 indicating the most severe pruritus. There was no statistical difference in severity and frequency score at 4 weeks later(severity p=0.097, frequency p=0.633). A statistically significant difference was found in the score of location and the inconveniences of daily life due to pruritus(each p=0.003). Conclusion : Generally speaking, the patient suffering from renal itch is the higher than normal in skin pH levels. that means to show alkaline condition of skin surface. In some case in this study, skin pH levels was rather lower than normal levels when measured actually patients suffering from renal itch by skin pH meter. But in this study post-test skin pH levels decreased, showing the contribution of aromathrapy to acidic condition of skin surface in suffering from renal itch. It seems to be some help to cure a pruritus and also have no ill effects on aroma oils.

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Physiological Predictors of Treatment Response to Biofeedback in Patients With Panic Disorder

  • Seongje Cho;In-Young Yoon;Ji Soo Kim;Minji Lee;Hye Youn Park
    • 정신신체의학
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    • 제31권1호
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    • pp.19-24
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    • 2023
  • Objectives : Biofeedback is a useful non-pharmacological treatment for panic disorder (PD), but no studies have identified physiological markers related to the treatment response. This study investigated predictors of the treatment response for biofeedback in patients with PD. Methods : A retrospective study based on the electronic medical records of 372 adult patients with PD was performed. Patients received biofeedback treatment at least once, and physiological markers including heart rate, heart rate variability, respiratory rate, skin conductance, skin temperature, and electromyography were collected before the treatment began. The patients were classified as responders or non-responders based on the change in Clinical Global Impression-Severity (CGI-S) score. Results : The response rate to biofeedback treatment was 30.4%. Multivariable logistic regression analysis revealed that a higher CGI-S score at baseline and fewer benzodiazepine prescriptions were associated with a better response to biofeedback treatment. According to subgroup analyses, the baseline CGI-S score, dose of benzodiazepines, and skin conductance are candidate predictors of the response to biofeedback treatment in men, while only baseline disease severity was associated with the treatment response in women. Conclusions : The present results suggest that skin conductance may be target marker and predictor for biofeedback in male patients with PD.

잔가시 모자반 에탄올 추출물의 항아토피 효과 (Anti-atopic Activity of Sargassum micracanthum Ethanol Extracts)

  • 정다현;김꽃봉우리;김민지;강보경;박시우;박원민;김보람;박홍민;임무혁;안동현
    • 한국미생물·생명공학회지
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    • 제42권1호
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    • pp.82-88
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    • 2014
  • 본 연구는 DNCB 도포를 통해 아토피 피부염을 유발시킨 BALB/c mice에 SMEE를 2주 동안 지속적으로 처리하여 SMEE의 아토피 피부염 완화 효과에 대해 연구하였다. 따라서 IFN-${\gamma}$ 및 IL-4 cytokine의 분비량, 비장세포 증식능, 혈청 중 총 IgE 함량, 육안 평가 및 skin clinical severity score를 실시하였다. 그 결과 SMEE를 지속적으로 도포함으로써 IL-4 cytokine과 총 IgE 함량이 현저히 감소하는 것을 확인할 수 있었으며 IFN-${\gamma}$ cytokine은 유의적으로 증가하는 것을 확인하였다. 세포증식능 측정결과, SMEE 처리구의 경우 negative control군과 유사한 수준까지 억제됨을 나타냈으며, 비장세포의 비이상적인 증식에 SMEE 도포처리가 큰 영향을 미치지 않는 것으로 나타났다. 육안평가 및 skin clinical severity score 결과, SMEE를 2주간 지속적으로 도포 처리하였을 때, 그 증상이 눈에 띄게 완화되는 것을 확인할 수 있었으며 score 또한 positive control과 비교 시 유의적으로 감소하였다. 결과적으로 SMEE는 Th1 cytokine 생성은 증가시키고 Th2 cytokine 생성은 억제하여 IgE의 과다발현을 억제함으로써 아토피 피부염의 개선에 뛰어난 효능을 가지고 있는 것으로 사료된다.

BALB/c 및 NC/Nga 마우스의 아토피성 피부질환모델에서 생약조성물 SPZZC의 치료효능 (Effect of SPZZC, a Composition of Herb Extracts, on Atopic Dermatitis in BALB/c and NC/Nga Mouse)

  • 이금선;아이크;최지영;윤서영;최종현;강태진;오세군;정재훈
    • 약학회지
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    • 제52권3호
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    • pp.232-239
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    • 2008
  • The aim of this study was to evaluate if a composition of herb extracts, PLX-PLS was effective to treat atopic dermatitis (AD) in mice. SPZZC is a composition of herb extracts containing the roots of Scopolia parviflora and Paeonia lactiflora, the herb of Zizania caudiflora, the fruit of Ziziphus jujuba and the leaf of Chinese arborvitae. AD in BALB/c mouse was induced by patching ovoalbumin on the backside, while it in NC/Nga mouse was induced by repeated application of 1-chloro 2,4-dinitrobenzene (DNCB). Mice were topically treated with SPZZC or Domohorn ointment on the backside for 2 weeks (BALB/c) or 1 week (NC/Nga). Scratching behavior, clinical skin severity and the levels of WBC, neutrophil, eosinophil and total serum IgE were measured. After AD induction, scores of scratching behavior and clinical skin severity and the levels of WBC, neutrophil, eosinophil and total serum IgE were increased. Treatment with SPZZC significantly decreased scores of scratching behavior and clinical skin severity in a dose dependent manner in NC/Nga and BALB/c mice. Treatment with SPZZC 2% significantly decreased also the levels of WBC, neutrophil, eosinophil and total serum IgE. Especially, treatment of SPZZC 2% reduced more rapidly score of clinical skin severity than clobetasol cream. These results suggest that the SPZZC may be an alternative substance for the management of AD.

냉부하검사를 통한 수부냉증의 진단 (Cold stress test for the diagnosis of cold hypersensitivity on hands)

  • 한지영;조정훈;장준복;김용석;이경섭
    • 대한한방체열의학회지
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    • 제2권1호
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    • pp.17-23
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    • 2003
  • Purpose The cold hypersensitivity is a subjective symptom and it is very difficult to evaluate the severity. It is possible to detect cold hypersensitivity by measuring the skin temperature on DITI, but there is limitation only using DITI to find the objective grade of the symptom. To set a new objective standard for the diagnosis of cold hypersensitivity, we examined the relationship between the Visual Analogue Scale (VAS) score for the cold hypersensitivity and the change of skin temperature on hands by cold stress test Method 23 patients with symptom of cold hypersensitivity were participated as subjects who visited the women medical center of Kangnam Kyunghee Korean Hospital, Kyung Hee Univ. from May 1, 2002 to August 31, 2002. There were all carefully examined to rule out other disease such as obesity, skin diseases, spinal nerve lesions and external wounds. Thermographic observations for this study were made using DITI. We performed cold stress test three times to compare with the results from thermographic observations by DITI: first, after 15 minutes-resting, second, right after 1 minutes soak in $20^{\circ}C$ water, the third for last, 10 minutes after the soak. VAS score was chosen to determine the severity of cold hypersensitivity. Result 1 male and 22 female patients were participated ranging in age from 22.17 to 45.21. There was a significant negative correlation between the recovery rate of finger skin temperature after cold stress test and the VAS score. And there was a significant positive correlation between the difference of finger skin temperature and the back and palm of hands after cold stress test and the VAS score. Conclusion In cold hypersensitivity patients, the cold stress test combined with DITI could be a accurate method for the objective evaluation of cold hypersensitivity, especially good at deciding the severity by numeric values. Using a more strict criterion, as diagnosing of cold hypersensitivity, and longer follow-up may improve the validity of the results attained in clinical trials.

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참모자반 물 추출물의 항아토피 효과 (Inhibitory Effect of Sargassum fulvellum Water Extract on 2,4-Dinitrochlorobenzene-induced Atopic Dermatitis-like Skin Lesions in Mice)

  • 정다현;안나경;최연욱;박지혜;배난영;박선희;김민지;김꽃봉우리;안동현
    • 한국미생물·생명공학회지
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    • 제43권2호
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    • pp.150-157
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    • 2015
  • 본 연구는 BALB/c mice의 등 쪽 부위에 반복적인 DNCB 도포를 통해 유발시킨 아토피 피부염에 있어서 참모자반 물 추출물의 효능에 대해 연구하였다. 참모자반 물 추출물을 2주 동안 지속적으로 처리하고 IL-4 및 IFN-γ cytokine의 분비량, 비장세포 증식능, 혈청 중 총 IgE 함량, 육안 평가 및 skin clinical severity score, 조직관찰을 실시하였다. 그 결과 참모자반 물 추출물을 지속적으로 도포함으로써 IL-4 cytokine과 총 IgE 함량이 현저히 감소하는 것을 확인할 수 있었으며 IFN-γ cytokine은 유의적으로 증가하는 것을 확인하였다. 비장세포 증식능에는 참모자반 물 추출물의 도포처리가 큰 영향을 미치지 않는 것으로 나타났다. 육안평가 및 skin clinical severity score 결과, 참모자반 물 추출물을 2주간 지속적으로 도포 처리하였을 때, 그 증상이 눈에 띄게 완화되는 것을 확인할 수 있었으며 score 또한 DNCB 단독 처리군과 비교 시 유의적으로 감소하였다. 등 조직 관찰에서도 참모자반 물 추출물에 의해 DNCB로 유발된 아토피 동물 실험군의 경피 및 진피 조직 두께 및 진피에서의 mast cell의 침윤 정도가 감소되었음을 확인하였다. 이상 결과를 종합 해볼 때, 참모자반 물 추출물이 아토피 피부염 치료제로서 이용 가능성이 있을 것으로 사료된다.

아토피 피부염의 동물 모델인 NC/Nga Mice에서의 우묵사스레피의 면역조절 효과 (Immunomodulatory Effects of Eurya emarginata on NC/Nga Mice as Models for Atopic Dermatitis)

  • 이승헌
    • 생명과학회지
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    • 제24권4호
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    • pp.447-453
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    • 2014
  • 본 연구에서는 1-chloro-2,4-dinitrobenzene (DNCB)로 유도한 아토피 피부염 동물 모델인 NC/Nga mice에 대한 Eurya emarginata 에탄올 추출물(EE-70E)의 면역 조절 효능을 확인하고자 하였다. DNCB를 5주간 도포하여 유도한 아토피 동물 모델인 NC/Nga mice에 EE-70E를 3주간 경구 투여한 후 scratching behavior 및 clinical skin severity score, 혈청 면역지표(IL-4, IL-13, IL-17, histamine, IgG1, IgE)의 농도를 측정하였다. DNCB를 도포하여 3주동안 경구 투여한 결과, EE-70E의 200 및 400mg/kg 용량에서 clinical skin severity의 감소, scratching behavior의 감소 및 혈중 IL-4 및 IL-13, IL-17, histamine, IgE의 농도가 대조군과 비교하여 유의성 있게 농도의존적으로 감소하는 결과가 관찰되었다(p<0.05). EE-70E의 경구투여는 NC/Nga mice 아토피 피부염 동물모델에서 면역조절 작용 및 아토피 피부염의 개선 효과를 가짐을 나타냈다. 따라서 EE-70E은 아토피 피부염에 유용한 천연자원으로서 기대된다.

DNCB로 유발된 아토피 피부염 동물 모델에 대한 곽향정기산(藿香正氣散) 경구투여의 효과 (The Effects of Orally Administrated Gwakhyangjeonggi-san on DNCB-induced Atopic Dermatitis like Mice Model)

  • 손미주;이소민;박성환;김영은;정지연
    • 한방안이비인후피부과학회지
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    • 제32권2호
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    • pp.94-106
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    • 2019
  • Objectives : This study was conducted to investigate the effects of Gwakhyangjeonggi-san(GJS) on atopic dermatitis(AD) induced by 2,4-dinitrochlorobenzene(DNCB) in mice. Methods : The mice(Balb/c mice) were divided into three groups; normal Balb/c mice with oil treatment(Sham group), DNCB-induced AD mice(AD group), and GJS treated AD mice(GJS group). GJS group were orally administered GJS daily for 2 weeks. We observed changes of clinical skin severity score, the expression of thymic stromal lymphopoietin(TSLP), interleukin(IL)-4 and tumor necrosis factor(TNF)-${\alpha}$ in skin and mast cell infiltration. Also, serum immunoglobulinE(IgE), IL-4, $TNF-{\alpha}$ and IL-6 were evaluated. Results : The clinical skin severity score of GJS group was decreased compared to AD group. In hematoxylin and eosin staining results, GJS group showed a significant reduction of epithelial skin thickness. In addition, expression of TSLP and mast cell infiltration in skin were also reduced by GJS treatment compared to those of AD group. Thus, we evaluated expression of IL-4, Th2-dependent cytokine, and $TNF-{\alpha}$, pro-inflammatory cytokine in skin. GJS significantly reduced both IL-4 and $TNF-{\alpha}$ compared to AD mice. Moreover, levels of IgE, IL-4, $TNF-{\alpha}$ and IL-6 in plasma also significantly decreased by oral GJS treatment. Conclusion : The present study suggests that GJS can significantly reduced symptoms of AD, therefore it can be a promising candidate for anti-atopic dermatitis treatment.