만성 수부 습진을 호소하는 소음인 환자 치험 1례
A Clinical Case Report of Soeumin Patient with Chronic Hand Eczema
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Introduction Hand eczema is dermatitis that occurs on the hand and fingers. In this case, the patient had chronic hand eczema that had relapsed for 3 years, worsened for 6 months, and did not improve even with standard dermatological treatment. We report significant improvement of the patient with chronic hand eczema, diagnosed with Soeunmin Greater Yin Symptomatology based on Sasang Constitutional Medicine. Methods We prescribed herbal medicine, Sibimigwanjung-tang(十二味寬中湯), and the western medications were continued throughout the treatment period. To evaluate the treatment progression, we observed objective and subjective symptoms and took pictures of the patient’s hands. Results At the first time of the outpatient visit, the patient complained of pain, oozing, scaling and severe itching even though she had taken dermatological medication for over 6 months. After 8 weeks of Korean medicine treatment, most symptoms showed improvement, and after about 47 weeks of treatment, the symptoms maintained 90% improvement even after stopping western medications and herbal medications. Conclusion The patient in this case showed a significant improvement of chronic hand eczema and the improvements have been maintained even stopping western medications and herbal medications during follow-up for 15 weeks. In addition, the patient showed improvement and maintenance of general conditions as well as skin-related symptoms. In this case, we can concern the effect of the Sasang Constitutional Medicine focused on treating the patient's general pathology as well as the patient's chief complaint at chronic hand eczema not responding to standard dermatological treatment.
Abstract
Introduction Hand eczema is dermatitis that occurs on the hand and fingers. In this case, the patient had chronic hand eczema that had relapsed for 3 years, worsened for 6 months, and did not improve even with standard dermatological treatment. We report significant improvement of the patient with chronic hand eczema, diagnosed with Soeunmin Greater Yin Symptomatology based on Sasang Constitutional Medicine. Methods We prescribed herbal medicine, Sibimigwanjung-tang(十二味寬中湯), and the western medications were continued throughout the treatment period. To evaluate the treatment progression, we observed objective and subjective symptoms and took pictures of the patient’s hands. Results At the first time of the outpatient visit, the patient complained of pain, oozing, scaling and severe itching even though she had taken dermatological medication for over 6 months. After 8 weeks of Korean medicine treatment, most symptoms showed improvement, and after about 47 weeks of treatment, the symptoms maintained 90% improvement even after stopping western medications and herbal medications. Conclusion The patient in this case showed a significant improvement of chronic hand eczema and the improvements have been maintained even stopping western medications and herbal medications during follow-up for 15 weeks. In addition, the patient showed improvement and maintenance of general conditions as well as skin-related symptoms. In this case, we can concern the effect of the Sasang Constitutional Medicine focused on treating the patient's general pathology as well as the patient's chief complaint at chronic hand eczema not responding to standard dermatological treatment.
참고문헌 (20)
- Pieter-Jan Coenraads, "Hand Eczema", New England Journal of Medicine, 367(19), pp.1829~1837 (2012), Massachusetts Medical Society[DOI]
- Dirk M. Elston, "Hand dermatitis", Journal of the American Academy of Dermatology, 47(2), pp.291~299 (2002), Elsevier BV[DOI]
- Kristina S. Ibler, "Hand eczema: prevalence and risk factors of hand eczema in a population of 2274 healthcare workers", Contact Dermatitis, 67(4), pp.200~207 (2012), Wiley[DOI]
- Susan Hovmand Lysdal, "Hand eczema in hairdressers: a Danish register-based study of the prevalence of hand eczema and its career consequences", Contact Dermatitis, 65(3), pp.151~158 (2011), Wiley[DOI]
- Afsaneh Alavi, "Diagnosis and Treatment of Hand Dermatitis", Advances in Skin & Wound Care, 25(8), pp.371~380 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Torkil Menné, "Hand eczema guidelines based on the Danish guidelines for the diagnosis and treatment of hand eczema", Contact Dermatitis, 65(1), pp.3~12 (2011), Wiley[DOI]
- T.L. Diepgen, "Hand eczema classification: a cross-sectional, multicentre study of the aetiology and morphology of hand eczema", British Journal of Dermatology, 160(2), pp.353~358 (2009), Wiley[DOI]
- Griffin R. Lee, "Current and emerging therapies for hand eczema", Dermatologic Therapy, 32(3) (2019), Wiley[DOI]
- M. Hald, "Clinical severity and prognosis of hand eczema", British Journal of Dermatology, 160(6), pp.1229~1236 (2009), Wiley[DOI]
- Hwang MW, "Lecture of Sasang Constitutional Medicine" (2012), Koonja Publishing
- 박민영, "한포진으로 진단된 소양인 환자 치험 1례", 사상체질의학회지, 30(3), pp.104~115 (2018), 사상체질의학회[DOI]
- 원영호, "한포진 환자의 사상의학적 치험 3례", 한방안이비인후피부과학회지, 27(4), pp.221~229 (2014), 대한한방안이비인후피부과학회
- Charles Lynde, "Canadian Hand Dermatitis Management Guidelines", Journal of Cutaneous Medicine and Surgery, 14(6), pp.267~284 (2010), SAGE Publications[DOI]
- Andrea Bauer, "Interventions for preventing occupational irritant hand dermatitis", Cochrane Database of Systematic Reviews, 2018(4) (2018), Wiley[DOI]
- N K Veien, "Long-term, intermittent treatment of chronic hand eczema with mometasone furoate", British Journal of Dermatology, 140(5), pp.882~886 (1999), Wiley[DOI]
- Drake LA, "Guidelines of care for the use of topical glucocorticosteroids", Journal of the American Academy of Dermatology, 35(4), pp.615~619 (1996)[DOI]
- S.M. Halpern, "Guidelines for topical PUVA: a report of a workshop of the British Photodermatology Group", British Journal of Dermatology, 142(1), pp.22~31 (2000), Wiley[DOI]
- 박민영, "사상의학의 표리변증에 대한 소증 진단지표 개발연구: 소음인, 소양인, 태음인을 중심으로", 사상체질의학회지, 32(4), pp.65~85 (2020), 사상체질의학회[DOI]
- 황민우, "소음인체질병증 임상진료지침: 태음병", 사상체질의학회지, 26(1), pp.45~54 (2014), 사상체질의학회[DOI]
- 김성태, "十二味寬中湯으로 호전된 少陰人 성인형 아토피 피부염 치험 1례", 사상체질의학회지, 25(2), pp.115~123 (2013), 사상체질의학회[DOI]