베게너 육아종으로 진단된 좌안면신경마비 환자에 대한 한의복합치료 1례
A Case Report of Korean Medicine Treatment for a Patient with Left Facial Palsy Diagnosed with Wegener’s Granulomatosis
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Background: The study reports the effect of Korean medicine treatment on a patient with left facial palsy caused by Wegener’s granulomatosis. Case information: The patient was receiving steroid treatment for facial palsy and was hospitalized for 21 days. He received acupuncture, electroacupuncture, bee venom pharmacopuncture, and moxibustion treatment along with Ssanghwa-tang and Cheongansohabwon herbal medicine treatment. During hospitalization, the Sunnybrook facial grading scale, House-Brackmann scale and length of time for the eye to completely close were evaluated at 11/16, 11/21, 11/27, 12/1, and 12/6. Post treatment, the degree of the movement in the left eyelid was improved, it took less time for the eye to close completely, the movement of the forehead wrinkle muscles improved, but that of the facial muscles under the eyes and left orbicularis oculi muscle showed little improvement. Conclusion: Korean medicine treatment for facial palsy caused by Wegener’s Granulomatosis helps restore mobility of the forehead and orbicularis oculi muscles.
Abstract
Background: The study reports the effect of Korean medicine treatment on a patient with left facial palsy caused by Wegener’s granulomatosis. Case information: The patient was receiving steroid treatment for facial palsy and was hospitalized for 21 days. He received acupuncture, electroacupuncture, bee venom pharmacopuncture, and moxibustion treatment along with Ssanghwa-tang and Cheongansohabwon herbal medicine treatment. During hospitalization, the Sunnybrook facial grading scale, House-Brackmann scale and length of time for the eye to completely close were evaluated at 11/16, 11/21, 11/27, 12/1, and 12/6. Post treatment, the degree of the movement in the left eyelid was improved, it took less time for the eye to close completely, the movement of the forehead wrinkle muscles improved, but that of the facial muscles under the eyes and left orbicularis oculi muscle showed little improvement. Conclusion: Korean medicine treatment for facial palsy caused by Wegener’s Granulomatosis helps restore mobility of the forehead and orbicularis oculi muscles.
참고문헌 (23)
- "Granulomatosis With Polyangiitis" (2022)[URL]
- Comarmond C, "Granulomatosis with polyangiitis(Wegener) : clinical aspects and treatment", Autoimmun Rev, 13(11), pp.1121~1125 (2014)
- Odom JQ, "Diagnosis and management of facial nerve palsy secondary to granulomatosis with polyangiitis-A systematic review", Am J Otolaryngol, 45(2), pp.104132~ (2024)
- JS Han, "The Application State of the Sunnybrook Facial Grading System for Facial Palsy Patients : A retrospective study", The Acupunture, 33(4), pp.101~108 (2016)
- Andrada-Elena M, "Wegener's granulomatosis with orbital involvement : case report and literature review", Rom J Ophthalmol, 65(1), pp.93~97 (2021)
- Park KT, "Clinical Experiences of Diagnosis and Treatment for Wegener's Granulomatosis", Korean Journal of Otolaryngology-Head and Neck Surgery, 51(12), pp.1109~1118 (2008)
- Kim BH, "The Effects of Acupuncture at GB34on Disuse Muscle Atrophy in Rats", Journal of Korean Medicine Rehabilitation, 28(4), pp.1~9 (2018)
- 경락경혈학 교재편찬위원회, "경혈학" (2020), 정담
- Zhou Y, "Effects of electroacupuncture therapy on intractable facial paralysis : A systematic review and meta-analysis", PLoS One, 18(7), pp.e0288606~ (2023)
- Chen YH, "Observation on Electroacupuncture with Sparsedense Wave for Idiopathic Facial Paralysis", Shanghai Journal of Acupuncture and Moxibustion, 32(8), pp.653~654 (2013)
- An BJ, "Effect of Electroacupuncture on Patients with Peripheral Facial Paralysis", Journal of Korean acupuncture & moxibustion medicine society, 22(4), pp.121~129 (2005)
- Deng H, "The mechanism of moxibustion : ancient theory and modern research", Evid Based Complement Alternat Med, 2013, pp.379291~ (2013)
- Leng FQ, "Observations on the Efficacy of Acupuncture plus Moxibustion on Point Yifeng(SJ 17)in Treating Facial Neuritis", Shanghai Journal of Acupuncture and Moxibustion, 33(11), pp.1001~1002 (2014)
- Hwang DS, "Therapeutic Effects of Bee Venom on Immunological and Neurological Diseases", Toxins (Basel), 7(7), pp.2413~2421 (2015)
- Yang KR, "Effect of Bee Venom Pharmacopuncture Complex Therapy on Peripheral Facial Paralysis", The Journal of Korean Acupuncture & Moxibustion Society, 26(4), pp.29~37 (2009)
- Iannella G, "Granulomatosis with polyangiitis and facial palsy : Literature review and insight in the autoimmune pathogenesis", Autoimmun Rev, 15(7), pp.621~631 (2016)
- Brian L. Furman, "Prednisolone" (2019), Elsivior
- White J, "Eosinophilic granulomatosis with polyangiitis : A review", Autoimmun Rev, 22(1), pp.103219~ (2023)
- Lee YJ, "Facial Palsy as a Presenting Symptom of Wegener‘s Granulomatosis", The Journal of the Korean Rheumatism Association, 7(3), pp.286~290 (2000)
- Maeng JH, "Bilateral facial nerve palsy with Wegener's granulomatosis", J Korean Skull Base Society, 10(1), pp.34~37 (2015)
- Yi GH, "A case of improved Wegener’s granulomatosis with Oriental-Western Medicine Treatment", J Korean Med Ophthalmol Otolaryngol Dermatol, 29(4), pp.206~217 (2016)
- Langford CA, "Update on the treatment of granulomatosis with polyangiitis(Wegener's)", Curr Treat Options Cardiovasc Med, 14(2), pp.164~176 (2012)
- Pothiawala S, "Bilateral facial nerve palsy : a diagnostic dilemma", Case Rep Emerg Med, 2012, pp.458371~ (2012)