모유 수유 중인 산욕기 환자의 두드러기 치험 1례
A Case of Urticaria occurred to a Breastfeeding Patient in Postpartum Period Treated with Korean Medicine
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives : The aim of this study is to report the effect of herbal medicine and acupuncture on a breastfeeding woman’s postpartum urticaria which was unresponsive to a 1st generation antihistamine and a topical steroid. Methods : Wheals and pruritus occurred to a 36-year-old breastfeeding woman 2 days after the parturition. Symptoms were unresponsive to about a week of systemic antihistamine and topical steroid treatments. GamiSamul-tang herbal decoction was administered three times a day for the first 21 days and twice a day for the next 10 days of the treatment. Acupuncture treatment was applied to 12 acupoints (both sides of LI04, LR03, ST36, LI11, SP10, SP6) for 15 minutes once a week, 5 times in total. The patient’s symptom was evaluated with Weekly Urticaria Activity Scale (UAS7) and Visual Analogue Scale for Worst Pruritus within 24 hours (VASPruritus) each time the patient visited out-patient department. Results : The scores of UAS7 and VASPruritus at the baseline were 38 and 8.2 respectively. 10 days after the herbal medicine and acupuncture treatment began, both decreased to 0 and wheal, pruritus, erythema didn’t appeared again for the rest of the follow up periods. Conclusions : This study shows the possibility of using GamiSamul-tang and acupuncture to treat postpartum urticaria.
Abstract
Objectives : The aim of this study is to report the effect of herbal medicine and acupuncture on a breastfeeding woman’s postpartum urticaria which was unresponsive to a 1st generation antihistamine and a topical steroid. Methods : Wheals and pruritus occurred to a 36-year-old breastfeeding woman 2 days after the parturition. Symptoms were unresponsive to about a week of systemic antihistamine and topical steroid treatments. GamiSamul-tang herbal decoction was administered three times a day for the first 21 days and twice a day for the next 10 days of the treatment. Acupuncture treatment was applied to 12 acupoints (both sides of LI04, LR03, ST36, LI11, SP10, SP6) for 15 minutes once a week, 5 times in total. The patient’s symptom was evaluated with Weekly Urticaria Activity Scale (UAS7) and Visual Analogue Scale for Worst Pruritus within 24 hours (VASPruritus) each time the patient visited out-patient department. Results : The scores of UAS7 and VASPruritus at the baseline were 38 and 8.2 respectively. 10 days after the herbal medicine and acupuncture treatment began, both decreased to 0 and wheal, pruritus, erythema didn’t appeared again for the rest of the follow up periods. Conclusions : This study shows the possibility of using GamiSamul-tang and acupuncture to treat postpartum urticaria.
참고문헌 (20)
- Godse K, "Consensus Statement for the Diagnosis and Treatment of Urticaria: A 2017 Update", Indian J Dermatol, 63(1), pp.2~15 (2018)[DOI]
- Zuberbier T, "The EAACI", <TEX>$GA^2LEN$<, EDF, pp.WAO Guideline for the definition, classification, diagnosis, and management of urticarial: the 2013 revision and update, Allergy[DOI]
- Weldon D, "Quality of life in patients with urticaria and angioedema: Assessing burden of disease", Allergy Asthma Proc, 35(1), pp.4~9 (2014)[DOI]
- Lawley TJ, "Pruritic urticarial papules and plaques of pregnancy", JAMA, 241, pp.1696~1699 (1979)[DOI]
- RPh MS, "Safety of antihistamines during pregnancy and lactation", Can Fam Phys, 56, pp.427~429 (2010)
- Kar S, "A review of antihistamines used during pregnancy", J Pharmacol Pharmacother, 3(2), pp.105~108 (2012)
- Donald S, "Validation of chronic spontaneous", idiopathic urticaria (CSU, J Am Acad Dermatol, pp.2015, 72(5)[DOI]
- Powell RJ, "BSACI guideline for the management of chronic urticaria and angioedema", Clin Exp Allergy, 45(3), pp.547~565 (2015)[DOI]
- Zuberbier T, "Urticaria: Current opinions about aetiology, diagnosis and therapy", Acta Derm Venereol, 87(3), pp.196~205 (2007)
- Kaplan AP, "Treatment of chronic autoimmune urticaria with omalizumab", J Allergy Clin Immunol, 122(3), pp.569~573 (2008)[DOI]
- The Society of Korean Medicine Obstetrics and Gynecology, "Korean Medicine Obstetrics & Gynecology(II)", pp.691~693 (2012), Uiseongdang
- Pomp ER, "Pregnancy, the postpartum period and prothrombotic defects: risk of venous thrombosis in the MEGA study", J Thromb Haemost, 6(4), pp.632~637 (2008)[DOI]
- erbasi FR, "Changes in hemostasis activity during delivery and theimmediate postpartum period", Am J Obstet Gynecol, 162(5), pp.1158~1163 (1990)[DOI]
- Hellgren M, "Hemostasis during Normal Pregnancy and Puerperium", Seminars in Thrombosis and Hemostasis, 29(2), pp.125~130 (2003)[DOI]
- Milman N, "Postpartum anemia I: definition, prevalence, causes, and consequences", Annals of Hematology, 90(11), pp.1247~1253 (2011)[DOI]
- 문세희, "한방산후조리가 산모의 혈색소 변화에 미치는 영향에 대한 연구", 대한한의학회지, 23(1), pp.112~119 (2002), 대한한의학회
- Hawro T, "The Urticaria Activity Score-Validity, Reliability, and Responsiveness", J Allergy Clin Immunol, 6(4), pp.1185~1190 (2018)[DOI]
- Kim HJ, "Clinical study of Chronic Urticaria", J Korean Med Ophthalmol Otolaryngol Dermatol, 15(2), pp.252~260 (2002)
- Yao Q, "The Effectiveness and Safety of Acupuncture for Patients with Chronic Urticaria: A Systematic Review", Biomed Res Int, 2016, pp.1~7 (2016)
- Chen CJ, "Acupuncture Treatment of Urticaria", Arch Dermatol, 134(11), pp.1397~1399 (1998)