국소부신피질호르몬제 사용 중단 후 나타난 홍피성 건선의 한방 치험 1례
A Case of Psoriasis aggravated to Erythrodermic Psoriasis after Stopping Topical Steroids treated with Traditional Korean Medicine
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Objective : The aim of this study is to report the effect and safety of Traditional Korean Medicine on the treatment of erythrodermic psoriasis which appeared after stopping high potency topical steroids. Methods : A patient with psoriasis stopped topical steroids after the first outpatient care and was treated with herbal medicine, acupuncture, moxibustion for eight months. The severity of psoriasis was assessed with Psoriasis Area and Severity Index. Liver and renal functions were tested to observe the hepatic and renal toxicity of the treatment. Results : PASI score were 6.2 on the first visit and three months after it increased to 30 and the patient showed symptoms of erythrodermic psoriasis. And seven months after the first visit, it decreased to 0.6. There was no hepatic and renal toxicity of the treatment. Conclusion : These findings suggest that Traditional Korean Medicine might be effective and safe for the treatment of erythrodermic psoriasis.
Abstract
Objective : The aim of this study is to report the effect and safety of Traditional Korean Medicine on the treatment of erythrodermic psoriasis which appeared after stopping high potency topical steroids. Methods : A patient with psoriasis stopped topical steroids after the first outpatient care and was treated with herbal medicine, acupuncture, moxibustion for eight months. The severity of psoriasis was assessed with Psoriasis Area and Severity Index. Liver and renal functions were tested to observe the hepatic and renal toxicity of the treatment. Results : PASI score were 6.2 on the first visit and three months after it increased to 30 and the patient showed symptoms of erythrodermic psoriasis. And seven months after the first visit, it decreased to 0.6. There was no hepatic and renal toxicity of the treatment. Conclusion : These findings suggest that Traditional Korean Medicine might be effective and safe for the treatment of erythrodermic psoriasis.
참고문헌 (22)
- Boyman O, "The pathogenic role of tissueresident immne cells in psoriasis", Trends Immnol, 28(2), pp.51~57 (2007)
- "National Psoriasis Foundation"[URL]
- Menter A, "Current and future management of psoriasis", Lancet, 370, pp.272~ (2007)
- Herron MD, "Impact of obesity and smoking on psoriasis presentation and management", Arch Dermatol, 141, pp.1527~ (2005)
- Higgins E, "Alcohol, smoking and psoriasis", Clin Exp Dermatol, 25, pp.107~ (2000)
- Kabbur H. Basavaraj, "Stress and quality of life in psoriasis : an update", International Journal of Dermatology, 50(7), pp.783~792 (2011)
- Wayne Carey, "Gottlieb, Mark Lebwohl, Craig Leonardi, Alan Menter, Kim Papp,k Amy Chen Rundle, Darryl Toth. Relapse, rebound, and psoriasis adverse events: an advisory group report", J Am Acad Dermatol, 54(4), pp.171~181 (2006)
- WHO expert consultation, "Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies.", Lancet, pp.157~163 (2004)
- Fredriksson T, "Severe psoriasis: oral therapy with a new retinoid", Dermatologica, 157(4), pp.238~244 (1978)
- Christopher S Carlin, "A 50% reduction in the Psoriasis Area and Severity Index(PASI 50)is a clinically significant endpoint in the assessment of psoriasis", Journal of the American Academy of Dermatology, 50(6), pp.859~866 (2004)
- ZHANG Li-xin, "Effect of Chinese Herbal Medicine Combined with Acitretin Capsule in Treating Psoriasis of Blood-Heat Syndrome Type", Chin J Integr Med, 15(2), pp.141~144 (2009)
- 원영호, "乾癬환자의 臨床 治驗例 보고", 한방안이비인후피부과학회지, 21(2), pp.165~175 (2008), 대한한방안이비인후피부과학회
- 유승민, "홍피성 건선 환자의 한방 치험 1례", 대한한의학회지, 31(5), pp.179~187 (2010), 대한한의학회
- 전수경, "藥疹으로 剝脫性 皮膚炎에 이른 證例 報告 1例", 한방안이비인후피부과학회지, 19(1), pp.145~153 (2006), 대한한방안이비인후피부과학회
- "National Psoriasis Foundation"[URL]
- 전국한의과대학 공동교재편찬위원회, "본초학", pp.579~581 (2004), 영림사
- 전국한의과대학 공동교재편찬위원회, "본초학", pp.185~186 (2004), 영림사
- 전국한의과대학 공동교재편찬위원회, "본초학", pp.245~257 (2004), 영림사
- 전국한의과대학 공동교재편찬위원회, "본초학", pp.637~638 (2004), 영림사
- 전국한의과대학 공동교재편찬위원회, "본초학", pp.586~588 (2004), 영림사
- 전국한의과대학 공동교재편찬위원회, "본초학", pp.447~448 (2004), 영림사
- 전국한의과대학 공동교재편찬위원회, "본초학", pp.575~578 (2004), 영림사
