스테로이드제 중단 이후 반동 현상이 발생한 아토피 피부염의 치험 2례
Two Case Reports on Atopic Dermatitis with Rebound Phenomena after Steroid Interruption
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Objectives : Steroids are often administered to atopic patients as hormone preparations, often causing side effects. This study is intended to present the possibility of Korean medicine treatment for patients who have had side effects due to steroids in atopic dermatitis by relieving side effects and improving symptoms through Korean medicine such as Hwangryounhaedok-tang and Siryeong-tang. Methods : 2 patients who had atopic dermatitis and rebound phenomenon after steroids treatment were treated by herbal medicine, herbal acupuncture, acupuncture and external preparations. Photographs of the lesions, SCORAD(Scoring atopic dermatitis) index were used to evaluate the changes in symptoms. Results : The SCORAD index of the first patient improved from 55.6 to 24.3 in 4 months. The SCORAD index of the second patient improved from 44.7 to 21.3 in 3 months. Conclusions : In the situation where symptoms of atopic dermatitis patients due to steroid rebound phenomenon have worsened, Korean medicine treatments played a important role in alleviating symptoms and improving SCORAD index scores.
Abstract
Objectives : Steroids are often administered to atopic patients as hormone preparations, often causing side effects. This study is intended to present the possibility of Korean medicine treatment for patients who have had side effects due to steroids in atopic dermatitis by relieving side effects and improving symptoms through Korean medicine such as Hwangryounhaedok-tang and Siryeong-tang. Methods : 2 patients who had atopic dermatitis and rebound phenomenon after steroids treatment were treated by herbal medicine, herbal acupuncture, acupuncture and external preparations. Photographs of the lesions, SCORAD(Scoring atopic dermatitis) index were used to evaluate the changes in symptoms. Results : The SCORAD index of the first patient improved from 55.6 to 24.3 in 4 months. The SCORAD index of the second patient improved from 44.7 to 21.3 in 3 months. Conclusions : In the situation where symptoms of atopic dermatitis patients due to steroid rebound phenomenon have worsened, Korean medicine treatments played a important role in alleviating symptoms and improving SCORAD index scores.
참고문헌 (20)
- Kim JW, "Atopic dermatitis basic and practice", pp.13~ (2017), Koonja
- 권지애, "한국인 청장년기 아토피피부염 환자의 임상적 특징에 관한 연구", 대한피부과학회지, 42(8), pp.949~954 (2004), 대한피부과학회
- Segal AO, "CSACI position statement : safety of topical calcineurin inhibitors in the management of atopic dermatitis in children and adults", Allergy Asthma Clin Immunol, 9(1), pp.24~ (2013)
- 강다혜, "스테로이드제제 부작용을 동반한 만성 족부 한포진 치험 1례", 한방안이비인후피부과학회지, 24(1), pp.181~191 (2011), 대한한방안이비인후피부과학회
- 신상호, "스테로이드 치료후 리바운드 현상이 발생한 한포진 치험 1례", 한방안이비인후피부과학회지, 27(3), pp.155~161 (2014), 대한한방안이비인후피부과학회
- 송미사, "스테로이드 외용제로 악화된 알레르기성 접촉피부염 치험 1례", 한방안이비인후피부과학회지, 31(3), pp.107~115 (2018), 대한한방안이비인후피부과학회[DOI]
- Shin KH, "Pharmacological action of steroids", Educational course, 2002(0), pp.3~5 (2002)
- Forte WC, "Rebound phenomenon to systemic corticosteroid in atopic dermatitis", Allergol Immunopathol(Madr), 33(6), pp.307~311 (2005)
- Kim BJ, "Glucocorticoid and pain treatment", J Korean Assoc Pain Med, 1(2), pp.63~69 (2002)
- Guyton, Hall, "Textbook of medical physiology", pp.928~930 (2002), Jungdam
- Department of oriental internal medicine on hapatobiliary system, "Text of oriental internal medicine on hapatobiliary system", pp.18~ (2013), Nado
- Cho BS, "Original Article : A study on combined therapy of oriental medicine, siryongtang and occidental medicine steroid for steroid", The Journal of Kyung Hee University, 12(2), pp.180~185 (1996)
- Tozawa F, "Saireito(a Chinese herbal drug)decreases inhibitory effect of prednisolone and accelerates the recovery of rat hypothalamic-pituitary-adrenal axis", Endocr J, 45(1), pp.69~74 (1998)
- Hong ND, "Information ; The Proceedings of 15th Annual Convention(1984); Studies on the efficacy of the combined preparation of crude drugs(ⅩⅩⅥ)-effects of shiryungtang and kamishiryungtang on the diuresis, anti-inflammatory, antipyretic and analgesic acti", Korean Journal of Pharmacognosy, 16(1), pp.57~ (1985)
- Yoon YG, "Korean medicine and prescription commentary", pp.429~432 (2011), Uisungdang
- 김정훈, "오령산 효능에 관한 기초 실험 연구 문헌 분석", 대한한방내과학회지, 33(1), pp.69~82 (2012), 대한한방내과학회[DOI]
- Kim DH, "The study on the legitimate written date and the backgrounds, the variations of acupuncture prescription, and the inaccuracy of thranscription of Sa-Ahm’s 5element acupucture method", Department of Korean Medicine, pp.1998
- Hwang WE, "Medical compendium of Hwang Woneo", pp.791~ (1999), Junguiyakchulpansa
- Kim GW, "SaAhm’s acupuncture method Essais", pp.139~141 (2006), Chorakdang
- Korean Pharmacopuncture Institute Science Committee, "Pharmacopucture", pp.3~8 (2008), Elsvier Korea
