한방적 치료 접근을 통한 Evans 증후군 치험 1례

A Case of Evans Syndrome Treated through Oriental Medicine

  • 박상은 (동의대학교 한의과대학 내과학교실) ;
  • 최인선 (동의대학교 한의과대학 내과학교실) ;
  • 장자원 (동의대학교 한의과대학 내과학교실) ;
  • 홍상훈 (동의대학교 한의과대학 내과학교실) ;
  • 서상호 (동의대학교 한의과대학 내과학교실)
  • Park, Sang-Eun (Department of Internal Medicine, College of Oriental Medicine, Dong Eui University) ;
  • Choi, In-Sun (Department of Internal Medicine, College of Oriental Medicine, Dong Eui University) ;
  • Jang, Ja-Won (Department of Internal Medicine, College of Oriental Medicine, Dong Eui University) ;
  • Hong, Sang-Hoon (Department of Internal Medicine, College of Oriental Medicine, Dong Eui University) ;
  • Seo, Sang-Ho (Department of Internal Medicine, College of Oriental Medicine, Dong Eui University)
  • 발행 : 2004.09.30

초록

Evans syndrome, as originally described, refers to autoimmune hemolytic anemia accompanied by thrombocytopenia. The autoantibodies in Evans syndrome are directed specifically against red cells, platelets, or neutrophils and are not crossreacting. The incidence of autoimmune hemolytic anemia is estimated to be approximately 10 cases per million people. Many patients have associated disorders, such as lupus erythematosus and other autoimmune disease, chronic lymphadenopathy, or hypogammaglobulinemia. In Oriental Medicine, the approach to Evans syndrome is made in view of deficiency of blood. The ailment was treated through methods of Oriental Medicine. Acupucture and herbal medicine were administered to patients diagnosed with Evans Syndrome by ecchymosis at the lower limb after continued gingival bleeding. As a result significant improvement in RBC, Hb, Hct, and PLT were observed and complaints abated.

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