대한한방소아과학회지 (The Journal of Pediatrics of Korean Medicine)

  • 제24권1호
  • /
  • Pages.57-64
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  • 2010
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  • 1226-8038(pISSN)
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  • 2287-9463(eISSN)
대한한방소아과학회 (The Association of Korean Oriental Pediatrics)
권호 표지

항류마티스제(DMARDs)와 비스테로이드성 소염진통제(NSAIDs)에 반응하지 않는 다수관절형 소아기 류마티스 관절염 환아 증례 보고

A Case Report of Polyarticular Type Juvenile Idiopathic Arthritis(JIA) Patient Ineffective Response to DMARDs and NSAIDs

  • 투고 : 2010.03.25
  • 심사 : 2010.04.24
  • 발행 : 2010.04.30
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초록

Objectives This study is to examine case that has an significant result on treating Polyarticular Type Juvenile Idiopathic Arthritis(JIA) the patient who did not response to DMARDs and NSAIDs with oriental medicine. JIA is the most common form of persistent arthritis in children before age 16. The symptoms of JIA is pain and edema of joints, fever, lethargy, reduced physical activity, and poor appetite. But the symptoms vary. Methods The patient felt pain and had limitation of mobility on his joints, but the DMARDs and NSAIDs were not effective. Therefore, he was treated with oriental medicine and withdrew from DMARDs and NSAIDs. The patient took DMARDs and NSAIDs from May 2007 to November 2008(He did not took DMARDs and NSAIDs from December 2007 to June 2008), and took oriental medicine from November 2008 until now. Results The patient's pain and limited mobility on his joints, edema, morning stiffness, fatigue was gone, and could maintain the condition. He doesn't have DMARDs or any other western medicine anymore. Conclusions This study shows that a Polyarticular Type Juvenile Idiopathic Arthritis patient who had ineffective response to DMARDs and NSAIDs can reach to the clinical remission by oriental medicine treatment. His morning stiffness, fatigue, pain of joints, edema was gone and ESR was in normal range with Oriental medicine treatment.

키워드

참고문헌

  1. 임상류마티스학 편찬위원회. 임상류마티스학. 제1판. 서울:도서출판 한국의학사. 2006:292 -311.
  2. 신재일,김동수,이수곤,김현우. 소아기 류마티스 관절염의 경과 및 예후 인자. 대한류마티스학회지. 2003;10(4):374-93.
  3. Petty R, Southwood TR, Baum J, et al. Revision of the proposed classification criteria for juvenile idiopathic arthritis. J Rheumatol. 1998;25:1991-4.
  4. Gare BA, Fasth A. The natural history of juvenile choronic arthritis:a population based cohort study. II. Outcome. J Rheumatol. 1995; 22:308-19.
  5. Levinson JE, Wallace CA. Dismantling the pyramid. J Rheumatol. 1992;19(suppl33):6-10.
  6. 한방재활의학과학회. 한방재활의학. 서울:군자출판사. 2005:78-99.
  7. 한주원, 송영일, 윤일지, 오민석. 祛濕複合方이 류마토이드 관절염에 미치는 영향. 한방재활의학과학회지. 2006;16(3):2.
  8. Gurkirpal S, Baul H, Athrey A, James F, Fries, Donald P.G. Measurement of health status in children with juvenile rheumatoid arthritis. Arthritis & Rheumatism. 1994;37(12): 1761-9. https://doi.org/10.1002/art.1780371209
  9. 임상류마티스학 편찬위원회. 임상류마티스학. 서울: 한국의학사. 2006:749.
  10. Dequeker J, Mardjuadi A. Prognostic factors in juvenile rheumatoid arthritis. J Rheumatol. 1997; 9:909-15.
  11. Lahdenne P, Vahasalo P, Honkanen V. Infkiximab or etanercept in the treatment of children with refractory juvenile idiopathic arthritis: an open label study. Ann Rheum Dis. 2003; 62:245-7. https://doi.org/10.1136/ard.62.3.245
  12. Levinson JE, Wallace CA. Dismantling the pyramid. J Rheumatol. 1992;19(suppl33):6-10.
  13. 채인식. 상한론역전. 서울:고문사. 2000:24-6.
  14. 채인식. 상한론역전. 서울:고문사. 2000:288.
  15. 이재희. 圖說韓方診療要方. 서울:의방출판사. 2007: 97-9.
  16. 윤석희 김형준 외. 東醫寶鑑. 서울:대한형상의학회. 2006:1114.
  17. 허준. 동의보감. 서울:동의보감출판사. 2006: 1218.
  18. 유창길, 이윤주. 고열, 발진을 동반하는 전신형(systemic) 소아기 류마티스 관절염(juvenile rheumatoid arthritis; JRA) 환아 증례 1례 보고. 대한한방소아과학회지. 2009;23 (1):73-83.