The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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Retrospective Study about the Effectiveness of a long-term Korean Medicine Treatment on 1035 Atopic Dermatitis Patients

아토피피부염 환자 1035명의 장기간의 한의학적 치료효과에 대한 후향적 연구

  • Received : 2015.01.02
  • Accepted : 2015.02.06
  • Published : 2015.02.25
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Abstract

Objective : The purpose of this study is to report the effectiveness of a long-term Korean Medicine Treatment on 1035 atopic dermatitis patients Methods : Objective SCORAD Index(OSI) is used for measuring the degree of atopic dermatitis with photos of total 1035 atopic dermatitis patients who has visited oriental clinic from January 9, 2011 to October 31, 2013. Then, OSI was estimated according to gender, age, period of treatment and intensity. Results : 1. The ratio of male to female was 44.4 : 55.6. All patients were constituted with 26.5% of 0~11 year-old group, 15.7% of 12~18 year-old and 57.9% of 19 and more year-old. 2. The ratio of OSI improvement was significantly higher in women than in men after 3 month treatment, but there was no significant difference after 6, 9 and 12 months. 3. The OSI improvement of 0~11 year-old group was significantly higher than the other groups after 3 month treatment. But at the other periods of treatment, there was no significantly difference of the improvement among 3 different groups of age. 4. After 3, 6, 9 and 12 month treatment, the score of OSI was significantly lower than before treatment. After 12 month treatment, the score of OSI was lowest compared to the other periods of treatment. 5. The final OSI score of 87.7% patients was decreased compared to the initial. 6. All patients had been divided with 1.93% of the mild, 22.7% of the moderate and 75.4% of the severe by OSI intensity at initial visit. At final visit, the composition of patients was changed to 14.6% of the mild, 53.7% of the moderate and 31.7% of the severe. 7. The mild patients had got 42.56% of OSI improvement at the final. And the moderate had got 37.72% of OSI improvement at the final. 8. The severe patients had got 36.76% of OSI improvement at the final. And 89.2% of the severe had got decreased final OSI score compared to the initial. Conclusion : There was a definite decreasing of OSI score on the significant rate of Atopic dermatitis patients who had been treated by Korean medicine treatment at least for 3 months.

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References

  1. Yun YH, Choi IH. Quality of Life and Economic Impact of Adult Atopic Dermatitis Patients in Seoul. J Korean Med Ophthalmol Otolaryngol Dermatol. 2010;23(1):199-214.
  2. Deckers IAG, McLean S, Linssen S, Mommers M, Schayck CP, Sheikh A. Investigating International Time Trends in the Incidence and Prevalence of Atopic Eczema 1990–2010: A Systematic Review of Epidemiological Studies. PLoS ONE. 2012;7(7): e39803. Available from: URL:http://www.plosone.org/article/info%3A doi%2F10.1371%2Fjournal.pone.0039803 https://doi.org/10.1371/journal.pone.0039803
  3. Son CG. Pattern of Treatment Choice for Atopic Dermatitis by Child’s Parents. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014;27(1):37-44. https://doi.org/10.6114/jkood.2014.27.1.037
  4. Seo MS, Kim KJ. The Study on Atopic Dermatitis Papers Published in the Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. J Korean Med Ophthalmol Otolaryngol Dermatol. 2009;22(3):108-21.
  5. Han SR, Park G, Han MH, Seo S, Cho JG, Ko YH, Jung CH, Lee JH, Jang JY. Retrospective Study about the Effectiveness of a long-term Korean Medicine Treatment on 511 Atopic Dermatitis Patients. J Korean Med Ophthalmol Otolaryngol Dermatol. 2013;26(3):65-76. https://doi.org/10.6114/jkood.2013.26.3.065
  6. Park YL, Kim HD, Kim KH, Kim MN, Kim JW, Ro YS, Park CW, Lee KH, Lee AY, Cho SH. Choi JH. Report from ADRG: A study on the diagnostic criteria of Korean Atopic dermatitis. Korea J Dermatol. 2006;44(6):659-63.
  7. European Task Force on Atopic Dermatitis. Severity Scoring of Atopic Dermatitis: The SCORAD Index, consensus report of th European Task Force on Atopic Dermatitis. Dermatology. 1993;186: 23-31. https://doi.org/10.1159/000247298
  8. Kuntz B, Oranje AP, Labreze L, Stalder JF, Ring J, Taieb A. Clinical validation and guidelines for the SCORAD index; consensus report of th European Task Force on Atopic Dermatitis. Dermatol. 1997;195:10-9. https://doi.org/10.1159/000245677
  9. Rees JL. Laidlaw A. Pruritus: more scratch tha irch. Clin Exp Dermatol. 1992;24:490-3. https://doi.org/10.1046/j.1365-2230.1999.00541.x
  10. Kim BE, Leung DY. Epidermal barrier in atopic dermatitis. Allergy Asthma Immune Res. 2014;4;12-6. https://doi.org/10.4168/aair.2012.4.1.12
  11. College of Oriental Medicine Dermatology&Surgery Textbook Compilation Committee. Text of Traditional Korean Dermatology&Surgery. Pusan: Sunwoo, 2007:355-6.
  12. Kim KH, Park AY, Kim JS. Factors Associated with Atopic Dermatitis in Korean Adults: The Korean National Health and Nutrition Suuvey 2008. Korean Journal of Rehabilitation Nursing. 2012; 15(2):83-90. https://doi.org/10.7587/kjrehn.2012.83
  13. Yang JH, Park SD, Gong NM. Western and Traditional Korean approach in Atopic Dermatitis. J Jeahan Orienl Med Acad. 1999;4(1):416-27.
  14. Son JM, Kim HT, Hong SW. A research on elementary school students with atopic dermatitis in Je-Cheon. J Korean Med Opthalmol Otolaryngol Dermatol. 2009;22 (2):163-75.
  15. Li KS. Itch in atopic dermatitis: from pathogenesis to treatment. Allergy Asthma Respir Dis. 2014;2(1):8-15. https://doi.org/10.4168/aard.2014.2.1.8
  16. Kim YH. Overview for Pattern and Results of Herbal Medicine-derived Atopic Dermatitis Clinical Researches. J Korean Orient Pediatr. 2012;26(2):53-61. https://doi.org/10.7778/jpkm.2012.26.2.053
  17. Lee HS, Kim JS, Pyun BY. Changes of the Prevalence and the Allergens of Atopic Dermatitis in Children: in between the Year of 1992 and 2002. Allergy Asthma & Respiratory Disease. 2002;12(4):263-71.
  18. Kim NK, Oh YL, Seo ES, Lee DH. A Research on Quality of Life and Cost of Oriental Medical Care in Adult Patiens with Chronic Atopic Dermatitis in Korea. J Korean Med Ophthalmol Otolaryngol Dermatol. 2010;23(1):215-23.
  19. Park IS, Lee CJ, Lee HY, Han EJ, Seo SR. Statistical Analysis of Health Security. Social Security System of Korea. 2010;Issue Brief No. 2010-01.
  20. Park HJ, Kim KS. Association of blood mercury concentrations with atopic dermatitis in adults: A population-based study in Korea. Environmental Research. 2010;111(4):573-8. https://doi.org/10.1016/j.envres.2011.02.003
  21. Peters AS, Kellberger J, Vogelberg C, Dressel H, Windstetter D, Weinmayr G, Genuneit J, Nowak D, Mutius E, Radon K. Prediction of the incidence, recurrence, and persistence of atopic dermatitis in adolescence: A prospective cohort study. Journal of Allergy and Clinical Immunology. 2010;126(3):590-5. https://doi.org/10.1016/j.jaci.2010.06.020
  22. Zeppa I, Bellini V, Lisi P. Atopic dermatitis in adults. Dermatitis. 2011;22(1):40-6.
  23. Rhie SJ, Park Y. Interest in Appearance, Recognition of Skin, and Skin Care Behavior According to Women’s Age. Journal of Korea Soc. Beauty and Art. 2011;12(1):101-12.
  24. Kim JH. Current understanding of atopic dermatitis. Pediatr Allergy Respir Dis (Korea). 2004;14(1):12-23.
  25. Yun HJ, Ko WS. Clinical study of the classification of oriental medical type of atopic dermatitis. J Dong-Eui Orient Med. 2001;5(1):43-57.
  26. Freehug Oriental Clinic. Atopic Revolution, The Project of Body Temperature for Immunity Ⅰ: Theory. 1st ed. Gyeonggi. Brilliant Tree. 2011:108.
  27. Cho JB, Lee JH, Suh JM, Yu JS, Lee HS, Park EN, Kim HM, Chang EY, Kim JH, Han YS, Ahn KM. Change in Quality of Life according to the Change in Atopic Dermatitis Severity. Allergy Asthma & Respiratory Disease. 2012;22(1):86-99. https://doi.org/10.7581/pard.2012.22.1.86
  28. Kim JH, Kim HO, Park CW, Lee CH. Quality of Life in Adults with Atopic Dermatitis. Korea J Dermatol. 2011;49 (11):983-92.
  29. Hwang SW, Kang JH, Seol JE, Seo JK, Lee D, Sung HS. The Correlation between SCORAD Index and Instrumental Assessment in Evaluation of Atopic Dermatitis Severity. Korea J Dermatol. 2010;48(4):266-71.
  30. Choi I, Kim S, Kim Y, Yun Y. A Clinical Study of Shi Ho Cheong Gan-San on Blood Heat Pattern Atopic Dermatitis: a Randomized, Double-blind Clinical Trial. J Korean Med Opthalmol Otolaryngol Dermatol. 2011;24(1):96-110.
  31. Yun D, Kim H, Kim E, Ho D. Clinical Research of Atopic Dermatitis treated by Hwangryeonhaedok-Tang in Cosmetics. J Orient Physiol Pathol. 2008;22(6):1611-20.
  32. Shin SH, Kim JH, Kim MB, Yoon HJ, Lyu SA, Lee SY, Lee MY, Kim KK, Ko WS. A Clinical Research about the Effects of Seunggaltang on Patients with Atopic Dermatitis. J Korean Med Opthalmol Otolaryngol Dermatol. 2007;20(2):199-212.
  33. Hwangbo JW, Kwon JW, Seo JH, Kim HY, Yu JH, Kim HB, Kim WK, Jang GC, Song DJ, Shim JY, Hong SJ, Lee SY. The effect of atopy and allergic disease on pulmonary function of Korean adolescents. Allergy Asthma Respir Dis. 2014;2(2): 108-13. https://doi.org/10.4168/aard.2014.2.2.108

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