DOI QR코드

DOI QR Code

아토피 피부염과 음식물 알레르기에 대한 동서의학적 고찰

The Study about the Comparison of Korean-Western Medicine on Atopic Dermatitis and Food Allergy

  • 노현민 (원광대학교 한의과대학 안이비인후피부과) ;
  • 박승구 (원광대학교 한의과대학 안이비인후피부과) ;
  • 허은선 (원광대학교 한의과대학 안이비인후피부과) ;
  • 조은희 (원광대학교 한의과대학 침구과) ;
  • 박민철 (원광대학교 한의과대학 안이비인후피부과)
  • Noh, Hyeon-Min (Department of Ophthalmology, Otolaryngology and Dermatology, Wonkwang University) ;
  • Park, Sung-Gu (Department of Ophthalmology, Otolaryngology and Dermatology, Wonkwang University) ;
  • Heo, Eun-Sun (Department of Ophthalmology, Otolaryngology and Dermatology, Wonkwang University) ;
  • Jo, Eun-Hee (Department of Acupuncture and Moxibustion, Wonkwang University) ;
  • Park, Min-Cheol (Department of Ophthalmology, Otolaryngology and Dermatology, Wonkwang University)
  • 투고 : 2017.04.07
  • 심사 : 2017.05.17
  • 발행 : 2017.05.25

초록

Objectives : The purpose of this study is to compare atopic dermatitis and food allergy of Korean Medicine with those of western medicine. Methods : We examined the relationship between atopic dermatitis and food allergy mainly in digestive system abnormalities through literature review. Results : Food allergy is classified into categories such as diarrhea, abdominal pain and cough caused by retention of undigested food(食積) and pimples(癮疹) in Korean medicine. The side effects caused by specific immune reactions occur repeatedly due to exposure to specific food allergen or retention of undigested food. Atopic dermatitis and food allergy are often coexisting and deeply related. Digestive system abnormalities can result not only in indigestion but also in immune function abnormalities. Food allergies are known to cause atopic dermatitis and the influx of food antigens exacerbates atopic dermatitis. This corresponds to atopic dermatitis due to abnormal digestive system(脾胃) accompanied by fever(熱), wind(風), and weakness(虛) with focusing on dampness(濕). A typical example of the relationship between atopic dermatitis and food allergy in Korean medicine is Tae-yeul (胎熱). Tae-yeul refers to atopic dermatitis caused by a sensitization to reaction to the dietary antigens of the mother through the placenta during the fetal life with a unusual genetic disposition. Conclusions : We compared korean medicine with western medicine for atopic dermatitis and food allergy. Atopic dermatitis caused by abnormal immune function due to ingestion of food antigen corresponds to dermatitis due to retention of undigested food(食積), digestive system(脾胃臟) problems in korean medicine.

키워드

참고문헌

  1. Rockmann H, van Geel MJ, Knulst AC, Huiskes J, Bruijnzeel-Koomen CA, de Bruin-Weller MS. Food allergen sensitization pattern in adults in relation to severity of atopic dermatitis. Clin Transl Allergy. 2014 Mar 28;4(1):9. https://doi.org/10.1186/2045-7022-4-9
  2. Silverberg NB, Silverberg JI. Inside Out or Outside In: Does Atopic Dermatitis Disrupt Barrier Function or Does Disruption of Barrier Function Trigger Atopic Dermatitis? Cutis. 2015;96(6):359-61.
  3. Hur IH, Seo MS, Sim SY, Kim KJ. A Study on dietary treatment of Infant Atopic dermatitis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2008;21(2):71-9.
  4. Lee GY, Kim HJ. The Role of Food Allergy in Infantile Atopic Dermatitis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2003;16(1): 33-41.
  5. Park SG, Noh HM, Hwang CY, Hong SH, Park MC, Jang HC, et al. Classification of Atopic Dermatitis into Digestive and Respiratory Disorders on the Basis of a Literature Study. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(3):106-23. https://doi.org/10.6114/jkood.2016.29.3.106
  6. Jo SH, Jo EH, Kim SJ, Park IH, Park MC. Two cases of atopic dermatitis treated with huini-san. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014;27(3):180-90. https://doi.org/10.6114/jkood.2014.27.3.180
  7. Kim YH, Choi CY, Chun TH. The Preventive and Therapeutic Effects of Probiotics in Allergic Diseases Via Immune Modulation. J of food Hygiene and safety. 2016;31(3):141-52. https://doi.org/10.13103/JFHS.2016.31.3.141
  8. Yum HY. Vitamin D in children with atopic dermatitis. Allergy Asthma Respir Dis. 2015; 3(2):95-8. https://doi.org/10.4168/aard.2015.3.2.95
  9. Best KP, Gold M, Kennedy D, Martin J, Makrides M. Omega-3 long-chain PUFA intake during pregnancy and allergic disease outcomes in the offspring: a systematic review and meta-analysis of observational studies and randomized controlled trials. Am J Clin Nutr. 2016;103(1):128-43. https://doi.org/10.3945/ajcn.115.111104
  10. Bantz SK, Zhu Z, Zheng T. The Atopic March: Progression from Atopic Dermatitis to Allergic Rhinitis and Asthma. J Clin Cell Immunol. 2014;5(2):202.
  11. Textbook Compilation Committee of National University of Traditional Korean Dermatology & Surgery. Text of Traditional Korean Dermatology & Surgery. Busan:Sunwo. 2007: 355-6.
  12. Plaza-Martin AM. Food allergies in paediatrics: Current concepts. An Pediatr (Barc). 2016;85(1):1-5. https://doi.org/10.1016/j.anpedi.2016.03.015
  13. Boyce JA, Assa'ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. Guidelines for the diagnosis and management of food allergy in the United States: summary of the NIAID-sponsored expert panel report. J of Nutr Res. 2011;31(1):61-75. https://doi.org/10.1016/j.nutres.2011.01.001
  14. Kim MK. Diagnosis and treatment of food allergy. Korean J of intern Med. 2008;75(6): 651-5.
  15. du Toit G, Tsakok T, Lack S, Lack G. Prevention of food allergy. J Allergy Clin Immunol. 2016;137(4):998-1010. https://doi.org/10.1016/j.jaci.2016.02.005
  16. Ogrodowczyk A, Markiewicz L, Wroblewska B. Mutations in the filaggrin gene and food allergy. Prz Gastroenterol. 2014;9(4):200-7.
  17. Wang YH. Developing food allergy: a potential immunologic pathway linking skin barrier to gut. 2016;5:1-6.
  18. Jo MG, Kim JC, Kang HJ, Ahn HM. A Clinical study on patients who were treated with Sik-jeok. J of korean academy of medical gi-gong. 2016;16(1):59-77.
  19. Ryu BH. Food Allergy; Aspects of Oriental and Western Medicine. J of Oriental Chr Dis. 2001;7(1):33-40.
  20. Wang J, Jones SM, Pongracic JA, Song Y, Yang N, Sicherer SH, et al. Safety, clinical, and immunologic efficacy of a Chinese herbal medicine (Food Allergy Herbal Formula-2) for food allergy. J Allergy Clin Immunol. 2015 Oct;136(4):962-70. https://doi.org/10.1016/j.jaci.2015.04.029
  21. Park TM. Effect of The Herbal Medicine Treatment for Gastrointestinal Dysfunction in Children with Atopic Dermatitis. Doctoral Dissertation, Graduate School of Complementary Alternative Medicine Pocheon CHA University. 2008:1-2.
  22. Takeuchi S, Esaki H, Furusyo N, Hayashida S, Yamamura K, Tsuji G, et al. Incidence, serum IgE and TARC/CCL17 levels in atopic dermatitis associated with other allergic diseases: an update from the Ishigaki cohort. Acta Derm Venereol. 2015;95(4):480-4. https://doi.org/10.2340/00015555-1989
  23. Dhar S, Srinivas SM. Food Allergy in Atopic Dermatitis. Indian J Dermatol. 2016;61(6): 645-8. https://doi.org/10.4103/0019-5154.193673
  24. Im GM, Jeong HW, Kim HS, Jeong WY. Oriental medical approach on the allergic disease. Korean J Oriental Physiology & Pathology. 2002;16(5):831-9.
  25. Gu JS, Kim JH. Literatural Study on Tae-yeul. J Korean Med Pediatrics. 2001;15(1):235-53.
  26. Rajagopalan M, Saraswat A, Godse K, Shankar DS, Kandhari S, Shenoi SD, et al. Diagnosis and Management of Chronic Pruritus: An Expert Consensus Review. Indian J Dermatol. 2017;62(1):7-17. https://doi.org/10.4103/0019-5154.198036
  27. Jeong KY, Kim HM. Neonatal capsaicin treatment in rats induces chronic hyperthermia resulting in infectious disease. Exp Ther Med. 2015;10(6):2417-23. https://doi.org/10.3892/etm.2015.2829
  28. Jourdain R, de Lacharrière O, Bastien P, Maibach HI. Ethnic variations in self-perceived sensitive skin: epidemiological survey. Contact Dermatitis. 2002;46(3):162-9. https://doi.org/10.1034/j.1600-0536.2002.460307.x
  29. Randall Wilson, Ilhem Messaoudi. The impact of maternal obesity during pregnancy on offspring immunity. Mol Cell Endocrinol. 2015;418(2):134-42. https://doi.org/10.1016/j.mce.2015.07.028