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A Study on the Differential Diagnosis of Postpartum Pain

산후신통의 감별 진단에 대한 연구

  • Park, Jang-Kyung (Dept. of Korean Medicine Obstetrics and Gynecology, School of Korean Medicine, Pusan National University)
  • 박장경 (부산대학교 한의학전문대학원 한방부인과)
  • Received : 2020.01.17
  • Accepted : 2020.02.28
  • Published : 2020.02.28

Abstract

Objectives: The purpose of this study is to discuss the differential diagnosis of postpartum pain. Methods: In this study, postpartum pain cases reported in the Journal of Korean Medicine were investigated, and a case of postpartum patient who diagnosed syringomyelia was reported. Results: Patients with autoimmune diseases who complained of postpartum pain had a different course of treatment process and they had related family history. Patients with syringomyelia also differed from the usual treatment process. Conclusions: In patients with postpartum pain who differ from usual treatment process, differential diagnosis of autoimmune disease and syringomyelia is necessary.

Keywords

References

  1. The society of Korean medicine obstetrics and gynecology. Oriental obstetrics & gynecology. Seoul:Euiseongdang. 2016:791-800.
  2. Kim DI. Sanhupung. Korean Medicine Encyclopedia. 2018. (https://www.kmpedia.kr/contents/contents/contents_popup_full/content_id/123)
  3. Cho HS, Lee IS, Lee SH. Case Report of Postpartum Disease with Postpartum Sweating. Korean J Oriental Physiology & Pathology. 2011;25(3):558-62.
  4. Jang SR, Kim DC. A Case Report of Postpartum Disease with Hyperhidrosis and Finger Pain. J Korean Obstet Gynecol. 2015;28(3):128-35. https://doi.org/10.15204/jkobgy.2015.28.3.128
  5. Lim SM, et al. Clinical study on a case of postpartum disease causedby artificial abortion. J Korean Obstet Gynecol. 2004;17(2):184-90.
  6. Kim NH, et al. A clinical study of rheumatoid arthritis after parturition. J Korean Obstet Gynecol. 2012;25(4):105-12. https://doi.org/10.15204/JKOBGY.2012.25.4.105
  7. Ko YM, Kim SW. A case of walking dysfunction because of pelvic pain after caesarean operation. J Korean Obstet Gynecol. 2001;14(2):263-72.
  8. Lee DN, et al. A case of postpartum syndrome with coccygodynia. The Korean Journal of Oriental Medical Prescription. 2002;15(1):231-9.
  9. Song HS, et al. A puerperal case with multiple arthralgia diagnosed as systemic lupus erythmatosus. J Korean Obstet Gynecol. 2004;17(1):202-10.
  10. Jeong JY, Kim KS, Yang SJ. A case report of postpartum patient with panic disorder. The Korean Journal of Oriental Medical Prescription. 2005;13(1):235-45.
  11. Kim DH, Lee IH, Lee JH. A Case Study on an Abdominally Obese Patient with Postpartum Disease. Journal of Korean Oriental Association for Study of Obesity. 2006;6(2):105-12.
  12. Kim MR, Kim YS, Lim EM. A case report of Sanhupung patient diagnosed of postpartum thyroiditis. J Korean Obstet Gynecol. 2012;25(4):125-33. https://doi.org/10.15204/JKOBGY.2012.25.4.125
  13. An CS, Kang KS, Kwon GR. One case of systemic lupus erythematosus treated with traditional Korean Medicine. J of Korean Institute of Herbal Acupuncture. 2000;3(2):245-55.
  14. Ohlin A, Rossner S. Maternal body weight development after pregnancy. International J Obesity. 1990;14(2):159-73.
  15. Shin KC, et al. Original Articles : The Relationship of Positive Antimicrosomal Antibody and Postpartum Thyroiditis. Kor J Perinatology. 1998;9(3):279-84.
  16. Kuo CF, et al. Familial aggregation of systemic lupus erythematosus and coaggregation of autoimmune diseases in affected families. JAMA Intern Med. 2015;175(9):1518-26. https://doi.org/10.1001/jamainternmed.2015.3528
  17. Lawrence JS, Martins CL, Drake GL. A family survey of lupus erythematosus. 1. Heritability. J Rheumatol. 1987;14(5):913-21.
  18. Kuo CF, et al. Familial aggregation of rheumatoid arthritis and co-aggregation of autoimmune diseases in affected families: a nationwide population-based study. Rheumatology(Oxford). 2017;56(6):928-33. https://doi.org/10.1093/rheumatology/kew500
  19. MacGregor AJ, et al. Characterizing the quantitative genetic contribution to rheumatoid arthritis using data from twins. Arthritis Rheum. 2000;43(1):30-7. https://doi.org/10.1002/1529-0131(200001)43:1<30::AID-ANR5>3.0.CO;2-B
  20. Nguyen CT, Mestman JH. Postpartum Thyroiditis. Clin Obstet Gynecol. 2019;62(2):359-64. https://doi.org/10.1097/grf.0000000000000430
  21. Park YA, Park YS, Kim DC. Clinical study for the one case complaining both lower extremities weakness after parturition. J Korean Obstet Gynecol. 2006;19(4):269-78.
  22. Kim YY, et al. A case of myasthenia gravis aggravated and diagnosed after repeat cesaerian section. Obstetrics & Gynecology Science. 2005;48(2):473-9.
  23. Barbaro NM, et al. Surgical treatment of syringomyelia. Favorable results with syringoperitoneal shunting. J Neurosurg. 1984;61(3):531-8. https://doi.org/10.3171/jns.1984.61.3.0531
  24. Aldrete JA, Ferrari H. Myelopathy with Syringomyelia Following Thoracic Epidural Anaesthesia. Anaesth Intensive Care. 2004;32(1):100-3. https://doi.org/10.1177/0310057X0403200116
  25. Carre P, et al. Syringomyelia discovered in the course of peridural anesthesia. Ann Fr Anesth Reanim. 2000;19(6):478-81. https://doi.org/10.1016/S0750-7658(00)00224-0
  26. Garvey GP, et al. Anesthetic and Obstetric Management of Syringomyelia During Labor and Delivery: A Case Series and Systematic Review. Anesth Analg. 2017;125(3):913-24. https://doi.org/10.1213/ANE.0000000000001987
  27. 王殿華, 陳金亮. 脊髓空洞症的中医病机治則探討. 療宁中医雜誌. 2006;33(1):25-6.
  28. Hwang EH, Kim JY. A Clinical Report on Cervical Syringom yelia Treated by Oriental Medicine Therapy-1 Case Report-. J Oriental Rehab Med. 2005;15(3):187-94.
  29. Cohodarevic T, Mailis A, Montanera W. Syringomyelia : Pain, Sensory Abnormalities and Neuroimaging. J Pain. 2000;1(1):54-66. https://doi.org/10.1016/S1526-5900(00)90088-9
  30. Son JH, et al. A case of pneumocephalus during labor epidural analgesia. Anesth Pain Med. 2012;7(3):262-5.