대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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성인형 모공성 홍색 비강진에 대한 한방치료 증례 보고 1례

A Case Report of Korean Medicine Treatment for Adult-type Pityriasis Rubra Pilars

  • 전상우 (우석대학교 한의과대학 한방내과학교실) ;
  • 강세영 (우석대학교 한의과대학 한방내과학교실)
  • Jeon, Sang-woo (Dept. of Internal Medicine, College of Korean Medicine, Woo-Suk University) ;
  • Kang, Sei-young (Dept. of Internal Medicine, College of Korean Medicine, Woo-Suk University)
  • 투고 : 2020.09.11
  • 심사 : 2020.10.29
  • 발행 : 2020.10.30
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초록

Objectives: Pityriasis rubra pilaris (PRP) is a rare papulosquamous disorder with unknown etiology. Studies on adults have not been conducted yet in Korean medicine. We report the progress of Korean medicine treatment for adult-type pityriasis rubra pilaris. Methods: A 62-year-old female patient was diagnosed with PRP in June 2019. After the diagnosis of PRP, retinoid treatment was continued for about 6 months, and then the drug was switched to an oral immunosuppressant. However, the patient's symptoms did not improve, but instead worsened. The patient was treated with Mihudeungsikjang-tang and acupuncture therapy. We evaluated her treatment progress based on the Dermatology Life Quality Index (DLQI), a visual analogue scale (VAS), and the changes in the patient's subjective symptoms. Results: After Korean medicine treatment, the DLQI and VAS scores improved from 18 points to 16 points and from 6 points to 4 points, respectively. The whole-body itching and scaling were reduced by 30% compared to pretreatment. The itching and pain in the neck, which had been severely symptomatic, decreased by 50%. The pain and dysesthesia in the upper and lower extremities disappeared, but the erythema still remained. Conclusions: Conventional treatments for PRP have limitations due to adverse effects and difficulty in treating refractory forms. Korean medicine treatment is worth considering as it can complement the limitations of conventional treatments, although more studies will be needed.

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