DOI QR코드

DOI QR Code

A Case Report of Injinho-Tang on Lacquer Tree Allergy Unresponsive to Oral Steroid Therapy

경구 스테로이드 요법에 반응하지 않는 옻닭 알레르기에 대한 인진호탕 치험 1례

  • Lee, Ju-hyun (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Kim, Seo-Hee (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Jo, Eun-heui (Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University) ;
  • Park, Ji-won (Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University) ;
  • Park, Min-cheol (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University)
  • 이주현 (원광대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 김서희 (원광대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 조은희 (원광대학교 한의과대학 침구의학교실) ;
  • 박지원 (원광대학교 한의과대학 침구의학교실) ;
  • 박민철 (원광대학교 한의과대학 한방안이비인후피부과학교실)
  • Received : 2021.04.05
  • Accepted : 2021.04.29
  • Published : 2021.05.25

Abstract

Objective : The purpose of this study is to report a case of lacquer allergy improved by Korean medicine treatment. Methods : The patient visited our hospital complaining of rash, and pruritus which lasted for 10days after eating lacquer chicken. Considering that patient's symptoms occurred due to food allergen, we prescribed Injinho-tang(Yinchenhao-tang) and acupuncture at Daejang-Junggyeok for 7days. Results : On the 4th day of treatment, pruritus decreased to less than half of the initial treatment, and skin symptoms also improved to a mild level. About a week later, most of the skin symptoms disappeared (Total Objective Symptom score decreased 10 to 3), and subjective symptoms such as pruritus improved to about 30% of the time of the first visit (Total Subjective Symptom score decreased 12 to 3). Conclusions : After 7days of Korean medicine treatment, lacquer tree allergy with skin lesions and pruritus has improved considerably.

Keywords

Acknowledgement

이 논문은 2021년도 원광대학교의 교내 연구비 지원에 의해서 수행됨.

References

  1. Kim TH, Lee KM, Kwon KR, Choi SM. A literature study on lacquer poison. Journal of Pharmacopuncture. 2002;5(1):159-69. https://doi.org/10.3831/KPI.2002.5.1.159
  2. Kim HJ, Park YK, Lee SN. Hematogenous contact dermatitis due to Ingestion of Rhus. Ann Dermatol. 1977;15(4):505-9.
  3. Wedi B, Wieczorek D, Raap U, Kapp A. Urticaria. J Dtsch Dermatol Ges. 2014;12(11):997-1009.
  4. Zuberbier T, Henz BM, Greaves MW, Juhlin L, Kobza Black A, Maurer D, et al. Definition, classification, and routine diagnosis of urticaria: A consensus report. J Investig Dermatol Symp Proc. 2001;6(2):123-7. https://doi.org/10.1046/j.0022-202x.2001.00022.x
  5. Jang AS. Acute and chronic urticaria: Treatment. Korean J Med. 2011;80(1):36-9.
  6. Ye YM. Urticaria: Classification and diagnosis. Korean J Med. 2019;94(4):353-7. https://doi.org/10.3904/kjm.2019.94.4.353
  7. Mang WJ. Sanghanron commentary. 1st ed. Iksan:Wonkwang University Press Office. 1996:35,59.
  8. Lee JS, Hong SH, Kim KS, Park SE. Long-term clinical case of primary biliary cirrhosis treated with traditional Korean Medicine. J Int Korean Med. 2016;37(2):182-8.
  9. Choi JW, Bae CW, Park SY, Yun HJ, Park SD. Protective effect of injinhotang and its components on acetaminophen-induced hepatoxicity in rats. The Korean Academy of Oriental Midicine Prescription. 2003;13(1):9-33.
  10. Yun HJ, Heo SK, Yi HS, Kim CH, Kim BW, Park SD. Anti-inflammatory effect of Injinho-tang in RAW 264.7 cells. Kor J Herbol. 2008;23(2):169-78.
  11. Lee C, Seo HB, Cho IH, Heo GY, Kang HK, Han CW, et al. A case report of improvement in stubborn pruritus and skin pigment expression using Injinho-tang. J Int Korean Med. 2020;41(5):830-7. https://doi.org/10.22246/jikm.2020.41.5.830
  12. Saini SS. Chronic spontaneous urticaria: etiology and pathogenesis. Immunol Allergy Clin North Am. 2004;34(1):33-52. https://doi.org/10.1016/j.iac.2013.09.012
  13. Zuberbier T. Urticaria. Allergy. 2003;58:1224-34. https://doi.org/10.1046/j.1398-9995.2003.00327.x
  14. Ye YM, Jang GC, Choi SH, Lee JM, Yoo HS, Park KH, et al. KAAACI Work Group report on the management of chronic urticaria. Allergy Asthma Respir Dis. 2015;3(1):3-14. https://doi.org/10.4168/aard.2015.3.1.3
  15. Bernstein JA, Lang DM, Khan DA, Craig T, Dreyfus D, Hsieh F, et al. The diagnosis and management of acute and chronic urticaria: 2014 update. J Allergy Clin Immunol. 2014;133(5):1270-7. https://doi.org/10.1016/j.jaci.2014.02.036
  16. Tark MR, Kim MB, Byun SM, Ko WS, Yoon HJ. A clinical report on 39 urticaria patients treated with The Ko-Bang(古方). J Korean Med Ophthalmol Otolaryngol Dermatol. 2009;22(3):196-207.
  17. Bae HB, Yoon HJ, Ko WS. A clinical study on solar urticaria improved with Socheongryong-tang. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32(3):262-8. https://doi.org/10.6114/JKOOD.2019.32.3.262
  18. Kim KS, Jeong YG, Kim MK. Pharmacological effects of Artemisia messes-schmidiana var viridis on 1-naphthylisothiocyanate-induced intrahepatic cholestasis in rat. Korean J Vet Res. 1995;35(3):481-8.
  19. Kim SN, Kim HS, Mam GS, Hwang SW, Hwang SY. The anti-inflammatory and analgesic activities of Artemisia capillaris Thunberg. Saengyak Hakhoe Chi. 2005;36(4):338-43.
  20. Lee JC, Park SK, Bang JK. Study on the relationship between Dae-Jang-Jung-Gyeok(大腸正格) and leaky gut syndrome. J Korean Med Classics. 2013;26(4):105-16. https://doi.org/10.14369/skmc.2013.26.4.105