DOI QR코드

DOI QR Code

A Case Report of Hypersensitivity Vasculitis with Petechiae Improved by Administration of Jeoryoung-tang

저령탕(猪苓湯)으로 호전된 과민성 혈관염 의증 치험 1례

  • Lee, Ju-Hyun (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) ;
  • 조은희 (원광대학교 한의과대학 침구의학교실) ;
  • 박지원 (원광대학교 한의과대학 침구의학교실) ;
  • 박민철 (원광대학교 한의과대학 한방안이비인후피부과학교실)
  • Received : 2022.03.22
  • Accepted : 2022.05.23
  • Published : 2022.06.01

Abstract

Objectives: This study is to report a case of hypersensitivity vasculitis with petechiae improved by Jeoryoung-tang Methods: Petechiae was observed in the upper and lower extremities of the patient. The patient also complained of cystitis symptoms such as dysuria and residual urine. Since there were no other accompanying symptoms such as abdominal pain, bleeding, or joint pain, the patient was diagnosed with hypersensitivity vasculitis and Jeoryoung-tang was prescribed for about a month. Results: After administering Jeoryoung-tang for about a month, petechiae improved from 8 to 2 points, and cystitis symptoms also improved from NRS 7 to 2 points. Conclusions: Since it has been confirmed that Jeoryoung-tang was effective as the treatment of skin symptoms through this case, Jeoryoung-tang can be prescribed for patients with other type skin diseases. However, since it is difficult to generalize this single case, continuous follow-up studies should be conducted.

Keywords

Acknowledgement

이 논문은 2021년도 원광대학교의 교내 연구비 지원에 의해서 수행됨.

References

  1. Kwon, K.Y. (2008). Diagnosis and treatment of purpura. The Korean Journal of Medicine, 75(2), 169-72.
  2. Traditional Korean Dermatology & Surgery Textbook Compilation Committee. (2007). Text of traditional Korean dermatology & surgery. 1st ed. Busan: Sunwoo. 463-6.
  3. Kim, J.S., Choi, J.H., Kim, J.H., Jeong, M.Y., Park, S.Y. (2016). A case of allergic purpura treated with Korean medicine-two cases. Herb Formula Sci, 24(1), 63-70. https://doi.org/10.14374/HFS.2016.24.1.63
  4. Kang, D.W., Park, J.G., Han, C.Y., Kim, K.S., Kim, Y.B. (2019). Review of Korean medicine treatments for purpura and vasculitis in Korean journals. J Korean Med Ophthalmol Otolaryngol Dermatol, 32(3), 116-35. https://doi.org/10.6114/JKOOD.2019.32.3.116
  5. Mang, W.J. (1996). Sanghanron commentary. 1st ed. Iksan: Wonkwang University Press Office. 297-9.
  6. Kim, B.M., Jo, H.G. (2020). Adjuvant therapy efficacy of herbal medicine Zeo Lyung Tang (Zhu Ling Decoction) for primary glomerulonephritis: Systemic review and meta-analysis. J Int Korean Med, 41(4), 633-57.
  7. Lee, C.R., Kim, T.H., Rhee, J.W., Na, B.J., Kim, E.J., Lee, S.H., et al. (2003). Case studies on the patients with urinary tract infection after stroke treated with Oryeong-san Gamibang(Wuring-san Jiaweifang). J Int Korean Med, 168-75.
  8. Zufferey, A., Kapur, R., Semple, J.W. (2017). Pathogenesis and therapeutic mechanisms in immune thrombocytopenia (ITP). J Clin Med, 6(2), 16. https://doi.org/10.3390/jcm6020016
  9. Choi, K.C. (2001). Idiopathic thrombocytopenic purpura. Journal of the Korean Pediatric Society, 44(2), 115-8.
  10. Kwon, J.M., Pak, K.Y. (2018). Poor prognosis in idiopathic thrombocytopenic purpura-associated retinopathy. J Korean Ophthalmol Soc, 59(4), 384-7. https://doi.org/10.3341/jkos.2018.59.4.384
  11. Tizard, E.J. (1999). Henoch-Schonlein purpura. Arch Dis Child Educ Pract Ed, 80, 380-3. https://doi.org/10.1136/adc.80.4.380
  12. Moon, Y.J., Kim, C.H., Chu, H.M., Lee, J.Y., Song, B.K., Won, J.H. (2018). A case report of hypersensitivity vasculitis improved by Korean medicine treatment. J Int Korean Med, 39(5), 964-72. https://doi.org/10.22246/jikm.2018.39.5.964
  13. Kim, B.N.R., Park, J.M., Chae, J.W. (2014). A case report of allergic purpura. J Pediatr Korean Med, 28(4), 108-17. https://doi.org/10.7778/JPKM.2014.28.4.0108