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베게너 육아종으로 진단된 좌안면신경마비 환자에 대한 한의복합치료 1례

A Case Report of Korean Medicine Treatment for a Patient with Left Facial Palsy Diagnosed with Wegener's Granulomatosis

  • 전선욱 (경희대학교 대학원 임상한의학과) ;
  • 정성훈 (경희대학교 대학원 임상한의학과) ;
  • 정소민 (경희대학교 대학원 임상한의학과) ;
  • 기문영 (경희대학교 대학원 임상한의학과) ;
  • 황예채 (경희대학교 대학원 임상한의학과) ;
  • 김경묵 (경희대학교 대학원 임상한의학과) ;
  • 이한결 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과)
  • Seon-uk Jeon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seong-hoon Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • So-min Jung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Moon-young Ki (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ye-chae Hwang (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Gyeongmuk Kim (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Han-Gyul Lee (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Sang-Kwan Moon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Woo-Sang Jung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seungwon Kwon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2024.04.23
  • 심사 : 2024.07.05
  • 발행 : 2024.06.30

초록

Background: The study reports the effect of Korean medicine treatment on a patient with left facial palsy caused by Wegener's granulomatosis. Case information: The patient was receiving steroid treatment for facial palsy and was hospitalized for 21 days. He received acupuncture, electroacupuncture, bee venom pharmacopuncture, and moxibustion treatment along with Ssanghwa-tang and Cheongansohabwon herbal medicine treatment. During hospitalization, the Sunnybrook facial grading scale, House-Brackmann scale and length of time for the eye to completely close were evaluated at 11/16, 11/21, 11/27, 12/1, and 12/6. Post treatment, the degree of the movement in the left eyelid was improved, it took less time for the eye to close completely, the movement of the forehead wrinkle muscles improved, but that of the facial muscles under the eyes and left orbicularis oculi muscle showed little improvement. Conclusion: Korean medicine treatment for facial palsy caused by Wegener's Granulomatosis helps restore mobility of the forehead and orbicularis oculi muscles.

키워드

참고문헌

  1. Garlapati P, Qurie A. Granulomatosis With Polyangiitis. [Updated 2022 Dec 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557827/
  2. Comarmond C, Cacoub P. Granulomatosis with polyangiitis (Wegener): clinical aspects and treatment. Autoimmun Rev 2014 Nov;13(11):1121-5. https://doi.org/10.1016/j.autrev.2014.08.017
  3. Odom JQ, Mangan AR, Gibson AC, Larson M, Dornhoffer JL, Saadi RA. Diagnosis and management of facial nerve palsy secondary to granulomatosis with polyangiitis - A systematic review. Am J Otolaryngol 2024 Mar-Apr;45(2):104132.
  4. JS Han, Kwon MS, Kim JH, Jo DH, Jo HJ, Choi JE, et al. The Application State of the Sunnybrook Facial Grading System for Facial Palsy Patients : A retrospective study. The Acupunture 2016;33(4);101-8. https://doi.org/10.13045/acupunct.2016058
  5. Andrada-Elena M, Ioana TT, Mihaela FM, Irina-Elena C, Andrei TI, Florian B. Wegener's granulomatosis with orbital involvement: case report and literature review. Rom J Ophthalmol 2021 Jan-Mar;65(1):93-7. https://doi.org/10.22336/rjo.2021.19
  6. Park KT, Kong IG, Han DH, Kim DW, Kim SH, Rhee CS, et al. Clinical Experiences of Diagnosis and Treatment for Wegener's Granulomatosis. Korean Journal of Otolaryngology - Head and Neck Surgery 2008;51(12);1109-18.
  7. Kim BH. The Effects of Acupuncture at GB34 on Disuse Muscle Atrophy in Rats. Journal of Korean Medicine Rehabilitation 2018;28(4):1-9. https://doi.org/10.18325/jkmr.2018.28.4.1
  8. 경락경혈학 교재편찬위원회. 경혈학. 서울: 정담; 2020.
  9. Zhou Y, Dong X, Xing Y, Wang R, Yang S, Han Y, et al. Effects of electroacupuncture therapy on intractable facial paralysis: A systematic review and meta-analysis. PLoS One 2023 Jul 13;18(7):e0288606.
  10. Chen YH, Su XQ, Sun ZR, Yang XP. Observation on Electroacupuncture with Sparsedense Wave for Idiopathic Facial Paralysis. Shanghai Journal of Acupuncture and Moxibustion 2013;32(8):653-4.
  11. An BJ, Song HS. Effect of Electroacupuncture on Patients with Peripheral Facial Paralysis. Journal of Korean acupuncture & moxibustion medicine society 2005;22(4):121-9.
  12. Deng H, Shen X. The mechanism of moxibustion: ancient theory and modern research. Evid Based Complement Alternat Med 2013;2013:379291.
  13. Leng FQ, Cao LY, Zhang W. Observations on the Efficacy of Acupuncture plus Moxibustion on Point Yifeng(SJ 17) in Treating Facial Neuritis. Shanghai Journal of Acupuncture and Moxibustion 2014;33(11):1001-2.
  14. Hwang DS, Kim SK, Bae H. Therapeutic Effects of Bee Venom on Immunological and Neurological Diseases. Toxins (Basel) 2015 Jun 29;7(7):2413-21. https://doi.org/10.3390/toxins7072413
  15. Yang KR, Song HS. Effect of Bee Venom Pharmacopuncture Complex Therapy on Peripheral Facial Paralysis. The Journal of Korean Acupuncture & Moxibustion Society 2009;26(4);29-37.
  16. Iannella G, Greco A, Granata G, Manno A, Pasquariello B, Angeletti D, Didona D, Magliulo G. Granulomatosis with polyangiitis and facial palsy: Literature review and insight in the autoimmune pathogenesis. Autoimmun Rev 2016 Jul;15(7):621-31. https://doi.org/10.1016/j.autrev.2016.02.005
  17. Brian L. Furman. Prednisolone. Elsivior. 2019.
  18. White J, Dubey S. Eosinophilic granulomatosis with polyangiitis: A review. Autoimmun Rev 2023 Jan;22(1):103219.
  19. Lee YJ, Choe YJ, Lee EB, Kim HA, Song YW. Facial Palsy as a Presenting Symptom of Wegener's Granulomatosis. The Journal of the Korean Rheumatism Association 2000;7(3);286-90.
  20. Maeng JH, Na MS, Kim JM, Park KH. Bilateral facial nerve palsy with Wegener's granulomatosis. J Korean Skull Base Society 2015;10(1):34-7.
  21. Yi GH, Hong SU. A case of improved Wegener's granulomatosis with Oriental-Western Medicine Treatment. J Korean Med Ophthalmol Otolaryngol Dermatol 2016;29(4):206-17. https://doi.org/10.6114/jkood.2016.29.4.206
  22. Langford CA. Update on the treatment of granulomatosis with polyangiitis (Wegener's). Curr Treat Options Cardiovasc Med 2012 Apr;14(2):164-76. https://doi.org/10.1007/s11936-012-0165-x
  23. Pothiawala S, Lateef F. Bilateral facial nerve palsy: a diagnostic dilemma. Case Rep Emerg Med 2012;2012:458371.