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A Case of Erythrodermic Psoriasis  

Yu, Seung-Min (Department of Ophthalmology, Otolaryngology and Dermatology, College of Oriental Medicine, Kyung Hee University)
Son, Byeong-Kook (Department of Ophthalmology, Otolaryngology and Dermatology, College of Oriental Medicine, Kyung Hee University)
Yun, Young-Hee (Department of Ophthalmology, Otolaryngology and Dermatology, College of Oriental Medicine, Kyung Hee University)
Choi, In-Hwa (Department of Ophthalmology, Otolaryngology and Dermatology, College of Oriental Medicine, Kyung Hee University)
Publication Information
The Journal of Korean Medicine / v.31, no.5, 2010 , pp. 179-187 More about this Journal
Abstract
There is now growing evidence that psoriasis, like other inflammatory diseases such as rheumatoid arthritis and systemic lupus erythematosus, is a systemic disorder that is associated with enhanced atherosclerosis and risk of coronary artery disease. Erythrodermic psoriasis is a severe form of psoriasis that can be challenging to treat, and carries with it substantial morbidity and an increased risk of mortality compared with other forms of psoriasis. We experienced a case of an erythrodermic psoriasis patient with heart disease. The patient was suffering from whole body erythema, scale, edema and pain. She was admitted to the hospital, and herbal medication, acupuncture, herbal wet dressing and herbal ointment were applied. After 10 days, her edema and pain were remarkably improved, and the patient was discharged and treated through the outpatient clinic. Almost all symptoms were improved after approximately 3 months. We suggest that herbal medicines can be a choice for severe psoriasis patients and can also be helpful for cardiovascular disease.
Keywords
Erythrodermic psoriasis; herbal medicine; heart disease;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Park OS, Kim YB. One case report of expoliative dermatitis due to psoriasis. The Journal of Korean Oriental Medical Opthalmology & Otolaryngology & Dermatology 2004;17(3):131-137.   과학기술학회마을
2 Prodanovich S, Kirsner RS, Kravetz JD, Ma F, Martinez L, Federman DG. Association of psoriasis with coronary artery, cerebrovascular, and peripheral vascular diseases and mortality. Arch Dermatol. 2009 Jun;145(6):700-703   DOI   ScienceOn
3 Alexandroff AB, Pauriah M, Camp RD, Lang CC, Struthers AD, Armstrong DJ. More than skin deep: atherosclerosis as a systemic manifestation of psoriasis. Br J Dermatol. 2009 Jul;161(1):1-7.   DOI   ScienceOn
4 Nam HS, Cho CS, Kim CJ. A study on the healing mechanism of herbal medicine, Oryoungsan. The Journal of Dept of Oriental Internal Medicine, Daejeon University. 2001;10(1):157- 166.
5 Park SY, Kim DS, Choi JH, Kim JH. A case of the systemic psoriasis. The Journal of Korean Oriental Medical Opthalmology & Otolaryngology & Dermatology 2007;20(3):251-259.   과학기술학회마을
6 Jun SK, Kim JH, Kim MH, Shin SH, Yoon Hj, Ko WS, et al. The study of a case about dermatitis exfoliativa by drug eruption. The Journal of Korean Oriental Medical Opthalmology & Otolaryngology & Dermatology 2006;19(1): 145-154.   과학기술학회마을
7 De Paepe K, Hachem JP, Vanpee E, Roseeuw D, Rogiers V. Effect of rice starch as a bath additive on the barrier function of healthy but SLS-damaged skin and skin of atopic patients. Acta Derm Venereol 2002;82(3):184-186.   DOI   ScienceOn
8 Boyd AS, Menter A. Erythrodermic psoriasis: precipitating factors, course, and prognosis in 50 patients. J Am Acad Dermatol 1989;21:985-991.   DOI   ScienceOn
9 Gupta AK, Goldfarb MT, Ellis CN, Voorhees JJ. Side-effect profile of acitretin therapy in psoriasis. J Am Acad Dermatol 1989;20(6): 1088-1093.   DOI   ScienceOn
10 Berth-Jones J. The use of ciclosporin in psoriasis. J Dermatolog Treat 2005;16:258-277.   DOI   ScienceOn
11 Oh EY, Jee SY, Gu DM. A reports on chronic dermatitis treated by fasting therapy. The Journal of Oriental Medical Surgery, Opthalmology & Otolaryngology 2001;14(1):94-104.
12 Yoon HJ. Kam CW. A case of psoriasis treated with aromatherapy. Korean J. Oriental physiology & Pathology 2004;18(3):935-938.   과학기술학회마을
13 Rosenbach M, Hsu S, Korman NJ, Lebwohl MG, Young M, Bebo BF Jr, et al. Treatment of erythrodermic psoriasis: From the medical board of the National Psoriasis Foundation. J Am Acad Dermatol 2010;62(4):655-662.   DOI   ScienceOn
14 Burton JL, Rook A, Wilkinson DS. Textbook of dermatology. 4th ed. Boston:Blackwell. 1986: 367-418.
15 Fredriksson T, Pettersson U. Severe psoriasis: oral therapy with a new retinoid. Dermatologica 1978;157(4):238-244.   DOI
16 Boyman O, Conrad C, Tonel G, Gilliet M, Nestle FO. The pathogenic role of tissueresident immune cells in psoriasis. Trends Immunol. 2007;28 (2):51-57.   DOI   ScienceOn
17 McDonald CJ, Calabresi P. Occlusive vascular disease in psoriatic patients. N Engl J Med 1973;288(17):912.
18 윤재일. 건선. 1판. 서울:고려의학. 1996:11-53, 63.
19 Marks J. Psoriasis: proceedings of the international symposium. 1st ed. Stanford:Stanford University Press. 1971:89-98.
20 Mallbris L, Akre O, Granath F, Yin L, Lindelof B, Ekbom A, et al. Increased risk for cardiovascular mortality in psoriasis inpatients but not in outpatients. Eur J Epidemiol 2004;19:225-230.
21 Kaye JA, Li L, Jick SS. Incidence of risk factors for myocardial infarction and other vascular diseases in patients with psoriasis. Br J Dermatol 2008;159(4):895-902.   DOI   ScienceOn
22 Kremers HM, McEvoy MT, Dann FJ, Gabriel SE. Heart disease in psoriasis. J Am Acad Dermatol. 2007;57(2):347-354.   DOI   ScienceOn