Browse > Article
http://dx.doi.org/10.7730/JSCM.2020.32.2.80

A Case Report of Patient with Recurrent Aphthous Stomatitis and Pompholyx Treated with Modified Palmulgunja-tang  

Kim, Ji Hwan (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Gachon University)
Publication Information
Journal of Sasang Constitutional Medicine / v.32, no.2, 2020 , pp. 80-95 More about this Journal
Abstract
Introduction This study is the first case report to observe a significant improvement of clinical symptoms of both Recurrent Aphthous Stomatitis(RAS) and pompholyx treating with modified Palmulgunja-tang for Soeum-type. Case presentation A 37-year-old female patient complained of pain by ulcers on her mouth and tongue, and of itching caused by vesicles on her palms and soles was diagnosed with RAS, pompholyx, and, especially moderate pattern of 'Congestive Hyperpsychotic symptomatology' according to the theory of Sasang Constitutional Medicine(SCM). During inpatient and outpatient treatment, she took modified Palmulgunja-tang, and was treated with acupuncture, moxibustion, and cupping therapy. The effectiveness of these therapies was assessed with subjective Neumeral Rating Scale(NRS) and Dyshidotic Eczema Area and Severity Index(DASI). Conclusion After the treatment according to the theory of SCM, NRS, and DASI score about RAS and pompoholyx was decreased, and the general condition of the patient also has improved.
Keywords
Aphthous Stomatitis; Pompholyx; Case report; Palmulgunja-tang; Sasang Constitutional Medicine;
Citations & Related Records
Times Cited By KSCI : 12  (Citation Analysis)
연도 인용수 순위
1 Ha NY, Lee JH, Lee JE, Nam SU. A follow-up study of clinical chracteristics of recurrent aphthous stomatitis patients treated with herbal medicine. J Int Korean med. 2017;38(5):812-819. (Korean)   DOI
2 Lee HJ. Soyang-in patient with stomatitis. J of Society of Body-type Sasang Med. 2009:26:87-89. (Korean)
3 Jeong JM, Oh YT, Kim KH, Lee MS, Song BY, Kim JU, et al. An Overview of Korean Medicine Research for Pompholyx- Literature Review based on recently published studies in Korea-. J of Society of Preventive Korean Med. 2018;22(3):61-72l. (Korean)
4 Weon YH, Bak JY, Bak CE. Thre Case of Pompholyx Treated by Sasang Medicne. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014;27(4):21-29. (Korean)
5 Park MY, Oh HJ, Hwang MW. A Clinical Case Report of Soyangin Patient with Dyshidrosis. J Sasang Constitut Med. 2018;30(3):104-115. (Korean)   DOI
6 E. Vocks, S.G. Plotz, J. Ringa. The Dyshidrotic Eczema Area and Severity Index - A Score Developed for the Assessment of Dyshidrotic Eczema. Dermatology 1999;198:265-269. DOI: 10.1159/000018127   DOI
7 Edgar NR, Saleh D, Miller RA. Recurrent Aphthous Stomatitis: A Review. J Clin Aesthet Dermatol. 2017; 10(3):26-36.
8 Wollina U. Pompholyx: a review of clinical features, differential diagnosis, and management. Am J Clin Dermatol. 2010;11(5):305. DOI: 10.2165/11533250-000000000-00000.   DOI
9 Lee JY, Yim MH, Kim JY. Test-retest reliability of the questionnaire in the Sasang constitutional analysis tool (SCAT). Integr med res. 2018:7;136-140. DOI: 10.1016/j.imr.2018.02.001   DOI
10 Lee JH, Lee EJ. Clinical Practice Guideline for Soeumin Disease of Sasang Constitutional Medicine: Diagnosis and Algorithm. J Sasang Constitut Med 2014;26(1): 11-26. (Korean)   DOI
11 Park BJ, Kwon JH, Lee JH, Lee EJ, Koh BH. The origin, changes and compositive principles of Palmulgunja-tang. J Sasang Constitut Med. 2010;22(4):1-9. (Korean)
12 Han SJ, Jung SK, Choi DS, Song JM. A clinical study do the patine hot flush on the palms and soles of the feet improved with Hyangbujapalmul-tang. J Sasang Constitut Med. 2011;23(3):412-418. (Korean)   DOI
13 Shin YJ, Lee JW. Clinical Analysis on the 219 cases of Dyshidrotic Eczema. J Korean Med Ophthalmol Otolaryngol Dermatol 2014;27(4):58-66. (Korean)   DOI
14 Bae HS, Kim YH, Lee EJ. Clinical Practice Guideline for Soeumin Disease of Sasang Constitutional Medicine: Congestive Hyperpsychotic symptomatology. J Sasang Constitut Med 2014;26(1):27-36. (Korean)   DOI
15 Shin SH, Yun JM, Heo JE, Ko WS, Yoon HJ. A case study on steroid rebound phenomenon after steroids treatment for pompholyx. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014;27(3):155-161. (Korean)   DOI
16 Kang DH, Kim JH, Lim HW, Kim JY, Kwon K. A case study of chronic plantar pompholyx including steroids side effects. J Korean Med Ophthalmol Otolaryngol Dermatol. 2011;24(1):181-191. (Korean)   DOI
17 Byun JS. Oral ulcerative and vesicular disease. J Korean Dental Association. 2017;55(9):634-639. (Korean)
18 Lee HC, Lee SW, Bae EJ, Park SU, Yoon SW, Ko CN. A case report of recurrent aphthous stomatitis resulted from cessation of smoking in stroke patient. Korean J Orient Int Med. 2003;24(4):967-974. (Korean)
19 Jeewanjit G, Melanie P. A Severe Case of Recalcitrant Pompholyx. Case Reports. J Cutan Med Surg.2015; 19(5):494-7. DOI: 10.1177/1203475415581737   DOI
20 Kim JY, Kim JS, Son JH, Seon JK, Jang SW, Son JY et al. Efficacy of Gamiyukmijihwang-tang on Recurrent Aphthous Stomatitis. Korean J Orient Int Med. 2012; 33(2):231-242. (Korean)