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http://dx.doi.org/10.6114/jkood.2018.31.3.140

A Case of Urticaria occurred to a Breastfeeding Patient in Postpartum Period Treated with Korean Medicine  

Kang, Dong-Won (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University)
Kang, Se-Hyun (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University)
Park, Jung-Gun (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University)
Hwang, Deok-Sang (Department of Gynecology, College of Korean Medicine, Kyung-Hee University)
Kim, Yoon-Bum (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University)
Kim, Kyu-Seok (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, College of Korean Medicine, Kyung Hee University)
Publication Information
The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology / v.31, no.3, 2018 , pp. 140-149 More about this Journal
Abstract
Objectives : The aim of this study is to report the effect of herbal medicine and acupuncture on a breastfeeding woman's postpartum urticaria which was unresponsive to a 1st generation antihistamine and a topical steroid. Methods : Wheals and pruritus occurred to a 36-year-old breastfeeding woman 2 days after the parturition. Symptoms were unresponsive to about a week of systemic antihistamine and topical steroid treatments. GamiSamul-tang herbal decoction was administered three times a day for the first 21 days and twice a day for the next 10 days of the treatment. Acupuncture treatment was applied to 12 acupoints (both sides of LI04, LR03, ST36, LI11, SP10, SP6) for 15 minutes once a week, 5 times in total. The patient's symptom was evaluated with Weekly Urticaria Activity Scale (UAS7) and Visual Analogue Scale for Worst Pruritus within 24 hours ($VAS_{Pruritus}$) each time the patient visited out-patient department. Results : The scores of UAS7 and $VAS_{Pruritus}$ at the baseline were 38 and 8.2 respectively. 10 days after the herbal medicine and acupuncture treatment began, both decreased to 0 and wheal, pruritus, erythema didn't appeared again for the rest of the follow up periods. Conclusions : This study shows the possibility of using GamiSamul-tang and acupuncture to treat postpartum urticaria.
Keywords
Postpartum urticaria; Puerperal urticaria; Breastfeeding; GamiSamul-tang; Herbal medicine;
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1 Godse K, De A, Zawar V, Shah B, Girdhar M, Rajagopalan M, et al. Consensus Statement for the Diagnosis and Treatment of Urticaria: A 2017 Update. Indian J Dermatol. 2018;63(1):2-15.   DOI
2 Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, et al. The EAACI/$GA^2LEN$/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticarial: the 2013 revision and update. Allergy. 2014;69(7):868-87.   DOI
3 Weldon D. Quality of life in patients with urticaria and angioedema: Assessing burden of disease. Allergy Asthma Proc. 2014;35(1):4-9.   DOI
4 Lawley TJ, Hertz KC, Wade TR, Ackerman AB, Katz SI. Pruritic urticarial papules and plaques of pregnancy. JAMA. 1979;241:1696-99.   DOI
5 Powell RJ, Leech SC, Till S, Huber PA, Nasser SM, Clark AT. BSACI guideline for the management of chronic urticaria and angioedema. Clin Exp Allergy. 2015;45(3):547-65.   DOI
6 RPh MS, Bozzo P, Inoue M, RN AE. Safety of antihistamines during pregnancy and lactation. Can Fam Phys. 2010;56:427-29.
7 Kar S, Krishnan A, Preetha K, Mohankar A. A review of antihistamines used during pregnancy. J Pharmacol Pharmacother. 2012;3(2):105-8.   DOI
8 Donald S, Doreen M, Ana G-A, Clive G, Sam K, Maria-Magdalena B. Validation of chronic spontaneous/idiopathic urticaria (CSU/CIU) health states using weekly urticaria activity score (UAS7) and Dermatology Life Quality Index (DLQI). J Am Acad Dermatol. 2015;72(5):AB154.
9 Zuberbier T, Maurer M. Urticaria: Current opinions about aetiology, diagnosis and therapy. Acta Derm Venereol. 2007;87(3):196-205.   DOI
10 Kaplan AP, Joseph K,Maykut RJ, Geba GP, Zeldin RK. Treatment of chronic autoimmune urticaria with omalizumab. J Allergy Clin Immunol. 2008;122(3):569-73.   DOI
11 The Society of Korean Medicine Obstetrics and Gynecology. Korean Medicine Obstetrics & Gynecology(II). Seoul: Uiseongdang. 2012:691-3.
12 Pomp ER, Lenselink AM, Rosendaal FR, Doggen CJM. Pregnancy, the postpartum period and prothrombotic defects: risk of venous thrombosis in the MEGA study. J Thromb Haemost. 2008;6(4):632-7.   DOI
13 erbasi FR, Bottoms S, Farag A, Mammen EF. Changes in hemostasis activity during delivery and theimmediate postpartum period. Am J Obstet Gynecol. 1990;162(5):1158-63.   DOI
14 Hellgren M. Hemostasis during Normal Pregnancy and Puerperium. Seminars in Thrombosis and Hemostasis. 2003;29(2):125-30.   DOI
15 Kim HJ. Clinical study of Chronic Urticaria. J Korean Med Ophthalmol Otolaryngol Dermatol. 2002;15(2):252-60.
16 Milman N. Postpartum anemia I: definition, prevalence, causes, and consequences. Annals of Hematology. 2011;90(11):1247-53.   DOI
17 Moon SH, Kim JY. The Effect of the Oriental Postpartum Care in Hemoglobin Changes of Maternity. Journal of Korean Oriental Medicine. 2002;23(1):112-9.
18 Hawro T, Ohanyan T, Schoepke N, Metz M, Peveling-Oberhag A, Staubach Petra et al. The Urticaria Activity Score-Validity, Reliability, and Responsiveness. J Allergy Clin Immunol. 2018;6(4):1185-90.   DOI
19 Yao Q, Li S, Liu X, Qin Z, Liu Z. The Effectiveness and Safety of Acupuncture for Patients with Chronic Urticaria: A Systematic Review. Biomed Res Int. 2016;2016:1-7.
20 Chen CJ, Yu HS. Acupuncture Treatment of Urticaria. Arch Dermatol. 1998;134(11):1397-9.