• 제목/요약/키워드: Generalized Pruritus

검색결과 14건 처리시간 0.027초

전신소양감을 동반한 심상성 천포창 치험 1례 (A Case of Pemphigus vulgaris with Generalized Pruritus)

  • 이성은;윤화정;고우신
    • 한방안이비인후피부과학회지
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    • 제29권2호
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    • pp.112-122
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    • 2016
  • Objectives : The purpose of this report is to know the effect of Korean medical treatments on pemphigus vulgaris with generalized pruritus. Methods : We treated a 44-years-old woman patient with pemphigus vulgaris on the whole body with Korean medicine. After Korean medical treatment for 17 weeks, we measured the extinction of blisters and decrease of pruritus. We recorded pictures of changes on symptoms. Results & Conclusions : The symptoms of pemphigus vulgaris were significantly improved. The blisters and itching were decreased and skin damages were almost recovered. Thus Korean medical treatments are effective on pemphigus vulgaris.

개의 아토피성 피부염에 대한 cyclosporine의 경구 요법 (Application of oral cyclosporine in a dog with atopic dermatitis)

  • 박성준
    • 대한수의학회지
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    • 제45권3호
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    • pp.439-444
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    • 2005
  • A 7.1 kg, seven-year old, castrated male, Shih-Tzu with severe pruritus, chronic otitis externa and Malassezia infection was referred to Veterinary Medical Teaching Hospital of Chungnam National University. In local animal hospital, steroid therapy was used to treat uncontrollable pruritus, but the clinical signs were recurrent when steroid therapy was discontinued. On physical examination, generalized alopecia, erythema, papules, severe crust and diffuse lichenification were presented. Tape strip test of skin lesions revealed cocci and Malassezia infections. Based on the result of history, clinical signs and examination described above, canine atopic dermatitis with secondary superficial pyoderma and Malassezia dermatitis was diagnosed. Oral challenge with cyclosporine and antibiotics had good results in clinical signs. Clinical sign scores were evaluated by investigator with CADESI at 2weeks, 4weeks, 6weeks, 8weeks and 10weeks after cyclosporine administration. And in the result of comparing of allergen-specific IgE value, the level of allergen-specific IgE to general causative allergen after 10 weeks of cyclosporine therapy was higher than that before cyclosporine therapy.

렙토스피라 백신의 면역성 및 안전성에 관한 임상적 연구 (Clinical trial of leptospires vaccine on it immunogenicity and safety)

  • 윤형렬;김정순;허용
    • Journal of Preventive Medicine and Public Health
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    • 제23권1호
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    • pp.57-64
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    • 1990
  • Since the reservoir of leptospires organism is consisted of a broad spectrum of animals, the best method of prevention is vaccination. The clinical trial of leptospires vaccine conducted on human volunteer for its immunogenicity and safety. Summarized results are as following : 1. The Oral temperature among vaccinated group ranged from $36.7{\pm}0.46^{\circ}C\;to\;37.0{\pm}0.34^{\circ}C$, while in placebo injected group it ranged from $36.4{\pm}0.46^{\circ}C\;to\;36.7{\pm}0.53^{\circ}C$. There was no association between vaccination and fever (p>0.05) 2. Mild local reactions revealed in vaccinees were swelling (50-75% ), Redness($75{\sim}90%$), and induration ($25{\sim}40%$). Placebo injected group revealed only redness in 12.5% in 1st injection and 37.5% in second injection. The duration local reactions on injection site for th vaccinees and place groups disappeared within 48 hours. 3. Generalized Symptoms complained by the vaccinees were myalgia (25%), back pain(15%), headache (15%), pruritus(15%), and abdominal pain(10%), whereas placebo group complained of headache (25%), myalgia(12.5%), back pain(12.5%), pain in eyes(12.5%), abdominal pain(12.5%) pruritus (12.5%) and nausea(12.5%). 4. The serological test(MAT) of vaccinees showed geometric mean antibody titer as follows : a. L. icterohemorrhagiae lai 1 week after 1st vaccination : 22.45 1 week after 2nd vaccination : 111.23 3 week after 2nd vaccination : 266.64 b. L. canicola canicola 1 week after 1st vaccination : 24.62 1 week after 2nd vaccination : 123.92 3 week after 2nd vaccination : 276.55 c. L. icterohemorrhagiae copenhageni 1 week after 1st vaccination : 28.28 1 week after 2nd vaccination : 128.55 3 week after 2nd vaccination : 247.88 Whereas all of the place injected group showed below 1:20 titers. The sero-conversion rate of vaccinees were 100 percent.

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개에서 개선충(Canine Scabies) 감염에 대한 월 2회 Selamectin 적용 일례 (Efficacy of Application of Selamectin for Canine Scabies Infestation in a Dog)

  • Kim, Sung-Ryong;Hoh, Woo-Pil;Jeong, A-Young;Jeong, Hyo-Hoon;Eom, Ki-Dong;Lee, Keun-Woo;Oh, Tae-Ho
    • 한국임상수의학회지
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    • 제20권2호
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    • pp.242-244
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    • 2003
  • 3연령 잡종편이 소양감, 탈모의 증상으로 내원하였다. 신체검사에서 전신적으로 발적, 구진, 탈모, 비듬 그리고 가피의 병변이 관찰되었다. 전반적인 피부검사결과 개선충, Staphylococcus spp과 Malassezia spp의 혼합 감염으로 진단되었다. Selamectin 6 mg/kg을 2주간격으로 2회 경부피부에 적용하였다. 그리고 한 달간 구균과 Malassezia 치료를 위해 amoxicillin trihydrate/clavulanate pattassium과 ketoconazole 10 mg/kg을 경구투여하고 5% chlorhexidine 샴푸를 주2회 실시하였다. 첫 치료 후 7,14,21 그리고 28일에 피부를 재검사 하였을 때 개선충은 관찰되지 않았으며 피부 증상은 현저하게 개선되었다. 피모는 거의 정상으로 회복되었으며 Staphylococcus와 Malassezia spp는 거의 관찰되지 않았다. 그러므로 이 치료절차에 따른 selamectin 적용은 개선충이 감염된 개에서 매우 효과적이라고 사료된다.

Topical Application of 0.1% Tacrolimus Ointment for Treatment of Sinus Refractory Pododermatitis Secondary to Atopy in a Dog

  • Kim, Ha-Jung;Yoo, Jong-Hyun;Park, Chul;Park, Hee-Myung
    • 한국임상수의학회지
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    • 제25권3호
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    • pp.202-206
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    • 2008
  • An 8-year-old, castrated male Shih-tzu was referred due to relapsing pododermatitis and generalized pruritus. On physical examination, right forepaw showed swelling and serosanguinous exudates from sinus tract on dorsal paw. There were no remarkable findings on complete blood count (CBC), serum chemistry, and radiologic examination. On cytological examination of exudates from sinus tract, phagocyted bacteria and numerous degenerative neutrophils were noted. Results of deep skin scraping and plucking hair examination were unremarkable. Skin biopsy was performed and ruled out other skin diseases. Histopathology showed epidermal hyperplasia and diffuse mononuclear cell inflammation in dermal layer. Moreover, pyogranulomatous inflammation was demonstrated in subcutaneous layer. This case was clinically diagnosed as pododermatitis secondary to atopic dermatitis (AD). Clinical signs of pododermatitis were gradually improved following topical application of tacrolimus 0.1% ointment. This case report describes that tacrolimus ointment can be applicable for the treatment of refractory pododermatitis.

파라콰트에 의한 피부 손상의 임상적 고찰 (Paraquat Poisoning by Skin Absorption)

  • 양종오;길효욱;이은영;홍세용
    • 대한임상독성학회지
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    • 제2권2호
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    • pp.101-105
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    • 2004
  • Purpose: Paraquat is the most commonly used herbicide in Korea. Exposure to paraquat through the skin has resulted in local irritation or inflammation of varying degree, sometimes severe. The purpose of this study was to review the patients with paraquat poisoning by skin absorption. Methods: We analysed retrospectively the clinical and laboratory findings of 45 patients with paraquat poisoning after dermal exposure, who were admitted to Soonchunhyang University Cheonan Hospital from January 1999 to December 2003. Results: Among 870 cases of paraquat poisoning, 45 cases were exposed to paraquat through the skin. The peak incidence was the fifth decade($40\%$). The clinical symptoms were pain, pruritus, nausea, and vomiting. The major skin lesions were generalized vesicobullae and necrotic erosion in face, scrotum, trunk, upper and lower extremities and etc. All patients were survived after skin contact or inhalation of paraquat. Conclusion: This study illustrates the extreme toxicity of paraquat and demonstrates that lethal quantities of paraquat may be absorbed if repeated exposure to it. Stricter precautions, including the mandatory use of protective clothing, should be recommended whenever this material is used.

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Unexpected Isolation of Leclercia Adecarboxylata in Dermatitis of a Dog

  • Jung, Hansol;Cho, Hyunkee;Lee, June Bong;Yoon, Jang Won;Chung, Jin-Young
    • 한국임상수의학회지
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    • 제34권5호
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    • pp.381-383
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    • 2017
  • A two-year-old intact male Labrador retriever was presented with generalized erythema, pustule and pruritus. A skin screening test revealed that there were no fleas but bacteria and dermatophytes were present. Blood testing revealed no remarkable findings. The patient was prescribed systemic medication of enrofloxacin 30 mg/kg once a day and itraconazole 10 mg/kg once a day and topical medication of 2% chlorhexidine shampoo twice a week for 2 weeks. Two weeks after the prescription, aerobic culture confirmed that the bacteria were Leclercia Adecarboxylata and Pseudomonas putida was sensitive to enrofloxacin. Therefore, more medicine was prescribed for 4 weeks to alleviate clinical signs. After six weeks of medication, clinical signs were alleviated and skin screening test revealed no remarkable findings. Bacterial and fungal skin infections are common in dogs. However, there are no reports of Leclercia Adecarboxylata infection even in gastrointestinal tract in veterinary medicine. This is the first report of Leclercia Adecarboxylata infection in dogs. This report proved that Leclercia Adecarboxylata can cause skin problem in dogs.

개에서 피부개선충(Canine Scabies)과 귀진드기(Ear Mite) 혼합감염에 대한 주 2회 selamectin 적용 일례 (Efficacy of Twice a Week Selamectin Application as a Treatment for Mixed Canine Scabies and Ear Mite Infestation in a Dog)

  • Woo Pil Hoh;A-Young Jeong;Hyo Hoon Jeong;Ki Dong Eom;Tae Ho Oh
    • 한국임상수의학회지
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    • 제19권4호
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    • pp.401-404
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    • 2002
  • 6개월령 수컷 아메리칸 코커스파니엘이 심한 소양감, 탈모 그리고 머리를 심하게 흔드는 증상으로 내원하였다 신체검사에서 전신적으로 가피. 비듬, 구진. 발적의 병변이 관찰되었다. 전반적인 피부검사결과 개선충, 귀진드기, 구균과 Malasseria의 혼합 감염으로 진단하였다. Selamectin 6mg/kg을 주 2회로 총 4회 경부 피부에 적용하였다 마지막 적용 후 14일에 피부를 재검사 하였을 때 개선충과 귀진드기는 관찰되지 않았으며 소양증과 비듬의 증상이 현저하게 개선되었다. 개선충과 귀진드기에 대한 치료가 끝난 후 구균과 Malassezia 치료를 위해 clavamox 와 ketoconazole을 3주간 투여 하였으며 동시에 sebolytic 샴푸와 chlorohexidine 샴푸를 3주동안 주 2회 실시하였다. 2개월 후 피부 증상은 현저히 감소하였고 피부 병변은 회복되었다. 이 치료법에 따른 selamectin 적용은 고가이지만 개선충과 귀진드기가 감염된 개에서 매우 효과적이며 임상적으로 scabies 감염증의 치료적 진단법으로 유용한 제제로 판단된다

개에 있어서 전신성 홍반성 낭창 일례 (A Case of Systemic Lupus Erythematosus in a Dog)

  • 김주향;김기홍;고인경;이금종;나기정;양만표
    • 한국임상수의학회지
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    • 제17권2호
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    • pp.443-449
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    • 2000
  • A three-year-old male jindo with generalized skin lesions (including seborrhea, hyperk- eratosis, alopecia, papules, and ecchymoses), pruritus lymph node enlargement, and fever was brought to Veterinary Teaching Hospital, College of Veterinary Medicine, Chungbuk National Uni- versity. There were no laboratory findings for parasites and fungi in the hair and skin But, the com- plete blood counts (CBC) showed leukocytosis and severe cosinophilia, It was suspected to be an inflammatory and allergic dermatitis. Thus, prednisoIone (0.5 mg/kg PO, BID for 1 week) and ampi- cillin (10 mg/kg PO, BID for 1 week given. One week later, pruritus and ecchymoses were reduced. These treatments were repeated for 7 day again. Three months later, the dog was presented again due to the relapse and exacerbation of the clinical signs. The signs were as follows; severe pru- ritus, vesicobullous skin lesions, anorexia, emaciation, lameness, and welling of carpal joints that showed inflammatory skin lesion and draining of synovia-like fluid. The values of WBC counts were returned to normal ranges. In contrast, eosinophilia was still observed. Coombs test for patient RBC and serum were negative. Hypoalbuminemia (2.5g/dl) was shown by serum chemistry. The uri- nalysis revealed and presence of leukocytes. Luxation finding of right radial carpal joint by polyarthritis was shown in radiography of affected joints.Lupus eryhematosus(LE) cells also appeared in peripheral blood and synovial fluid of affected joints. Definitely, antinuclear antibody (ANA) of patient serum using feline peripheral blood mononuclear cells was detected by all immu- nofluorescence. Based on these findings such as sedum ANA-Positive. major signs (skin disease, non- erosive polyarthritis with soft tissue swelling. and proteinuria), minor signs (fever), and LE cell-pos- itive, a diagnosis of systemic lupus crythematosus (SLE) was mad\ulcorner in this dog. The dog with SLE was administered with Pre(2.0 mg/kg PO, BID for first 4 week and then QOD) to inhibit the production of autoantibodies and with ampicillin (10 mg/kg PO, BID for first 4 weeks and then QOD) to prevent the secondary infection. The condition of this dog was monitored every 2 weeks by physical examinations, radiography, CBC, serum chemistry and urinalyais. At 8th week of treat- ment, the state of SLE evaluated by physical examinations and laboratory findings was markedly improved except for proteinura.

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Whippet종 개에서의 Cheyletiella yasguri(진드기목: 발톱진드기과) 감염증례 보고 (A case report of Cheyletiella infestation on a Whippet dog in Korea)

  • 신성식
    • Parasites, Hosts and Diseases
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    • 제34권4호
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    • pp.267-278
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    • 1996
  • 국내산 개에서의 Cheyletiella 좀진드기에 의한 피부염 1례를 보고한다. 환견은 3년생 Whippet 종 암컷으로서 자동차사고로 인해 좌측견갑골의 복합골절 및 전위가 일어나 입원하였다. 입원한 직후 실시한 전신검사에서 좀진드기에 의한 피부염은 관찰되지 않았다. 환견은 두 차례에 걸친 골절부위의 골접합수술을 받았으며 입원한 두 달 동안 매일 항생제와 prednisolone요법을 받았다. 입원한지 두 달 후 좌측견갑골 부위의 피부에 소양성 피부염이 발생하였으며 특히 등 및 목부위에 다량의 인설이 관찰되었다. 약 2-5 mm 정도 두께의 인설층이 목 및 등의 피모 기저부에 형성되어 있었으며 인설과 피부소파 내용물을 검경한 결과. 기생 좀진드기 두부의 palpi 끝에 존재하는 뚜렷한 한쌍의 후크와 genu I에 존재하는 심장모양의 감각기관을 특징으로 하는 Cheyletiella yasguri의 중감염이 확인되었다. 자견에서 주로 관찰되는 것으로 보고된 임상증세의 발현이 3년생의 성견에서 관찰된 이유로는 두 달간의 집중적인 항염증제의 투여로 인한 면역억압의 결과라 생각되었다.

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