• 제목/요약/키워드: chronic dermatitis

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습열(濕熱)로 변증한 급성기 아토피 피부염 환자 치험 6례 (6 Cases of Acute Lesion of Atopic Dermatitis Diagnosed as damp-heat type)

  • 손병국;최인하
    • 한방안이비인후피부과학회지
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    • 제20권2호통권33호
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    • pp.213-229
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    • 2007
  • Objective : This study investigated results of treatment of Atopic Dermatitis(AD) patients diagnosed as damp-heat type with herbal medicine and wet dreesing. Method : Six AD subjects diagnosed as damp-heat type were selected from the outpatient department of East-West Neo Medical Center in the period of Dec. 2006 to Feb. 2007. Each subject was treated with herbal medicine and wet dressing. Severity Scoring of Atopic Dermatitis(SCORAD) was used to evaluate the effect of treatment and pictures were taken of the Atopic dermatitis lesions. Result & Conclusion : We observed improvement on SCORAD score, especially intensity score of damp-heat type when they were treated with herbal medicine and wet dressing. However, it is less effective and AD often recurs in case of chronic adult-type AD. In addition, nipple eczema in some patients has showed a tendency to improve slowly and recur easily compared to other lesions.

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문헌적 근거를 기반으로 한 아토피 피부염의 소화기계·호흡기계로의 변증분류 (Classification of Atopic Dermatitis into Digestive and Respiratory Disorders on the Basis of a Literature Study)

  • 박승구;노현민;황충연;홍석훈;박민철;장현철;김호경
    • 한방안이비인후피부과학회지
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    • 제29권3호
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    • pp.106-123
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    • 2016
  • Objectives: This study aimed to verify the classification of atopic dermatitis into the digestive and respiratory disorder on the basis of a literature study.Methods: We searched for the term "atopic dermatitis" in KISS, RISS, NDSL, DBPIA, and OASIS. On further filtering the searched paper further by including the terms "Korean medicine", "literature study" and excluding "acupuncture", we found eight papers relevant to the literature study of atopic dermatitis. The reviewed papers included keywords of Oriental medicine such as Sub-yeol (濕熱), Bi-heo (脾虛), Poong-sub (風濕), Hyeol-heo (血虛). We classified keywords as "digestive system" or "respiratory system" and compared the clinical symptoms of classified Each category keywords.Results: Atopic dermatitis was classified into four categories : acute digestive disorder, chronic digestive disorder, acute respiratory disorder, and chronic respiratory disorder. The four categories of atopic dermatitis showed differences based on region, dermal symptoms, associated symptoms, and affected age group.Conclusions and Discussions: This study suggests a new theory of Atopic dermatitis classification. The theory is similar to that stated in former classification; however, it focuses on the digestive and respiratory disroder. All of atopic dermatitis into digestive disorder show both digestive symptoms and dermal symptoms. However, atopic dermatitis into respiratory disorder shows only respiratory symptoms. Thus, this study can establish a relationship between Western and Oriental medicine's study of atopic dermatitis using keywords such as "digestive disorder" and "respiratory disorder".

우리나라 성인의 아토피피부염 관련요인: 2008년도 국민건강영양조사 자료를 중심으로 (Factors associated with Atopic Dermatitis in Korean Adults: The Korean National Health and Nutrition Survey 2008)

  • 김계하;박아영;김진선
    • 재활간호학회지
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    • 제15권2호
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    • pp.83-90
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    • 2012
  • Purpose: The purpose of this study was to investigate the factors associated with atopic dermatitis in Korean adults. Methods: The data were obtained from the Korean National Health and Nutrition Survey on 2008. Subjects of this study were 7,280 adults aged older than 18 years. The data were analyzed for demographic characteristics, health status, alcohol drinking, smoking, hypertension, hyperlipidemia, asthma, chronic sinusitis, rhinitis, stress, depression, and suicidal ideation between atopy group and non-atopy group. Results: Among 7,280 subjects, 2.9% of Korean adults had a diagnosis of atopic dermatitis from doctor. Multiple logistic regression identified that the presence of atopic dermatitis was associated with marital status (OR=2.66, CI 1.84~3.86, p<.001), rhinitis (OR=1.52, CI 1.04~2.22, p = .030), and depression (OR=1.89, CI 1.04~3.41, p = .036). Conclusion: Based on these results, marital status, rhinitis, and depression should be considered in addressing individuals with atopic dermatitis. And the other factors contributing to atopic dermatitis need to be specifically identified.

가미열다한소탕(加味熱多寒少湯) 투여후 아토피 피부염 환자의 임상상 변화에 대한 연구 (A study on the alteration of general characteristics and therapeutic effect of GamiYeoldahansotang(加味熱多寒少湯) in patients with Atopic Dermatitis)

  • 정환수;이진용
    • 대한한방소아과학회지
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    • 제15권2호
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    • pp.177-188
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    • 2001
  • Background : Atopic Dermatitis is thought to be a common and chronic relapsing inflammatory skin disease that probably results from allergic reaction. Because it make some serious problems in children, it is needed to treat and at least subside symptoms. Objective : The aim of this study was to evaluate the efficacy of GamiYeoldahansotang(加味熱多寒少湯) for treating Atopic Dermatitis and survey the general characteristics in children with Atopic Dermatitis. Method : Atopic Dermatitis with typical clinical symptoms were included in this study. Forty two patients were treated with hot water extract of GamiYeoldahansotang(加味熱多寒少湯) for four weeks. Clinical evaluation were made by Jacob T scoring system before and after treatment. Total Serum IgE, Eosinophil count were also conducted. Results : Reduction in body surface area was not observed. But significant reductions of severity scores before and after adminstration of GamiYeoldahansotang(加味熱多寒少湯) were observed in all of three groups: mind, moderate, severe. specially severe intensity group was very statistically significant.(p<0.05) Conclusion : We speculate that GamiYeoldahansotang(加味熱多寒少湯) has some therapeutic effects in mitigating the symptoms of Atopic Dermatitis.

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십미패독산(十味敗毒散)가미방 (정안탕(正顔湯))으로 호전을 보인 지루성 피부염 치험 5례 증례보고 (Five case reports of Seborrheic Dermatitis Patients treated with Shi Wei Ba Du-San gamibang (Jeongan-tang))

  • 김은진;류동훈;정아람
    • 대한한방소아과학회지
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    • 제35권3호
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    • pp.89-99
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    • 2021
  • Objectives Seborrheic dermatitis is a chronic superficial eczematous dermatitis characterized by the redness and dry or greasy squama. This case study was designed to assess the effect of Shi Wei Ba Du-San gamibang (Jeongan-tang) for seborrheic dermatitis by retrospective methods. Methods From June 1, 2016 to January 31, 2020, 5 patients with seborrheic dermatitis were treated with Jeongan-tang for 3 months at Oriental Medicine Clinic. We analyzed information and body conditions of 5 patients. Redness, squama, and skin discomfort such as itching were assessed in 5 patients by using VAS (Visual Analogue Scale) score. We evaluated the symptom change by photographs and VAS score before and after the treatment. Results At first, the frequency of flushing and redness was decreased. Secondly, the scaly skin was change to normal state and itching sensation was lessened. After the treatment, the total VAS score was decreased. Conclusions Jeongan-tang can be effective in seborrheic dermatitis, and it also can be helpful to regenerate the skin condition as well.

아토피성 피부염을 가진 조종사의 판정 증례보고 (Case Report of a Pilot with Atopic Dermatitis)

  • 권영환
    • 항공우주의학회지
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    • 제31권2호
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    • pp.54-56
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    • 2021
  • Atopic dermatitis is a condition that makes skin red and itchy. It is common in children but can occur at any age. Atopic dermatitis is chronic and tends to flare periodically. The pathogenesis of the disease has not yet been clearly elucidated but genetic predisposition, immunological dysfunction, and environmental factors are presumed to be involved in the pathogenesis. In general, it is difficult to cure, but as time passes, most of them heal naturally and the symptoms disappear, but the symptoms continue to recur. So, the basic treatment is to relieve the pruritus and prevent it from reoccurring. Treatment involves avoiding things that make the condition worse, daily bathing with application of moisturizing cream afterwards, applying steroid creams when flares occur, and medications to relieve itching sensation. Steroid pills or creams based on calcineurin inhibitors may occasionally be used if other measures are not effective. When examining a pilot with atopic dermatitis, the dermatitis condition, the treatment being used, and the side effects of the medications should be considered. This case involves an otherwise healthy applicant for the 1st class medical certification who has had atopic dermatitis.

NC/Nga 마우스에서 생약 복합 조성물 YJ-1의 아토피성 피부염 치료 효능 (Effects of Herbal Complex, YJ-1, on Atopic Dermatitis in NC/Nga Mice Model)

  • 이금선;이기만;심홍;김진홍;정재훈;강태진
    • 약학회지
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    • 제56권2호
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    • pp.92-98
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    • 2012
  • This study was conducted to determine if YJ-1, a novel herbal complex from a mixture of six oriental herbs (Hydnocarpi Semen, Sesami Semen, Dictamni Radicis Cortex, Momordicae Semen, Xanthii Fructus, and Sophorae Radix), has therapeutic properties for the treatment of atopic dermatitis (AD). Using AD like symptom-induced NC/Nga mice by 1-chloro 2,4-dinitrobenzene (DNCB), the effectiveness of YJ-1 on AD was evaluated. Elidel cream$^{(R)}$ (1% pimecrolimus) was used as a control. Dermal application of YJ-1 reduced major clinical signs of AD such as erythema, pruritus, lichenification, edema/escoriations, and dryness. Interestingly, YJ-1 more improved AD-related symptoms including decrease of spleen weight, IL-4, and IgE level in the serum as well as reduction of scratching counts and clinical skin severity in the NC/Nga AD mouse model. Especially, treatment of YJ-1 at 20% in NC/Nga mice more effected than Elidel cream. These results suggest that the ointment of YJ-1 may enhance the process of AD healing by alleviating allergic reaction and has potential for therapeutic reagent for the treatment of AD.

수부(手部) 건성습진(乾性濕疹)에 대한 한방치료(韓方治療) 증례(證例) 보고(報告) (A Case Study on Xerotic Eczema Treated by Oriental Medicine)

  • 정현정;김성아;정지천;윤철호;윤경선
    • 대한한방내과학회지
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    • 제26권3호
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    • pp.692-698
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    • 2005
  • Eczema is a general term for skin diseases showing itching, vessiculopapular eruption, and erythema when acute, or lichenification and scale if chronic. It is classified as irritant dermatitis, atopic dermatitis, seborrheic dermatitis, neurodermatitis, nummular eczema, statis dermatitis, infective dermatitis, xerotic eczema, and pompholyx by afflicted regions and symptoms. Therapy for eczema is allopathic, and includes application of ice- pack to erythema, and application of emollients and steroids to the affected parts during subacute or chronic stages. Eczema is understood as ulceration(瘡), tinea(癬), wind syndrome(風證), and dryness syndrome(燥證) in terms of oriental medicine. Xerotic eczema is understood in dryness syndrome. Nourishing blood(養血) therapy is used. This is a case study on which xerotic eczema occurred on a patient's afflicted left palm and fingers after stroke. The patient's xerotic eczema was attributed to dryness syndrome. Therefore, Samul-tang(四物湯) and Saenghyeoryunbu-eum(生血潤膚飮) were used for nourishing blood. This therapy was effective on eczema and accompanying symptoms such as dizziness and numbness of the left hand.

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황기(黃耆)제 투여로 득효한 아토피피부염 환자 1례 보고 (A Clinical Report of Atopic Dermatitis)

  • 전상규;이남정;공준호
    • 대한상한금궤의학회지
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    • 제4권1호
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    • pp.75-82
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    • 2012
  • Objective : We considered Astragali Radix(黃耆) can be used to cure serious atopic dermatitis. so we treated this patient with prescriptions contained Astragali Radix(黃耆). By this case, we got effective results and report this case and index of choice Astragali Radix(黃耆) Method : After treatment with prescription contained Astragali Radix(黃耆), we observe the changes and analyze results. Results : 1. Atopic dermatitis can be cured with Astragali Radix's efficiency on Sanghanron(傷寒論) 2. We considered Astragali Radix(黃耆) can be used when Chronic damage to the nasal mucosa is appeared by rhinoscopy and Sneezing, runny nose that lasts all year round is shown Conclusion : Gaeji-Ka-Hwangki-Tang(桂枝加黃耆湯) has most effect on this case. So, We need to study combination Astragali Radix(黃耆) with Glycyrrhizae Radix(甘草) and the efficacy of herbs belonged to leguminosae.

소아 아토피 피부염에 대한 문헌적 고찰(최근 중의잡지를 중심으로) (A Literature Study of Atopic Dermatitis for Children)

  • 김미정;이승연
    • 대한한방소아과학회지
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    • 제14권2호
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    • pp.169-184
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    • 2000
  • A literature study was progressed for oriental medical treatment for atopic dermatitis. Atopic dermatitis is a chronic or chronically relapsing, pruritic dermatitis. In oriental medical treatment is classified into the treatment of inside(herb tea), treatment of outside(medicine for external application), treatment of inside & outside. The method of inside treatment is improving in health for the spleen and clearing wetness(健脾利濕), extinguishing wind and refreshing fever(消風淸熱), nourishing blood and making dryness gloss(養血潤燥). The method of outside treatment is refreshing fever and removing wetness(淸熱燥濕), counteracting the poison and getting rid of itch(解毒止痒), removing the boil and forming proud flesh(消腫生肌). The method of inside & outside is improving in health for the spleen and clearing wetness(健脾利濕), refreshing fever and getting rid of itch(淸熱止痒). refreshing blood and extinguishing wind(凉血祛風).

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