• 제목/요약/키워드: pruritus

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Clinical trial of oral administration of Bifidobacterium longum in dogs with atopic dermatitis

  • Lee, Kang-Il;Yun, Taesik;Ham, Junsang;Lee, Wan-Kyu;Kang, Ji-Houn;Yang, Mhan-Pyo;Kang, Byeong-Teck
    • Korean Journal of Veterinary Research
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    • v.60 no.1
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    • pp.19-24
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    • 2020
  • This study assessed the effects of probiotics in canine atopic dermatitis (AD). We enrolled 11 client-owned dogs with AD and randomly allocated them to two groups. The probiotics group (n = 7) was prescribed with Bifidobacterium longum while the control group (n = 4) received a placebo powder once a day for 12 weeks. In both groups, the degree of skin lesions was evaluated based on the Canine Atopic Dermatitis Extent and Severity Index (CADESI)-4. We also measured the transepidermal water loss (TEWL). We assessed pruritus severity using the pruritus visual analog scale (PVAS). Alteration of consumed drug doses was converted into medication scores. All the evaluation indices were surveyed every 4 weeks. In the probiotics group, there was a significant decrease in the CADESI-4 score at 4, 8, and 12 weeks compared to that of the baseline score (p < 0.05). There was no significant difference in TEWL, PVAS, and medication score at each time point and between groups. Although these results showed that Bifidobacterium longum did not reduce pruritus, TEWL, and the dosage of drugs for canine AD, it was effective in improving skin lesions, therefore, probiotics could be considered in canine AD with severe skin symptoms.

A Case of Soyangin Double Primary Cancer Patient with Adverse Reactions induced by Contrast Media (조영제로 과민성 발진이 유발된 소양인 암환자 치험 1례)

  • Park, So-Ra;Lee, Soo-Min;Choi, Seong-Heon;Lee, Jee-Young;Lee, Sung-Un;Jung, Yee-Hong;Lee, Soo-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.26 no.2
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    • pp.205-212
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    • 2014
  • Objectives Adverse reactions can becaused by contrast media used in computed tomography. The aim of this study was to report the improvement of allergic response caused by contrast media after treatment with Modified Hyeongbangpaedok-san, histamine antagonists and steroids. Methods We retrospectively reviewed the medical records. The patient's subjective symptoms such as rash and pruritus were evaluated by the range of rash and numeric rating scale(NPS). Results All symptoms showed nearly complete remission with continued Korean traditional medical treatment. Conclusions A female patient had been injected with contrast media for Computed tomography(CT) evaluation of lung cancer. Rash and pruritus appeared 1 day after injection. We prescribed Modified Hyeongbangpaedok-san. Patients were treated with both Korean medicine and Western medicine. Consequently, the symtoms were improved significantly after combination treatment of Korean medicine and Western medicine.

A Case Report of Genital Ulcer Treated by Korean Traditional Medicine (한방치료를 통해 호전된 외음부궤양 1례 증례보고)

  • Park, Nam-Gyeong;Kim, Gyu-Tae;Choi, Min-Young;Jung, Hyun-Jae;Heo, Jin-Young;Park, Seung-Hyeok;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.2
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    • pp.157-170
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    • 2021
  • Objectives: The purpose of this study is to report the improvement of vulvodynia and genital pruritus caused by unidentified genital ulcer after Korean medicine treatment. Methods: The patient who complained vulvodynia and genital pruritus caused by unidentified genital ulcers was treated by acupuncture, moxibustion, fumigation, and herbal medicine as Eunhwasagan-tang, Guibi-tang-gami-bang for 5 days. The effect of treatment was evaluated by Numeral Rating Scale (NRS), The 5 level of EuroQol 5 Dimension scale (EQ-5D-5L), EuroQol-Visual Analog Scale (EQ-VAS). Results: After the treatment, the chief complaint and general conditions were improved. NRS was decreased from 8 to 3 and scores of EQ-5D-5L and EQ-VAS were increased from 0.416, 10 to 0.904, 80 each. Conclusion: This study shows that the skin lesion, vulvodynia, and pruitus caused by genital ulcer was improved after the Korean traditional treatment and it can be effective medical alternatives or options for genital ulcer patients.

A Case Report of Improvement in Stubborn Pruritus and Skin Pigment Expression using Injinho-tang (인진호탕 투여로 발생한 완고한 소양감의 호전 및 피부 색소 발현에 대한 증례보고)

  • Lee, Chan;Seo, Hyung-bum;Cho, Im-hak;Heo, Gi-yoon;Kang, Hee-kyung;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Hong, Jin-woo;Kwon, Jung-nam;Kim, Kyun-ha;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.830-837
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    • 2020
  • Objectives: This study reports a case of a 66-year-old Korean female with stubborn pruritus and assesses the effectiveness of Korean medical treatment. Methods: A patient was treated with acupuncture, electro-acupuncture, and herbal medicine. We evaluated the improvement in symptoms by changes in global assessment (G/A) and sleep quality. Results: After Korean medical treatment, improvements were observed in G/A, and sleep quality. Skin and excretions turned blue to green, with no abnormal findings on the examination. Conclusions: This study suggests that Korean medical treatment is effective in treating stubborn pruritus caused by prurigo. Further studies are needed.

Effects of Naloxone Mixed with Patient-Controlled Epidural Analgesia Solution after Total Knee Replacement Surgery (전슬관절치환술 후 경막외 자가조절진통 약제에 혼합한 Naloxone의 효과)

  • Kwon, Min A;Park, Hyo Won;Lee, Ae Ryong;Kim, Tae Hyung;Lee, Gwan Woo;Kim, Seok Kon;Choi, Duck Hwan
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.187-191
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    • 2006
  • Background: Patient-controlled epidural analgesia (PCEA), using a local anesthetic-opioid mixture, has been effectively applied after total knee replacement (TKR) surgery, which is associated with intense postoperative pain that requires postoperative analgesia for both rehabilitation and the pain itself. However, adverse opioid-related effects, such as nausea, vomiting and pruritus, are commonly encountered. It was our hypothesis that the adverse opioid-related effects could be reduced by the addition of naloxone, an opioid antagonist, to a mixture of fentanyl-ropivacaine PCEA. Methods: In 120 patients undergoing elective TKR surgery, epidural or combined spinal-epidural (CSE) anesthesia was performed and PCEA applied. In the control group (n = 65), 0.16% ropivacaine and $3{\mu}g/ml$ fentanyl ($2.4{\mu}g/ml$ for those older than 65 yrs) were administered. In the naloxone group (n = 55), naloxone ($2{\mu}g/ml$) was coadministered with the above regimen. The incidence and severity of postoperative nausea and vomiting, and the frequency of pruritus, the visual analog score (VAS) and the PCEA volume used were assessed 6 and 24 hrs after surgery. Results: The incidence of nausea and vomiting during the early postoperative period, and those of pruritus during the late postoperative period were significantly lower in the naloxone group. The VAS pain scores, the PCEA volume used and amount of rescue IV meperidine were similar in the two groups. Conclusions: A small dose of naloxone mixed with an opioid significantly reduces the incidence and severity of adverse opioid-related effects in PCEA, without reducing the analgesic effect.

Anti-inflammatory and Anti-Pruritonic Effects of WSY-1075 composited with Medicinal Plants on the Activated Rat Peritoneal Mast cells and Mouse Pruritus (활성화된 렛트 비만세포와 마우스 소양증에 대한 한약재로 조성된 WSY-1075의 항염증 및 항소양 효과)

  • Hwang, Sung Yeoun;Lee, Seung Ho;Lee, Chia Wei;Kim, Jang Ho;Jang, Seon Il;Kim, An Na;Kim, Hong Jun
    • The Korea Journal of Herbology
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    • v.28 no.4
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    • pp.93-100
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    • 2013
  • Objectives : This study was to evaluate the anti-inflammatory and anti-pruritic effects of WSY-1075 composited with Corni Fructus, Angelica gigantis Radix, Lycii Fructus, Ginseng Radix, Cervi parvum Cornu and Cinnamomi Cortex in rat peritoneal mast cells (RPMCs) and scratching mouse model. Methods : WSY-1075 was prepared by extracting with 30% ethanol. In the present study, we investigated the effect of WSY-1075 on the production of tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$), interleukin-$1{\beta}$ (IL-$1{\beta}$) and histamine in rat peritoneal mast cells (RPMCs) activated with phorbol 12-myristate 13-acetate (PMA) plus calcium ionophore A23187, and on the scratching behavior in mice treated with pruriogens. Results : WSY-1075 was not cytotoxic effect in used all concentration. PMA plus A23187 treatment significantly increased TNF-${\alpha}$, IL-$1{\beta}$ and IL-6 production compared with media control in RPMCs. However, TNF-${\alpha}$, $IL1{\beta}$ and IL-6 production increased by PMA plus A23187 treatment were significantly inhibited by WSY-1075 (200 ${\mu}g/mL$ and 400 ${\mu}g/mL$). WSY-1075 also inhibited the histamine release from RPMCs stimulated by compound 48/80, which promotes histamine release. Moreover, WSY-1075 administration had an inhibitory effects on the scratching behavior induced by pruritogen (compound 48/80, histamine, serotonin and substence P) in ICR mice. Conclusion : These results suggest that WSY-1075 administration (200 mg/kg or 400 mg/kg) has the anti-inflammatory and anti-pruritic effects on the activated rat peritoneal mast cell and mouse pruritus. WSY-1075 has a potential use as a composition of medicinal plants for treatment against inflammation- and pruritus-related disease.

A Study on Hygiene and Skin Pruritus in Rural Elderly People (농어촌 복합 섬 지역 노인의 위생습관과 피부 소양감)

  • Jeon, Mi-Yang;Kim, Hyang-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.3
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    • pp.342-349
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    • 2008
  • Purpose: This study was done to develop data for a hygiene promotion program for elders living on rural islands. Method: Self-administered questionnaires were used to collect data. Results: Most of the elders reported brushed their teeth and washing their faces twice a day. For other types of washing, 98.8% of reported washing their hands after the toilet and 22.8% reported washing their anus after defecation. Most of the elders reported changing their underwear two to three times a month and cutting their nails more than four times a month. Itchiness was reported by 24%. There were significant differences according to age for teeth brushing, face washing, shampooing, bathing, washing hands after the toilet, and cutting nails. According to sex, there were significant differences in teeth brushing, face washing, washing hands after using the toilet, washing anus after defecation, changing underwear, cutting nails, and feeling itchy. The elders showed significant differences in bathing, changing underwear, and cutting nails according to subjective economic status. They showed significant differences in teeth brushing and changing underwear when they lived with their families. Conclusion: In order to develop a proper hygiene promotion program for the elderly, their age, sex, and physical condition should be considered as well as their environmental, economical, and geographical condition.

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Scabies mimicking graft versus host disease in a hematopoietic cell transplant recipient

  • Kim, Dongsub;Choi, Soo-Han;Lee, Dong Youn;Kim, Juyoun;Cho, Eunjoo;Yoo, Keon Hee;Koo, Hong Hoe;Kim, Yae-Jean
    • Clinical and Experimental Pediatrics
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    • v.61 no.11
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    • pp.371-373
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    • 2018
  • Scabies is a highly contagious skin infestation caused by the mite, Sarcoptes scabiei var. hominis. Complex responses to scabies mites in the innate, humoral, and cellular immune systems can cause skin inflammation and pruritus. Diagnosis can be challenging because scabies resembles other common skin conditions. We report the first Korean case of scabies in a hematopoietic cell transplant (HCT) recipient, initially suspected of skin graft versus host disease (GVHD). A T-cell acute lymphocytic leukemia patient underwent a sibling-matched allogeneic HCT and developed pruritus after cell engraftment. Treatment for GVHD did not improve the symptoms. He was diagnosed with scabies 30 days after the onset of symptoms.

A Study on 3 Cases of Atopic Dermatitis in Children with Molluscum Contagiosum, Verruca Vulgaris (전염성 연속종과 보통 사마귀가 동반된 소아 아토피 피부염 3례 보고)

  • Jo, Su-Ji;Kim, Chul-Yun;Ha, U-Ram;Kwon, Kang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.2
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    • pp.174-185
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    • 2020
  • Objectives : Atopic dermatitis is a chronic inflammatory disease characterized by severe pruritus, and may be accompanied by Molluscum Contagiosum, Verruca Vulgaris. This paper aims to examine the clinical implications of the treatment of 3 cases of atopic dermatitis with Molluscum Contagiosum, Verruca Vulgaris. Methods : 3 patients were treated by herbal medicine, herbal acupuncture, acupuncture, moxibustion and external preparations. Photographs of lesions, VAS were used to evaluate the changes in symptoms. Results : Atopic dermatitis is accompanied by Molluscum Contagiosum or Verruca Vulgaris because the underlying cell layer is easily exposed to Molluscum Contagiosum and Human papilloma virus because of scatch by pruritus. And all three cases have been well recovered by korean medical treatment. Conclusions : This study shows that Korean medical treatment is effective to treat atopic dermatitis with Molluscum Contagiosum, Verruca Vulgaris.