[논문]스테로이드제 중단 이후 반동 현상이 발생한 아토피 피부염의 치험 2례

조수지; 김철윤; 하우람; 권강

doi:10.6114/jkood.2021.34.1.101

스테로이드제 중단 이후 반동 현상이 발생한 아토피 피부염의 치험 2례
Two Case Reports on Atopic Dermatitis with Rebound Phenomena after Steroid Interruption 원문보기

韓方眼耳鼻咽喉皮膚科學會誌 = The journal of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, v.34 no.1, 2021년, pp.101 - 111

조수지 (부산대학교 한의학전문대학원) , 김철윤 (생기한의원 부산 서면점) , 하우람 (생기한의원 부산 센텀점) , 권강 (부산대학교 한의학전문대학원 안이비인후피부과)

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Objectives : Steroids are often administered to atopic patients as hormone preparations, often causing side effects. This study is intended to present the possibility of Korean medicine treatment for patients who have had side effects due to steroids in atopic dermatitis by relieving side effects and improving symptoms through Korean medicine such as Hwangryounhaedok-tang and Siryeong-tang. Methods : 2 patients who had atopic dermatitis and rebound phenomenon after steroids treatment were treated by herbal medicine, herbal acupuncture, acupuncture and external preparations. Photographs of the lesions, SCORAD(Scoring atopic dermatitis) index were used to evaluate the changes in symptoms. Results : The SCORAD index of the first patient improved from 55.6 to 24.3 in 4 months. The SCORAD index of the second patient improved from 44.7 to 21.3 in 3 months. Conclusions : In the situation where symptoms of atopic dermatitis patients due to steroid rebound phenomenon have worsened, Korean medicine treatments played a important role in alleviating symptoms and improving SCORAD index scores.

주제어

표/그림 (6)

그림 Fig. 1 SCORAD Index Graphs of Patient 1 SCORAD index gradually decreased as she was treated by Korean medicine. The point when the Siryeong-tang was administered was indicated by an arrow.
그림 Fig. 2 SCORAD Index Graphs of Patient 2 SCORAD index gradually decreased as she was treated by Korean medicine. The point when the Siryeong-tang was administered was indicated by an arrow.
표 Table 1. Composition of Hwangryounhaedok-tang
표 Table 2. Composition of Siryeong-tang
그림 Fig. 3 Lesions of Patient 1 Treatment began on 2020.07.20. After about 3 months symptoms of atopic dermatitis in the face and arms improved.
그림 Fig. 4 Lesions of Patient 2 Treatment began on 2020.06.29. After about 4 months symptoms of atopic dermatitis in the face and arms improved.

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