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JKM > Volume 36(3); 2015 > Article
Yang, Lee, and Chang: Treatments of Psoriasis Occurred After Acute Tonsillitis: Four Case Reports

Abstract

Objectives:

The purpose of this study is to present four case reports on the treatments of psoriasis initiated after acute tonsillitis.

Methods:

We administered herbal medicine to four patients who showed psoriasis symptoms after acute tonsillitis and evaluated the results by Psoriasis Area and Severity Index(PASI).

Results:

After the treatment all four patients showed improvements in PASI. PASI of patient 1 changed from 27.7 to 1.8; patient 2 from 19.8 to 0.4; patient 3 from 28.8 to 0; patient 4 from 6.9 to 0.

Conclusions:

The results suggest that herbal medicine can be an effective treatment for psoriasis of which the occurrence is related to acute tonsillitis

Fig. 1.
Before treatment (2011-05-27)
jkm-36-3-126f1.tif
Fig. 2.
After 86 days of treatment (2011-07-30)
jkm-36-3-126f2.tif
Fig. 3.
Before treatment (2011-06-25)
jkm-36-3-126f3.tif
Fig. 4.
After 376 days of treatment (2012-07-06)
jkm-36-3-126f4.tif
Fig. 5.
Before treatment (2011-08-26)
jkm-36-3-126f5.tif
Fig. 6.
After 195 days of treatment (2012-03-06)
jkm-36-3-126f6.tif
Fig. 7.
Before treatment (2012-11-06)
jkm-36-3-126f7.tif
Fig. 8.
After 105 days of treatment (2013-02-19)
jkm-36-3-126f8.tif
Table 1.
PASI Changes of Case 1
Before Treatment After Treatment
Head 3×(2+1+1)×0.1=1.2 0×(0+0+0)×0.1=0
Trunk 5×(3+2+2)×0.3=10.5 1×(0+1+1)×0.3=0.6
Upper E. 5×(2+1+1)×0.2=4 1×(0+1+1)×0.2=0.4
Lower E. 5×(2+2+2)×0.4=12 1×(0+1+1)×0.4=0.8
PASI Score 27.7 1.8
Table 2.
PASI Change of Case 2
Before Treatment After Treatment
Head 3×(3+3+2)×0.1=2.4 1×(1+1+2)×0.1=0.4
Trunk 2×(3+3+3)×0.3=5.4 0×(0+0+0)×0.3=0
Upper E. 3×(3+2+3)×0.2=4.8 0×(0+0+0)×0.2=0
Lower E. 2×(3+3+3)×0.4=7.2 0×(0+0+0)×0.4=0
PASI Score 19.8 0.4
Table 3.
PASI Change of Case 3
Before Treatment After Treatment
Head 2×(3+3+3)×0.1=1.8 0×(0+0+0)×0.1=0
Trunk 3×(3+3+4)×0.3=9 0×(0+0+0)×0.3=0
Upper E. 3×(2+4+4)×0.2=6 0×(0+0+0)×0.2=0
Lower E. 3×(2+4+4)×0.4=12 0×(0+0+0)×0.4=0
PASI Score 28.8 0
Table 4.
PASI Change of Case 4
Before Treatment After Treatment
Head 0×(0+0+0)×0.1=0 0×(0+0+0)×0.1=0
Trunk 3×(3+2+2)×0.3=6.3 0×(0+0+0)×0.3=0
Upper E. 1×(1+1+1)×0.2=0.6 0×(0+0+0)×0.2=0
Lower E. 0×(0+0+0)×0.4=0 0×(0+0+0)×0.4=0
PASI Score 6.9 0

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