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JKM > Volume 42(1); 2021 > Article
Lee, Jo, Hong, Park, and Park: A Case Report of Atopic Dermatitis with Otitis Media with Effusion and Chronic Rhinitis

Abstract

Objectives

This study aims to report a case of atopic dermatitis with otitis media with effusion and chronic rhinitis improved by oral administration of Galgeungabanha-tang.

Methods

The patient of this case had symptoms such as erythema, abrasions, scales, and itching. She also complained of rhinorrhea, nasal obstruction, cough, sputum, and ear fullness. Considering the fact that she was sensitive to heat, but did not sweat well, and respiratory symptoms often occurred, Galgeungabanha-tang was prescribed.

Results

After medication, the symptoms of atopic dermatitis significantly improved from 10 to 2 point. The subjective symptoms of chronic rhinitis and otitis media with effusion also improved considerably. In addition, nasal swelling and purulent exudate almost disappeared. The tympanic membrane, which was swollen due to amber exudate, also changed to a normal gray-white color.

Conclusions

Atopic dermatitis accompanied by chronic rhinitis and otitis media was improved after 45 days of medication.

Fig. 1
Treatment Timeline
jkm-42-1-110f1.gif
Fig. 2
Clinical Progress of Atopic Dermatitis
jkm-42-1-110f2.gif
Fig. 3
Clinical Progress of Otitis Media with Effusion and Chronic Rhinitis
jkm-42-1-110f3.gif
Table 1
Prescription of Galgeungabanha-tang
Name of natural medicine (herbal medicine) Weight(g)
Zingiber officinale Roscoe 3
Ziziphus jujuba var. inermis (Bunge) Rehder 4
Ephedra sinica Staph 3
Glycyrrhiza uralensis Fisch 3
Cinnamomum cassia (L.) J. Presi 2
Pinellia temata (Thunb.) Makino 6
Paeonia lactiflora Pall. 2
Pueraria lobata (Wild.) Ohwi 4
Total Amount 27
Table 2
Atopic Dermatitis Symptom Evaluation Index
Evaluation Score
Objective symptom Erythema 0=Absence
1=Mild
2=Moderate
3=Severe
Edema/Papule
Oozing/Crusting
Excoriations
Lichenification
Dryness

Subjective Symptom Sleep Loss 0–10
Pruritus
Table 3
Chronic Rhinitis Symptom Evaluation Index
Evaluation Score
Objective symptom Nasal Swelling 0=Absence
1=Mild
Purulent Exudate 2=Moderate
3=Severe

Subjective Symptom Rhinorrhea 0–10
Nasal Congestion
Cough
Table 4
Otitis Media with Effusion Symptom Evaluation Index
Evaluation Score
Objective symptom Tympanic Membrane Swelling 0=Absence
1=Mild
2=Moderate
3=Severe
(Tympanic Membrane color)
Tympanic Membrane Color
Subjective Symptom Ear fullness 0–10
Table 5
Clinical Symptom Evaluation Progress of Atopic Dermatitis
2020.05.04 2020.05.27 2020.06.03 2020.07.08 2020.07.25
Objective Symptom 3 2 1 1 1
Subjective Symptom 7 5 4 2 1
Total 10 7 5 3 2
Table 6
Clinical Symptoms Evaluation Progress of Chronic Rhinitis
2020.05.04 2020.05.27 2020.06.03 2020.07.08 2020.07.25
Objective Symptom 3 2 2 1 1
Subjective Symptom 8 5 3 2 1
Total 11 7 5 3 2
Table 7
Clinical Symptoms Evaluation Progress of Otitis Media with Effusion
2020.05.04 2020.05.27 2020.06.03 2020.07.08 2020.07.25
Objective Symptom 3 (Amber) 2 (Yellow) 2 (Grey-White) 1 (Grey-White) 0 (Grey-White)
Subjective Symptom 5 3 2 1 0
Total 8 5 4 2 0

참고문헌

1. Kim KH, Jung HA. Clinical study for the efficacy of external preparation containing Sophorae Radix, Aurantii Immaturus Fructus, Schizonepetae Spica, Forsythia fructus and Portulacea Herba extract on atopic dermatitis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014; 27:1. 17–36.
crossref

2. Lifschitz C. The impact of atopic dermatitis on quality of life. Ann Nutr Metab. 2015; 66:1. 34–40.
crossref pmid

3. Park HS, Kim KH. Characteristics of atopic dermatitis associated with severe ocular complications. Ko J Invest Dermatol. 2006; 13:3. 67–71.


4. Bantz SK, Zhu Z, Zheng T. The atopic march: progression from atopic dermatitis to allergic rhinitis and asthma. J Clin Cell Immunol. 2014; 5:2. 202
pmid pmc

5. Jang CH. Characterization of cytokines present in pediatric recurrent otitis media with effusion: Comparison of allergy and nonallergy. Korean J Otolaryngol. 2000; 43:8. 808–812.


6. Kim LS, Han CS. Pathophysiology of otitis media with effusion. J Clinical Otolaryngol. 2000; 11:197–205.


7. Mogi G, Suzuki M. The role of IgE-mediated immunity in otitis media: Fact or fiction? Ann N Y Acad Sci. 1997; 830:61–69.
crossref pmid

8. Choi JH. Allergic rhinitis and comorbidities. Korean J Med. 2013; 85:5. 457–462.
crossref

9. Rah YH. Allergic rhinitis. Clin Exp Pediatr. 1998; 41:1. 1–11.


10. Seo MS, Hur IH, Sim SY, Kim KJ. A case of atopic dermatitis treated with Sihogeji-tang. J Korean Med Ophthalmol Otolaryngol Dermatol. 2008; 21:3. 215–225.


11. Cho SH, Jee SY, Lee SG. A clinical report for treatment 2 cases on Takrisodokyeum of otitis media. J Korean Med Ophthalmol Otolaryngol Dermatol. 2002; 15:1. 301–307.


12. Sin KS, Roh SS. Clinical study on 100 cases of allergic rhinitis. Journal of Haehwa Medicine. 1994; 3:1. 185–196.


13. Kim YJ, Kim OS, Lim HS, Yoo SR, Jeon WY, Jin SE, Shin IS, Kim JH, Shin NR, Kim SS, Lee MY, Jeong SJ, Ha HK, Shin HK. Study on comparison of ingredient quantities and biological activities of Galgeun-tang according to extraction solvent. J Physiol & Pathol Korean Med. 2012; 26:6. 908–914.


14. Jeong DH, Kim JH, Park SY, Choi JH. Effects of Pinelliae Rizoma (PR) on asthma induced intra-nasal instillation of ovalbumin in mice. J Korean Med Ophthalmol Otolaryngol Dermatol. 2008; 21:1. 38–54.


15. Mang WJ. Sanghanron commentary. 1st edition. Iksan: Wonkwang University Press Office;1996. 10:p. 55


16. Yin JA, Dai Y, An SP. Pharmacological and clinical researches of gegentang. Chinese Archives of Traditional Chinese Medicine. 2007; 25:6. 1275–1278.


17. Kim CW. Current update on allergic rhinitis. Korean J Med. 2012; 82:3. 298–303.
crossref

18. Hanifin JM, Rajk G. Diagnostic features of atopic dermatitis. Acta Derm Venereol. 1980; 92:44–47.


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