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Treatments of Psoriasis Occurred After Acute Tonsillitis: Four Case Reports

Article information

J Korean Med. 2015;36(3):126-134
Jieun Yang1, Kihoon Lee1, Gyu Tae Chang2,
1Gangnam Dongyak Korean Medical Clinic.
2Department of Pediatrics. College of Korean Medicine, Kyung Hee University
Correspondence to: 장규태(Gyu Tae Chang), 서울시 강동구 동남로 892 강동경희대학교병원 한방소아과, Tel: +82-2-440-6231, Fax: +82-2-440-6296, E-mail: gtchang@khu.ac.kr
Received 2015 August 23; Revised 2015 September 24; Accepted 2015 September 24.

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

Keywords: psoriasis; skin disease; acute tonsillitis; PASI
Fig. 1.

Before treatment (2011-05-27)

Fig. 2.

After 86 days of treatment (2011-07-30)

Fig. 3.

Before treatment (2011-06-25)

Fig. 4.

After 376 days of treatment (2012-07-06)

Fig. 5.

Before treatment (2011-08-26)

Fig. 6.

After 195 days of treatment (2012-03-06)

Fig. 7.

Before treatment (2012-11-06)

Fig. 8.

After 105 days of treatment (2013-02-19)

PASI Changes of Case 1

PASI Change of Case 2

PASI Change of Case 3

PASI Change of Case 4

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Article information Continued

Copyright © 2015 The Society of Korean Medicine all rights reserved

Fig. 1.

Fig. 1.

Before treatment (2011-05-27)

Fig. 2.

Fig. 2.

After 86 days of treatment (2011-07-30)

Fig. 3.

Fig. 3.

Before treatment (2011-06-25)

Fig. 4.

Fig. 4.

After 376 days of treatment (2012-07-06)

Fig. 5.

Fig. 5.

Before treatment (2011-08-26)

Fig. 6.

Fig. 6.

After 195 days of treatment (2012-03-06)

Fig. 7.

Fig. 7.

Before treatment (2012-11-06)

Fig. 8.

Fig. 8.

After 105 days of treatment (2013-02-19)

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