|
KMID : 0363320070280030570
|
|
Journal of Korean Oriental Internal Medicine
2007 Volume.28 No. 3 p.570 ~ p.585
|
|
|
Clinical Analysis on 106 cases of Henoch-Sch{ddot{o}}nlein Purpura
|
|
Han Dong-Ha
|
|
|
Abstract
|
|
|
|
A clinical study of 106 cases of Henoch-Sch{ddot{o}}nlein purpura was made. The author analyzed the result of Korean traditional medical therapy. It was observed more frequently in female at the sex ratio of 1:1.3. The most prevalent age group was 4{sim}9 years(56.6%). In seasonal incidence, the cases were frequent during spring(50%), and the main specific history was upper respiratory tract infection(48.1%). The duration of contraction was 420.9{pm}1079.3 days. The adults were more chronic than children (p<0.05), The clinical manifestation showed in the skin (100%), the gastrointestinal tract(62.3%), the joints(64.2%), the kidney(25.3%), genitourinary system(11.3%), headache(6.6%), and scalp edema(4.7%) respectively. The first outbreak of symptoms was showing of skin purpura in 77 cases(72.6%) the highest frequency. and the gastrointestinal tract and joints were 16(15.1%) and 12 cases(11.3%) respectively. Of all patients, 22 cases(20.8%) experienced recurrences and 47 patients(44.3%) experienced hospitalization treatment. In the patients group which were recurrence experiences, the recurrence rate was high with patients(63.2%) who usually enjoyed meats and convenience foods and in patients(84%) who treated URI with chemical drugs(p<0.05). The patients group(68.9%) that took steroids also experienced a relatively high recurrence rate. Out of the patients(68.9%) who took treatment with steroids, 46.6% experienced side effects, in orders moon face(100%), weight gain(47.1%), appetite increase(52.9%), and acne. alopecia(11.8%), etc. There was a statistically significant relationship between the period of taking the steroid and the side effects(p<0.05), As the result of the herbal medicine treatment(treatment period: 6.7{pm}6.2 weeks, a follow-up survey during 15{sim}24 months), 67 patients(91.8%) among the 73 patients(68.9%) under 18 years old recovered completely but 3 cases(4.5%) recurred. 23 patients(69.7%) among the 33 patients(31.3%) above 19 years recovered completely but 5 cases(21.7%) recurred.
|
|
|
KEYWORD
|
|
|
Henoch-Sch{ddot{o}}nlein purpura, Allergic purpura, hypersensitivity vasculitis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|