Treatments of Psoriasis Occurred After Acute Tonsillitis: Four Case Reports

Jieun Yang; Kihoon Lee; Gyu Tae Chang; Yang, Jieun; Lee, Kihoon; Chang, Gyu Tae

doi:10.13048/jkm.15025

JKM > Volume 36(3); 2015 > Article

Yang, Lee, and Chang: Treatments of Psoriasis Occurred After Acute Tonsillitis: Four Case Reports

Case Report

The Journal of Korean Oriental Medicine 2015; 36(3): 126-134.

DOI: https://doi.org/10.13048/jkm.15025

Treatments of Psoriasis Occurred After Acute Tonsillitis: Four Case Reports

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 August 23, 2015 Revised September 24, 2015 Accepted September 24, 2015

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)

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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