A Case Report of Hypersensitivity Vasculitis with Petechiae Improved by Administration of Jeoryoung-tang

Article information

J Korean Med. 2022;43(2):117-123
Publication date (electronic) : 2022 June 1
doi : https://doi.org/10.13048/jkm.22024
1Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University
2Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University
3Research Center of Traditional Korean Medicine, Wonkwang University
Correspondence to: Min-Cheol Park, Department of Ophthalmology, Otolaryngology and Dermatology, Wonkwang University Korean Medicine Hospital 895 Muwang-ro, Iksan-si, Jeollabuk-do, 54538, Republic of Korea, Tel: +82-63-859-2821, Fax: +82-63-841-0033, E-mail: spinx11@wonkwang.ac.kr
Received 2022 March 22; Revised 2022 May 13; Accepted 2022 May 23.

Abstract

Objectives

This study is to report a case of hypersensitivity vasculitis with petechiae improved by Jeoryoung-tang

Methods

Petechiae was observed in the upper and lower extremities of the patient. The patient also complained of cystitis symptoms such as dysuria and residual urine. Since there were no other accompanying symptoms such as abdominal pain, bleeding, or joint pain, the patient was diagnosed with hypersensitivity vasculitis and Jeoryoung-tang was prescribed for about a month.

Results

After administering Jeoryoung-tang for about a month, petechiae improved from 8 to 2 points, and cystitis symptoms also improved from NRS 7 to 2 points.

Conclusions

Since it has been confirmed that Jeoryoung-tang was effective as the treatment of skin symptoms through this case, Jeoryoung-tang can be prescribed for patients with other type skin diseases. However, since it is difficult to generalize this single case, continuous follow-up studies should be conducted.

Fig. 1

Treatment Timeline

Fig. 2

Clinical Progress of Petechiae

Prescription of Jeoryoung-tang

Petechiae Symptom Evaluation Index

Cystitis Symptom Evaluation Index

Symptom Evaluation Progress of Petechiae

Symptom Evaluation Progress of Cystitis

References

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Article information Continued

Fig. 1

Treatment Timeline

Fig. 2

Clinical Progress of Petechiae

Table 1

Prescription of Jeoryoung-tang

Name of Natural Medicine (Herbal Medicine) Weight(g)
豬苓 Polyporus umbellatus FR. 6
白茯苓 Wolfiporia extensa 6
滑石 Talc 6
澤瀉 Alisma canaliculatum A.Braun & C.D.Bouché 6
阿膠 Donkey Hide Gelatin 6

Total Amount 30

Table 2

Petechiae Symptom Evaluation Index

Symptom Severity
Extent 0=Absence
Darkness 1=Mild
2=Moderate
Thermalgia 3=Severe

Table 3

Cystitis Symptom Evaluation Index

Symptom Severity
Dysuria 0 (None) ~ 10 (Severe)
Residual Urine

Table 4

Symptom Evaluation Progress of Petechiae

2020.05.25 2020.06.09 2020.11.27
Extent 3 1 0
Darkness 3 1 0
Thermalgia 2 0 0

Total 8 2 0

Table 5

Symptom Evaluation Progress of Cystitis

2020.05.25 2020.06.09 2020.11.27
Dysuria 4 1 0
Residual Urine 3 1 0

Total 7 2 0