Schachter Orit, Perla David, Greenberger Shoshana, Barzilai Aviv, Baum Sharon
Department of Dermatology, Sheba Medical Center, Tel Hashomer, Israel.
Institute of Pathology, Sheba Medical Center, Tel Hashomer, Israel.
Harefuah. 2016 Oct;155(10):596-599.
Atopic dermatitis is a common chronic inflammatory skin disease, affecting up to 15-30% of children in industrialized countries. As there is no definitive cure for atopic dermatitis, patients often seek other complementary therapeutic options, such as traditional Chinese medicine (TCM). TCM comprises numerous treatment modalities for the management of atopic dermatitis including acupuncture and herbal medicine. We report a case of a two and a half year old child with atopic dermatitis exacerbation treated successfully with TCM. During the treatment, we observed gradual decreases in symptoms with complete disappearance of dermatological complaints following 4 months of treatment.
There is considerable evidence suggesting a benefit in the use of TCM for the treatment of atopic dermatitis. As the current state of evidence of TCM treatment for atopic dermatitis remains unknown, further studies should be conducted before definite guidelines can be published.
The use of TCM has become increasingly popular among children with atopic dermatitis, as clinical evidence report efficacy in improving quality of life and symptoms severity, along with reduction of topical corticosteroid use. Yet, this data is inconclusive, as studies are not randomized double blind controlled.
特应性皮炎是一种常见的慢性炎症性皮肤病,在工业化国家影响高达15%至30%的儿童。由于特应性皮炎尚无根治方法,患者常寻求其他辅助治疗选择,如传统中医(TCM)。中医包含多种治疗特应性皮炎的方法,包括针灸和草药。我们报告一例两岁半患有特应性皮炎加重的儿童,经中医治疗成功。治疗期间,我们观察到症状逐渐减轻,治疗4个月后皮肤症状完全消失。
有大量证据表明中医治疗特应性皮炎有益。由于中医治疗特应性皮炎的现有证据状况尚不清楚,在发布明确指南之前应进行进一步研究。
中医在患有特应性皮炎的儿童中越来越受欢迎,因为临床证据表明其在改善生活质量和症状严重程度以及减少局部使用皮质类固醇方面具有疗效。然而,这些数据尚无定论,因为研究并非随机双盲对照。