Discussion Prognosis Journal of Clinical & …...A Case Report of Acne Vulgaris: Treated by...
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A Case Report of Acne Vulgaris: Treated by Combination of Acupuncture NM Kiron 1* and Tania Hoque 2 1 Department of Acupuncture, Community Based Medical College Bangladesh & Hospital, Winnerpar, Mymensingh, Bangladesh 2 Departemnt of Skin and VD, Gonoshasthaya Samaj Vittik Medical College, Savar Upazila, Dhaka, Bangladesh * Corresponding author: NM Kiron, Community Based Medical College Bangladesh & Hospital, Winnerpar, Mymensingh, Bangladesh, Tel: +8801715-660271; E-mail: [email protected] Received date: Feb 20, 2018; Accepted date: March 30, 2018; Published date: April 15, 2018 Copyright: © 2018 Kiron NM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract A 23 yrs old female patient came at Gonosashthaya Somaj Vittik Medical College, Savar 1 yr back with the complains of Multiple papulo-pustular scattered lesions over face, neck and back for 5-6 yrs and was diagnosed as a known case of Acne Vulgaris 2 yrs back. Case Presentation Figure 1: Aſter 10 days Treatments, aſter 15 days Treatment. A 23 years of female patient came at Gonosashthaya Somaj Vittik Medical College, Savar 1 yr back with the complains of multiple papulo-pustular scattered lesions over face, neck and back for 5-6 yrs, she was diagnosed as a known case of Acne Vulgaris 2 yrs back and treated here with anti-acne medicine for 1year. 1. Past history: She got no history of allergy, asthma. 2. Personal history: She took lots of cosmetics and herbal products for her fairness. She is married for 5 yrs and have one female healthy child of 3 yrs, She never took any contraceptive method. 3. Medical history: She took lots of antibiotics and anti-acne cream by the Dermatologist for 2 yrs. 4. Family history: ere was no history of acne disease to her family members 5. Menstrual history: Regular On local examination: She got multiple papulo-pustular lesions over face, neck and back. Under Magnifying glass there were multiple black head and white head comedons (which are the cardinal feature of acne vulgaris). ere was no pain and itching sensations. On Wood’s Lamp Examination: ere were multiple “Propionebacterium Acne” organism present over the acne comedons, ere were multiple hyperpigmentation aſter acne remission area, ere were also large pores due to acne scar. 1. On General examination: ere was no abnormality detected. 2. On Systemic examination: Her all the vital functions was normal 3. On Investigation 4. CBC: Normal 5. Blood Sr. Testosterone: Normal 6. USG of whole abdomen: Normal 7. Treatment given for 1 yr 8. Anti-biotics like: • Cap. Doxycyclin 50-100 mg (orally) • Cap. Tetracyclin 500 mg (orally) • Tab. Azythromycin 500 mg (orally) • Eromycine lotion (locally) • Clindamycine lotion (locally) Anti-Acnelike: Adapolen cream, Benzyle Peroxidase cream, Retinoic acid cream. Patient was treated by those medicines for 1 yr. She cured within 6 months but recurrent acne developed aſter stopping this treatment. en she was treated “Acupuncture erapy-3 days (one alternative day) in a week for one month with combination of local anti-acne medicine [1]. Photo of patients before and aſter treatment is shown in Figure 1. Prognosis Aſter stopping of anti-acne and Acupuncture therapy for 1 month, there was no occurrence of acne recurrence. ere was brightness due to disappearance of hyperpigmentation. ere was improvement of acne scars also. Discussion Acne is an annoying and oſten painful problem that affects millions of people each year. e extended use of antibiotics, there some studies that indicate that acne patients can build up a tolerance to antibiotics, making them less effective. A 2011 study published in the Archives of Dermatology looked at 83 patients on Antibiotic acne medication and J o u r n a l o f C l i n i c a l & E x p e r i m e n t a l D e r m a t o l o g y R e s e a r c h ISSN: 2155-9554 Journal of Clinical & Experimental Dermatology Research Kiron and Hoque, J Clin Exp Dermatol Res 2018, 9:3 DOI: 10.4172/2155-9554.1000446 Case Report Open Access J Clin Exp Dermatol Res, an open access journal ISSN:2155-9554 Volume 9 • Issue 3 • 1000446
Transcript of Discussion Prognosis Journal of Clinical & …...A Case Report of Acne Vulgaris: Treated by...
A Case Report of Acne Vulgaris: Treated by Combination of AcupunctureNM Kiron1* and Tania Hoque2
1Department of Acupuncture, Community Based Medical College Bangladesh & Hospital, Winnerpar, Mymensingh, Bangladesh2Departemnt of Skin and VD, Gonoshasthaya Samaj Vittik Medical College, Savar Upazila, Dhaka, Bangladesh*Corresponding author: NM Kiron, Community Based Medical College Bangladesh & Hospital, Winnerpar, Mymensingh, Bangladesh, Tel: +8801715-660271; E-mail:[email protected]
Received date: Feb 20, 2018; Accepted date: March 30, 2018; Published date: April 15, 2018
Copyright: © 2018 Kiron NM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricteduse, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A 23 yrs old female patient came at Gonosashthaya Somaj Vittik Medical College, Savar 1 yr back with thecomplains of Multiple papulo-pustular scattered lesions over face, neck and back for 5-6 yrs and was diagnosed as aknown case of Acne Vulgaris 2 yrs back.
Case Presentation
Figure 1: After 10 days Treatments, after 15 days Treatment.
A 23 years of female patient came at Gonosashthaya Somaj VittikMedical College, Savar 1 yr back with the complains of multiplepapulo-pustular scattered lesions over face, neck and back for 5-6 yrs,she was diagnosed as a known case of Acne Vulgaris 2 yrs back andtreated here with anti-acne medicine for 1year.
1. Past history: She got no history of allergy, asthma.2. Personal history: She took lots of cosmetics and herbal products
for her fairness. She is married for 5 yrs and have one femalehealthy child of 3 yrs, She never took any contraceptive method.
3. Medical history: She took lots of antibiotics and anti-acne creamby the Dermatologist for 2 yrs.
4. Family history: There was no history of acne disease to her familymembers
5. Menstrual history: Regular
On local examination: She got multiple papulo-pustular lesions overface, neck and back. Under Magnifying glass there were multiple blackhead and white head comedons (which are the cardinal feature of acnevulgaris). There was no pain and itching sensations.
On Wood’s Lamp Examination: There were multiple“Propionebacterium Acne” organism present over the acne comedons,
There were multiple hyperpigmentation after acne remission area,There were also large pores due to acne scar.
1. On General examination: There was no abnormality detected.2. On Systemic examination: Her all the vital functions was normal3. On Investigation4. CBC: Normal5. Blood Sr. Testosterone: Normal6. USG of whole abdomen: Normal7. Treatment given for 1 yr8. Anti-biotics like:
• Cap. Doxycyclin 50-100 mg (orally)• Cap. Tetracyclin 500 mg (orally)• Tab. Azythromycin 500 mg (orally)• Eromycine lotion (locally)• Clindamycine lotion (locally)
Anti-Acnelike: Adapolen cream, Benzyle Peroxidase cream,Retinoic acid cream. Patient was treated by those medicines for 1 yr.She cured within 6 months but recurrent acne developed after stoppingthis treatment. Then she was treated “Acupuncture Therapy”-3 days(one alternative day) in a week for one month with combination oflocal anti-acne medicine [1]. Photo of patients before and aftertreatment is shown in Figure 1.
PrognosisAfter stopping of anti-acne and Acupuncture therapy for 1 month,
there was no occurrence of acne recurrence. There was brightness dueto disappearance of hyperpigmentation. There was improvement ofacne scars also.
DiscussionAcne is an annoying and often painful problem that affects millions
of people each year. The extended use of antibiotics, there some studiesthat indicate that acne patients can build up a tolerance to antibiotics,making them less effective. A 2011 study published in the Archives ofDermatology looked at 83 patients on Antibiotic acne medication and
Journal o
f Clin
ical
& Experimental Dermatology Research
ISSN: 2155-9554
Journal of Clinical & ExperimentalDermatology Research
Kiron and Hoque, J Clin Exp Dermatol Res 2018,9:3
DOI: 10.4172/2155-9554.1000446
Case Report Open Access
J Clin Exp Dermatol Res, an open access journalISSN:2155-9554
Volume 9 • Issue 3 • 1000446
found that within 2 months, the patients showed a 40% resistance toclindamycin, a 10% to tetracycline, and 44% to erythromycine.
Why acupuncture:- An alternative option?Acupuncture has been used to treat hundreds of conditions in
traditional Chinese medicine. There are numerous studies that provethat acupuncture is effective at improving acne symptoms. In a 2003study published in inflammatory mediators, researchers looked at theanti-inflammatory properties of acupuncture.
Mechanism of action of acupunctureAcupuncture may have anti-inflammatory effects and fight acne due
to the stimulation of beta-endorphins, substance P; CGRP andcytokines. Low-dose acupuncture should be more effective, to preventthe high concentration of CGRP in the body (which can lead toinflammation). Acupuncture is believed to stimulate the nervoussystem and cause the release of neurochemical messenger molecules.Acupuncture reduces acne inflammation by releasing vascular andimmunomodulatory factors. It enhances natural killer cell activities. Itincreases local microcirculation to disperse swelling. Acupuncturestimulate the lymphatic system which is essential for eliminating avariety of toxins from the body; these toxins when trapped in the body,can cause a number of physical ailments, including slow healing ofwounds and scars in the formation of acne [2].
ContraindicationOnly scars that are at least a month old should be treated with
acupuncture, due to increased risk of infection. The elderly, diabetics,
cancer patients and tumors with neurological disorders require specialcare.
LimitationsMost important is financial problem, Afraid of needle, Aggravation
of acne after 1 wk of acupuncture therapy, Patients were almoststudents, so it’s difficult to come every alternate day by giving absent tothe school and college.
ConclusionWe have discovered a new way how patient can finally get a clean,
beautiful skin. Traditional Chinese medicine has many advantages andAcupuncture is an effective method how to get rid of acne with acnescars.
AcknowledgementI like to thank Prof. Dr. N. M Kiron Head of the Acupuncture
Department Gonoshastho Somaz Vittik Medical College for his kindsupport to treatment by Acupuncture of those patients and giveinformation about “Acupuncture treatment in Acne Vulgaris”.
References1. Wikipedia (2018) Benzoyl Peroxide. The Free Encylopedia.2. Zouboulis CC, Eady A, Philpott M, Goldsmith LA, Orfanos C, et al.
(2005) What is the pathogenesis of acne? Exp Dermatol 14: 143-152.
Citation: NM Kiron and Tania Hoque (2018) A Case Report of Acne Vulgaris: Treated by Combination of Acupuncture. J Clin Exp Dermatol Res9: 446. doi:10.4172/2155-9554.1000446
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