乾癬性關節炎之中醫門診病例報告一例

A case report of psoriatic arthritis treated with acupuncture and moxibustion therapy

李啟光(Chi-Guang Lee) ； 沈揚理(Yang-Li Sheng) ； 賴郁凱(Yu-Kai Lai1)

《中華針灸醫學會雜誌》 18卷1期 (2015/03) Pp. 25-37

摘要

本文記述之一門診案例乃一位52歲的女性患者，腰部痠痛已25年餘，伴隨轉側不利與僵硬感，痛感偶沿髂骨上緣放射至鼠蹊部，腰無法挺直，晨起後僵硬感尤為明顯，活動後僵硬感稍減輕。10年前，患者先於右脛前皮膚出現紅疹與脫屑性丘疹，伴隨搔癢感，而後於左脛前皮膚、右二三趾間、右食指掌指關節處出現紅疹斑塊，曾搔抓破皮流血，症狀反覆發作，現左脛前皮膚已無紅疹斑塊，但其他部位仍存，且伴隨角質化與色素沉澱。近年來自覺頸部向左轉動不利，角度僅約60度，合併有頸項與肩胛區域之肌肉痠痛。多年前曾就診於西醫，被診為乾癬合併乾癬性關節炎。後於外院復健科接受過治療，但因症狀緩解時間短暫，故希冀藉由中醫之療法以求得更好之療效。患者於2014年11月07日至本院中醫部就診。

關鍵字

乾癬 ； 乾癬性關節炎 ； 針灸

並列摘要

This is a case study describing a female patient suffered from psoriatic arthritis. She came to our OPD due to severe lower back pain and upper back and nuchal stiffness for many years . After the examination of x-ray of spinal cord AP and lateral view. The x-ray of L spines show: (1) degenerative disc disease , moderate to sever degree, with disc space narrowing, osteophyte ,endplate sclerosis , L2 through L5 levels, particularly between L2 and L3, L4 and L5. And the x-ray of C spines show: (1) moderate to severe degree disc space narrowing , ostyophyte formation , C4 through C7 levels (2) mild retrolisthesis between C4 and C5. The patient's symptoms were improved a lot after treatment of acupuncture, moxibustion therapy.

並列關鍵字

psoriasis ； psoriatic arthritis ； acupuncture ； moxibustion

參考文獻

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