Adjustment disorder, atopic dermatitis, female in her 20’s -Case report of fecal microflora transplantation
Case presentation: Female in her 20s, adjustment disorder, atopic dermatitis
summary
She requested transplantation to improve her constipation, obesity, and atopic dermatitis. He had difficulty quitting sweet foods in his diet, but his bowel movements improved with gradual improvement of his diet. However, he was not able to reduce his weight with regard to his obesity. Her skin condition improved a little.
Basic Information
| Patients : | 20s female |
| Attending physician : | Medical Corporation Haruna Clinic |
| Medical institution in charge of transplantation | Medical Corporation Haruna Clinic |
Information at the time of initial medical examination
| Disease name : | Adjustment disorder, atopic dermatitis |
| At onset : | August 2014 |
| Purpose of Transplantation | Improvement of disease, constipation, weight loss |
| Chief complaint : | He has been diagnosed with atopic dermatitis since infancy, mental instability, panic, and mania since August 2014, and as for the name of his illness, he has been diagnosed with an adjustment disorder. |
| Medical history : | |
| Background, family history, lifestyle, supplement use, etc : | Taking antipsychotic medications, intestinal medications, vitamins, etc. |
Transplant Information
| Transplantation period: from | 2/7/2019~4/4/2019 |
| Number of transplants : | 6 times |
| Change from first transplant to end of transplant : |
| 【1st transplantation questionnaire】 She said that she has a hard time quitting sweets in her diet. Currently stable as a symptom. After transplantation, bowel sounds were present but felt a little scarce. 【2nd transplantation questionnaire】 Bowel movements have improved. The diet was also devised so as not to raise blood sugar as much as possible. Bowel sounds are better than last time. 【3rd transplantation questionnaire】 Bowel movements improved, but not every day. I feel like I lost a little weight. 【4th transplantation questionnaire】 He is feeling calmer. Her diet is improving, but she has a hard time quitting sweets. Blood test results showed a tendency toward hypoglycemia, so I instructed her to eat small amounts of food to raise her blood sugar slowly and frequently. 【5th transplantation questionnaire】 The results of the blood test showed that she tended to have low blood sugar levels, and we instructed her to eat small amounts of food frequently to raise her blood sugar slowly. He has been able to have bowel movements more often than before. 【6th transplantation questionnaire】 I have been able to stop eating sweets. Weight has not decreased. Mentally, I am becoming calm. |
Intestinal flora balance Comparative data
| His/her experience (from the questionnaire) : | No answer |
Evaluation and Discussion
| Transplant Evaluation : | Mild improvement of symptoms |
| Adverse events: No | Nothing |
| Changes after completion of transplant : |
| Bowel movements have improved a bit. He is feeling a little more stable and has been able to return to work. |
| Transplant General Comments and Discussion : |
| Bowel movements have improved a little, but not to the point of improvement, as eating habits have not changed much. The mood swings have subsided. Six months after transplantation, she was able to eat less sweet foods, was mentally stable, and had better bowel movements. However, weight loss was not achieved. |
… and upwards
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