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Intestinal flora transplantation and case studies

Atopic dermatitis, male in his 30s -Fecal microflora transplantation case report

Case presentation: Male in his 30s, atopic dermatitis (under observation)

summary

She has had mild atopic dermatitis since childhood, but it began to appear on her whole body after the age of 30. The dermatologist prescribed steroids and other medications, but his condition began to worsen after the age of 34. She could not sleep because of the itchiness, and it started interfering with her work.

Basic Information

Patients : 30’s Male
Attending physician : Luke’s Ashiya Clinic
Medical institution in charge of transplantation : Luke’s Ashiya Clinic

Information at the time of initial medical examination

Disease name : Atopic Dermatitis
At onset : (when) one was a child
Transplant Purpose: To skin problem
Chief complaint : She has had mild atopic dermatitis since childhood, but it began to appear on her whole body after the age of 30. He was prescribed steroids by a dermatologist, but his condition began to worsen after the age of 34. She could not sleep because of the itchiness, and it began to interfere with her work, so she requested a transplant.
Medications being taken :

Steroids (details unknown)
Medical history :

varicocele, chronic prostatitis
Background, family history, lifestyle, supplement use, etc :

B complex, VitD3+K2 from our hospital

Transplant Information

Transplantation period: from September 25, 2019 – November 6, 2019
Number of transplants : 6 times
Change from first transplant to end of transplant :

No change in skin symptoms. No exacerbations. Steroids are being used.
Impression of increased word count.

【1st transplantation questionnaire】
I feel a little better than when I first came to see the doctor.
【2nd transplantation questionnaire】
Nothing significant has changed since the transplant.
【3rd transplantation questionnaire】
I feel that my taste for food has changed. I feel like I am in good physical condition.
Skin symptoms are the same as last time. Steroids are still being applied.
【4th transplantation questionnaire】
I don’t feel like I’m getting better. I feel the itchiness has not changed.
【5th transplantation questionnaire】
No significant change in skin symptoms.
【6th transplantation questionnaire】
The itchiness of the skin has disappeared recently. She is eating without any particular concern, but I don’t feel that it is showing on her skin. He also has a bowel movement almost every day. Steroids have not been applied for the past two days, but there are no signs of worsening so far.
Changes after completion of transplant :
Now following

Evaluation and Discussion

Transplant Evaluation : Mild improvement of symptoms
Pre- and post-transplant flora balance test changes : Undergoing post-transplant examination
Blood test changes :
POMS2 SCORE CHANGE :

< Intestinal flora balance 1st data >

His/her experience (from the questionnaire) :
Very satisfied with treatment Symptom improvement still mild
Adverse events: No
Nothing
Transplant General Comments and Discussion :
After the second transplant, the frequency of diarrhea has decreased and he no longer has the urge to have a bowel movement within 30 minutes after a meal.
She is now under less stress and is trying to lead a regular life and get enough sleep, so we can expect further improvement in her symptoms.

… and upwards

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