{"id":10415,"date":"2020-06-04T16:54:49","date_gmt":"2020-06-04T07:54:49","guid":{"rendered":"https:\/\/symdfmtcopro.wpenginepowered.com\/post\/10415"},"modified":"2020-06-04T16:54:49","modified_gmt":"2020-06-04T07:54:49","slug":"atopy-and-allergy-in-a-woman-in-her-40s-case-report-of-fecal-microflora-transplantation","status":"publish","type":"post","link":"https:\/\/fmt-japan.org\/en\/post\/10415","title":{"rendered":"Atopy and allergy in a woman in her 40s – Case report of fecal microflora transplantation"},"content":{"rendered":"

<\/span>Case Introduction 40s female, atopic dermatitis\/allergy<\/span><\/h2>\n

<\/span>summary<\/span><\/h3>\n
\n

<\/span>Basic Information<\/span><\/h3>\n\n\n\n\n\n
Patients :<\/td>\nWoman in her 40s<\/td>\n<\/tr>\n
Attending physician :<\/td>\nLuke’s Ashiya Clinic<\/i><\/a><\/td>\n<\/tr>\n
Medical institution in charge of transplantation :<\/td>\nLuke’s Ashiya Clinic<\/i><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n
\n

<\/span>Information at the time of initial medical examination<\/span><\/h3>\n\n\n\n\n\n\n\n\n\n
Disease name :<\/td>\nAtopic Allergies<\/td>\n<\/tr>\n
At onset :<\/td>\nunknown<\/td>\n<\/tr>\n
Transplant Purpose: To<\/td>\n\n
Tiredness<\/div>\n
Allergies (food, pollen, chemicals, etc.)<\/div>\n
Skin problems (including atopy)<\/div>\n
sleep disorder<\/div><\/td>\n<\/tr>\n
Chief complaint :<\/td>\nINITIAL CONSULTATION AT TANAKA CLINIC\nNUTRITIONAL THERAPY INCLUDING DIET, SUPPLEMENTS, ETC., AND THE IMPORTANCE OF INTESTINAL ENVIRONMENT\nAFTER BLOOD TEST ON NUTRITIONAL THERAPY AT OTHER CLINIC, RETURN VISIT TO EXPLAIN ABOUT INTESTINAL FLORA TRANSPLANTATION AND SUBSEQUENT NUTRITIONAL MANAGEMENT.\nIMMUNE FUNCTION (FACS) WAS PERFORMED TO ESTIMATE THE INTESTINAL ENVIRONMENT.\n\nAT THE TIME OF VISIT TO LUKE’S ASHIYA CLINIC, THE PATIENT HAD COMPLAINTS OF EDEMA, COLDNESS, PAIN, FATIGUE, AND DIARRHEA IN THE LOWER EXTREMITIES, BUT NO CLEAR DIAGNOSIS WAS MADE.<\/td>\n<\/tr>\n
Medications being taken :<\/td>\nNothing<\/td>\n<\/tr>\n
Medical history :<\/td>\n<\/td>\n<\/tr>\n
Background, family history, lifestyle, supplement use, etc :<\/td>\nTobacco over 25 years<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n
\n

<\/span>Transplant Information<\/span><\/h3>\n\n\n\n\n
Transplantation period: from<\/td>\nNovember 15, 2019 – November 29, 2019<\/td>\n<\/tr>\n
Number of transplants :<\/td>\n3 times<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n
\n\n\n\n\n
Change from first transplant to end of transplant :<\/td>\n<\/tr>\n
\u30101st transplantation questionnaire\u3011\n
Recently, the soles of my feet have been hurting.\nI have pain all over my body and would like to get some relief from that.\nMy hands and face are hot.\nI couldn’t get up this morning.<\/div>\n
He is hungry because he came to the hospital fasting for a blood draw. He has a peripheral cold sensation in his lower extremities.<\/div>\n\n
\n\n\u30102nd transplantation questionnaire\u3011\nAfter the first transplant, the burning in my arms, legs, and neck has lessened. Bowel movements also improved a little.\n\n
\n\n\u30103rd transplantation questionnaire\u3011\nDecreased frequency of leg pain and queasiness, which used to be symptomatic in the evening.\nShe had always had a bloating feeling in her stomach in the evening, but it has also disappeared.\nShe seems to have seen a reduction in her physical sensations and symptoms, and speaks cheerfully.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
\n\n\n\n\n
Changes after completion of transplant :<\/td>\n<\/tr>\n
\n
Bowel movements, fatigue, coldness, and swelling are improving.<\/div>\n
Mood changes. (It’s getting better.)<\/div><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n
\n

<\/span>Evaluation and Discussion<\/span><\/h3>\n\n\n\n\n\n\n
Transplant Evaluation :<\/td>\nClear improvement of symptoms<\/td>\n<\/tr>\n
Pre- and post-transplant flora balance test changes :<\/td>\n[PRIOR TO TRANSPLANTATION] SEPTEMBER 2019.\nTHERE ARE NO PARTICULAR PROBLEMS WITH OVERALL GUT FLORA AND C. CLUSTER DIVERSITY.\nHOWEVER, THERE IS A SLIGHT BALANCE PROBLEM.\nTHE PERCENTAGE OF LACTOBACILLUS, BACTEROIDES, AND PREVOTELLA IS LOW AND THE PERCENTAGE OF C. CLUSTER IX IS SLIGHTLY HIGH.\nTHERE IS AN IMPRESSION THAT IMPROVEMENT CAN BE EXPECTED WITH THE LACK OF EXTREME BALANCE VARIATION, MEDICATION INCLUDING SUPPLEMENTS FOR THE QUESTIONNAIRE, AND A REVIEW OF DIETARY HABITS.\n\n
\n\n[During transplantation] None\n\n
\n\n[After transplantation] None<\/td>\n<\/tr>\n
Blood test changes :<\/td>\n\uff3bAfter transplantation] None<\/td>\n<\/tr>\n
POMS2 SCORE CHANGE :<\/td>\nNothing<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n\n\uff1cIntestinal flora balance before transplant data\uff1e\n\n\uff1cIntestinal flora balance Post-transplant data\uff1e\n\n\"\"\n\n
\n\n\n\n\n
His\/her experience (from the questionnaire) :<\/td>\n<\/tr>\n
No reply<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n
Adverse events: No<\/td>\n<\/tr>\n
Nothing<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n
Transplant General Comments and Discussion :<\/td>\n<\/tr>\n
ALTHOUGH NOT WELL REFLECTED IN THE POMS, SUBJECTIVE SYMPTOMS ARE CONSIDERED TO BE IMPROVING.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

<\/span>Related Videos<\/span><\/h2>\nDATE: 4\/5\/2019\nFUTURE PROSPECTS FOR NEXT GENERATION INTESTINAL FLORA TRANSPLANTATION\n131ST MVC REGULAR MEETING\nPRESENTER: DR. MASAHIKO JOHYA, LUKE’S ASHIYA CLINIC\n