Atopic dermatitis and hair loss, female in her 30s -Fecal microflora transplantation case report
Case presentation: Female in her 30s, atopic dermatitis and hair loss (under observation)
summary
She had atopic dermatitis since she was 10 years old and was treated with Chinese herbal medicine, acupuncture, and steroids, but it never got better and worsened during puberty and at age 20.
Hair loss started after the birth of her first daughter 12 years ago and she had almost no hair growth. 1 year ago she received flora transplant twice at another clinic, but did not respond or He decided to undergo transplantation at our institute at the recommendation of his brother because he did not feel any change.
Basic Information
| Patients : | 30’s Female |
| Attending physician : | Haruna Clinic |
| Medical institution in charge of transplantation : | Haruna Clinic |
Information at the time of initial medical examination
| Disease name : | Atopic dermatitis, hair loss |
| Time of onset : | Around 10 years old |
| Transplant Purpose: To | Allergy (atopic dermatitis) Other (hair loss) |
| Chief complaint : | Eczema from the neck up, facial redness, hair loss |
| Medications being taken : | Dermatologist prescribed steroid ointment, oral if it’s bad, maybe steroids Steroids are applied every two days. |
| Medical history : | Gastritis in 2016 |
| Background, family history, lifestyle, supplement use, etc : | Nothing |
Transplant Information
| Transplantation period: from | May 26, 2019 – October 15, 2019 |
| Number of transplants : | 13 times |
| Change from first transplant to end of transplant : |
|
The redness of the face has improved a little since the first transplant. After that, the skin condition seemed to have improved a little and a little hair was growing on the head. 【1st transplantation questionnaire】 |
| Changes after completion of transplant : |
| The skin rash is better than before, and he would like to continue with a few more additional transplants. |
Evaluation and Discussion
| Transplant Evaluation : | Mild improvement of symptoms |
| Pre- and post-transplant flora balance test changes : | Clostridial diversity is emerging. Clostridium 9 is more common, and there is some mental instability in chronic symptoms. The percentage of bifidobacteria is increasing. |
| Blood test changes : |
Not implemented |
| POMS2 SCORE CHANGE : | Not implemented |
<Intestinal flora balance before and after transplantation>
| His/her experience (from the questionnaire) : |
| He said that no matter what he did, it did not get better, but now he could see some improvement, and he is hopeful for the future. |
| Adverse events: No |
| Nothing |
| Transplant General Comments and Discussion : |
|
Overall, the skin condition is improving. However, the skin condition is not yet completely stable, as the heat and perspiration are aggravating the skin. However, mentally, he seems to have found hope of getting better and seems to be stabilizing. In addition, there is no sign of hair growth from the laying down of hair, so this remains an issue to be addressed in the future. |
… and upwards
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