Advanced search


Search results        Search results      Copy URL to E-Mail


Severe Eczema and Hair Growth Improvements with Osteopathic Manipulative Treatment (OMT) in Pediatric Patient: A Case Study

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 22-23. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

atopic dermatitis [9]
case report [702]
children [292]
eczema [1]
OMT [3730]
osteopathic manipulative treatment [3750]
pediatrics [515]

Abstract:

Introduction/Background: Atopic dermatitis (AD) is a chronic, pruritic, inflammatory skin disease. Clinical features include ashy color, dry skin, erythema, lichenification, and hyper/hypopigmentation. Treatment of AD requires a multifaceted approach that involves education, skin hydration, elimination of exacerbating factors, and pharmacologic agents with high side effect profiles like oral immunosuppressants, oral JAK inhibitors, and injectable biologics. OMT may be effective in addressing AD dermatologic dysfunctions by potentially enhancing fluid hemodynamics, blood circulation, and lymphatic drainage. Case: A 3.5-year-old female diagnosed with severe AD presents with associated minimal scalp hair growth. Patient visited a pediatrician, allergist, dermatologist, and attempted over 40 topical creams, and probiotics with minimal relief. On physical examination, a generalized open excoriated rash with crusting thickened skin was noted bilaterally on the antecubital fossa, dorsum of wrists, and posterior cervical spine, with an abdominal dry rash. Bilateral posterior cervical lymphadenopathy and dry brittle 2 inches of hair were also present. An osteopathic structural exam revealed significant somatic dysfunctions (SD) of the cranium, spinal segments, and pelvic regions. OMT included myofascial release, balanced ligamentous tension, thoracic inlet release, cranial osteopathy, rib raising, and percussion utilized to treat the SDs. Results: The patient experienced gradual improvement over 18 months, with OMT every 2-3 weeks, until excoriation resolved, with much reduction of erythema, thickened skin, and scalp hair growth with a shinier softer texture. There was also significantly reduced size and tenderness of cervical lymphadenopathies with improved range of motion of the neck. Discussion: This case demonstrated marked improvement in severe AD refractory to first-line topical therapies in a pediatric patient after addressing severe SD with OMT possibly due to enhanced range of motion, lymphatic drainage coupled with improved circulation.


Search results      Copy URL to E-Mail

 
 
 






  • ImpressumLegal noticeDatenschutz


ostlib.de/data_dcwhgvxkzresqbpnjmau



Supported by

OSTLIB recommends