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 +1  ++  ,+   +2  +  +/ Comparative Study of E$cacy of Balneo-hydrotherapy inAtopic Dermatitis Patients with Various Severities
Jun-ichi NOGUCHI
Kanan Hospital in Morioka

Abstract
In this study, the e$cacy of therapy was examined in ,0- treated cases of so-calledatopic dermatitis patients from ,**- to ,**/. The patients were classiﬁed into - categories ;slight symptom group, medium grade symptom group and serious symptom group, each
was treated by balneo-hydrotherapy.
As to slight symptom group, amelioration rate is higher, and treatment period isshorter. It is quite reasonable that in serious symptom patients group, amelioration rate
is lower, and treatment period is longer. It is obvious that there is no meaning ofstudying e$cacy of therapy by classifying di#erent patient groups into one group.
The serious symptom could be thought as a result of patients’ attitude history
towards the illness, but it is desirable to start balneo-hydrotherapy before patients
became su#ering from serious symptom, if possible.
It is not appropriate to judge the e$cacy of therapy at the end of the ﬁrst therapy. Inorder to prevent a relapse of the symptom, it is important for the patients to get
improvement of appearance, as well as pain and itchy sensation, and to have preservationof the function of skin for bearing certain level of adverse circumstances.
To ensure those conditions, balneo-hydrotherapy based cure is necessary for thepurpose of adaptation training to the environment.
The principal part of this paper was read at the /3th Congress of The BalneologicalSociety of Japan in Akita City, on September 0, ,**0.
Key words : grade of symptom and e$cacy of therapy, hydrotherapy before becoming
serious illness, amelioration of not only the itch and look, but skin function :  !"#$%&' ()*+,)-.ῌ/$%0 12ῌ34 56*7
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 6 ¬Fig. ,­(- ³®¯ f¡´µO1# o# Hªqpf q`$Pq%&²N ª8PQ¯R S+[¶( +1 ! - ® 0 ? ghi +,.*῍ IgE -2. IUῌml,  M.T. · 3 ¥ / !z)>?JKLMNSUo# Hªqpf q%&0(|}~ ¸e +,'95 ¬Fig. -­( +0 ! +* ® 3 ? ghi +-./῍ IgE
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Fig. + Slight symptom : after stopped steroid ointment treatment ; erythem, papel and vesicule
on face, neck and ﬂexion side of limb.

Fig. ,Ameliorated.

Fig. - Medium grade symptom : after stopped
steroid ointment treatment ; erythem, papel,
vesicule and erosion on all over the body.

Fig. .

Normalized.

ῌ῍ -  R.M.  -3  +* 139   !"#$%&'()* +,-./0123 4Fig. /56 +1  +* 7 +, 8 9:; ,3.*῍
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NO# 4Fig. 256
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ῌ῏῍῎140

Fig. / Medium grade symptom : after stopped
steroid ointment treatment ; erythem, scale,acanthosis and licheniﬁcation on all over thebody.

Fig. 0Normalized.

Fig. 1 Medium grade symptom : acanthosis, licheniﬁcation and cutis rhomboideus on neck.

Fig. 2

Normalized.

Fig. 3 Medium grade symptom : acanthosis andeczema rhagadiforme on feet.

Fig. +*

Normalized.

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Fig. ++ Medium grade symptom : after stopped
steroid ointment treatment ; erythroderm, erosion, acanthosis and licheniﬁcation on all overthe body.

ῌ῍ / =K.M.

,/+,Fig. +,Normalized.

 %&'>?@:6*+, Fig. +-Fig. +- Serious symptom : before therapy ; erythroderm on all over the body.

Fig. +.

Normalized.

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Fig. +/   Fig. +0"  ῌ

Fig. +/ Serious symptom : acanthosis, chap(eczema rhagadiforme) and prurigo nodularis.

#$% ῌ&'Fig. +0

Normalized.

()** +,-./01 Fig. +1Fig. +1 Serious symptom : after therapy ; acneon the breast, --- good sign (amelioration ofskin function).

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143

E#ects of balneo-hydrotherapy on atopic dermatitis in patients with slight symptoms.

number of patientameliorated

ameliorated (῍)

indistinct.,+.++2--1+*3+.022
112*/-,-1

inpatientoutpatient
total

Table ,

[£¤vQ)*Y,-

period of therapy,¢- months,¢. months,¢. months

E#ects of balneo-hydrotherapy on atopic dermatitis in patients with medium grade symptoms.
number of patientameliorated

ameliorated (῍)

indistinct-3,.
0--,+0.22,01
1012+/

inpatientoutpatient
total

Table -

period of therapy-¢0 months.¢2 months-¢2 months

E#ects of balneo-hydrotherapy on atopic dermatitis in patients with serious symptoms.
number of patientameliorated

ameliorated (῍)

indistinct

period of therapy

++
0+1

1+*0.
/*/3.
1

half year¢+ year+¢, years
half year¢, years

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