アカツキ病

2020年8月21日 (金) 15:17時点におけるimported>Medicineによる版
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akatsuki disease


定義

  • 坂本邦樹が1964年に命名・報告した精神性皮膚病変で、皮膚を不衛生な状態にすることで生じ、精神的な機序と関係がある。(参考(1))
  • 通常の日常生活を送っていれば脱落、清浄化されるはずの物質(垢)が、おもに心的機制によって蓄積した状態(医学大辞典)
  • アル部位を洗浄しない不潔な状態が長期間続いたために起こる皮膚症状。自己損傷症の類似疾患とされ、それにはあかつき病や臍石がある。(NDE.193)

参考

  • 1. アカツキ病の1例
  • 岡 孝和,松岡 洋一,小牧 元,三島 徳雄,中川 哲也
  • 心身医学 31(5), 405-409, 1991-06-01
  • A case of Akatsuki disease was reported. Akatsuki disease which was named and reported first by Dr. Sakamoto in 1964 is defined as the skin lesions that are induced by neglect of skin hygiene and based upon certain psychological mechanisms. A 58 year-old female diagnosed as Akatsuki disease was referred to our department by a bermatologist. She had not been able to bathe for more than seven years because she felt burning sesations on her face when she took a bath. When she was admitted to our hospital, her cheeks looked red. When she put her hands into hot water, her face became more red and that state lasted over ten hours. However, endocrinological studies could not explain her complaints. As she was in a hypochondriacal state and also suspected to be in a hypersensitive state of the vasomotion of her face, Autogenic Training as well as the image therapy called "Nanso no Hou" were introduced in addition to supportive psychotherapy and congnitive, behavioral modification. As the result, the redness of her cheeks disappeared and she became able to take a hot shower in two months, and was discharged from the hospital.
  • NAID 110001118006