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Korean J Fam Med > Volume 32(1); 2011 > Article
Korean Journal of Family Medicine 2011;32(1):56-59.
DOI: https://doi.org/10.4082/kjfm.2011.32.1.56    Published online January 20, 2011.
Iron Deficiency Anemia due to Long-time Bloodletting Using Cupping.
Seung Jun Lee, Young Sung Suh, Yeon Ju Lee, Dong Gil Cho, Min Ji Lee, Dae Hyun Kim
Department of Family Medicine, Keimyung University Dongsan Hospital, Keimyung University College of Medicine, Daegu, Korea. ysseo@dsmc.or.kr
잦은 부항에 의한 철 결핍성 빈혈
이승준, 서영성, 이연주, 조동길, 이민지, 김대현
계명대학교 동산병원
Abstract
We report three cases of iron defi ciency anemia due to long-time bloodletting using cupping. Case 1 was a 52-year-old man who sought evaluation at the Health Promotion Center in our hospital due to fatigue and dyspnea on exertion (DOE). There were no abnormal fi ndings on his general health examination, except anemia. He has performed self-bloodletting for a long time with cupping on his back and extremities for fatigue, myalgias, or polyarthralgias. Case 2 was a 52-year-old woman with fatigue and DOE. The physical examination revealed a systolic murmur at her left lower anterior chest and pale conjunctiva. The initial hematocrit was 22.4% and the hemoglobin was 6.4 g/dL. She has self-bloodletted using cupping 2 to 3 times a week when she felt tired or had myalgias. Case 3 was a 35-year-old man with sudden onset fatigue and DOE. He had severe DOE during a challenging physical test. He frequently received bloodletting using cuppings on his back and extremities by a doctor of Oriental medicine. There were no abnormal findings on the general health examination, except anemia. All three patients were diagnosed with iron defi ciency anemia due to chronic blood loss. We recommended stopping bloodletting using cupping and prescribed oral iron supplements.
Key Words: Iron Defi ciency Anemia; Bloodletting; Cupping
초록
사혈은 고대 그리스 시절부터 해열과 항염증 목적으로 사용되어 왔으며 현재는 혈색소병과 같은 특수 질환에서 정맥혈을 절개함으로써 철의 과잉을 치료하는데 이용되고 있다. 부항의 경우 한의학에서 국소부위 통증이나 염증에서 실혈을 최소화하는 치료목적으로 사용되어 왔으며 현대에서는 가정에서도 많이 사용하고 있다. 하지만 잦은 부항치료의 경우 간접적인 실혈로 인한 어지러움, 숨참 등의 증상을 보이는 철 결핍성 빈혈을 일으킬 수 있다. 이에 저자들은 세 가지 사례에서 잦은 부항치료 환자에서 철 보충제를 통해 빈혈증상 개선을 보였기에 보고하는 바이다.
중심 단어: 철 결핍성 빈혈; 사혈; 부항
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