Dr Nandini S M
ABSTRACT -Psoriasis is an immune mediated disease clinically characterized by erythematous, sharply demarcated papules and rounded plaques covered by silvery micaceous scale. Most common dermatologic diseases affecting upto 2% of world’s population
Here is a case of 23 year old male diagnosed with psoriasis was treated with homoeopathic medicine
INTRODUCTION
Etio-pathogenesis is unknown however it is considered to be an immune mediated disorder.The cause behind psoriasis is not well understood but it has been observed that factors such as stress, trauma, shock are capable of triggering it. Studies shows that psoriasis is multi factorial in pathogenesis. There may be genetic susceptibility associated with HLA-CW6 or psoriasis gene: PSORS 1-9 located on different chromosomes. The triggering factors shows association with Beta- hemolytic streptococcal infection, drugs, stress, excessive intake of alcohol, smoking and trauma
Psoriasis can affect any age group but mostly between 11-60 years, usually begins between 20-30 years, males and females are affected equally . The skin lesions are variably pruritic. The most common variety of psoriasis is called Plaque type
Case: A 24 year old male patient from middle socio economic status family reported to Out Patient Department of Government Homoeopathic Medical College and Hospital , Banglore on 24/02/2020 with the complaint of itching with eruptions in anterior part of chest and neck since 7 years and increased since 4 months. Itching is more when he sweats more, exposes to sun and takes non-veg especially chicken and fish and feels better by taking bath(tepid water). Eruption was oozing before but gradually became dry now which is more on taking oily food. Peeling and scaling of skin is present, scaling is of white which is more during winter season. Affected parts are cracked and bleeds occasionally on scratching. His complaints are usually more during winter season and will be better in summer season
PAST HISTORY
Medical history: got Chicken pox at the age and Hepatitis at the age of 11
Treatment history: Has taken allopathic medication for chicken pox and Hepatitis
Had taken Allopathic tablets and ointment for presenting complaint but not brtter
Allergic H/O :Allergic to dust, diet ( oily food -when he takes the existing complaint(itching) becomes aggravated)
PERSONAL HISTORY
- Diet :Mixed
- Appetite :Good
- Thirst :Thirstless, takes 2-3 glass/ day
- Cravings : Spicy food ,Non veg
- Aversion : NS
- Bladder habits : 2-3times/day
- Bowel habits :Once / day Regular, no difficulty
- Sleep :Good
- Dreams :N.S
- Perspiration :Generalised
- Thermals :Chilly patient
- Addictions :Alcohol-Brandy occ 1 or 2 peg
LOCAL EXAMINATION
SKIN
Inspection:-
- Dryness of skin-Anterior part of chest
- Reddish eruptions
- Peeling of skin
- Scaling –white
- No discharge or bleeding
MENTAL GENERALS
- Indifference- towards his family
- Likes company- only with friends
- Carelessness
RUBRICS TAKEN
- Mind :Company- desire for
- Mind :Heedless
- Mind: Indifference- family, to his
- Skin: itching-night
- Skin: itching-perspiration-agg
- Skin: eruptions-psoriasis
- Skin: eruptions-desquamation- scales;white
- Skin: Dry
- Skin-cracks
- Generals : Food and drinks- pungent –desires
- Generals :Food and drinks-meat-desires
- Stomach: Thirstless
BASIS OF PRESCRIPTION
The above-mentioned rubrics were taken for repertorisation. Prescription was made with further reference from Materia medica- Sepia 200
FIRST PRESCRIPTION ON 24/02/2020-
Sepia 200 HS 1dose
Advised to avoid taking oily food, to reduce non-veg
Advised not to apply any ointments or oil on affected parts
FOLLOW UP-12/03/2020
- Itching of skin is same
- Dryness is slightly better
- Eruptions-slightly better
- Cracks-reducing
- Physical generals are good
Rx –Placebo TID for 15 day
FOLLOW UP-4/05/2020
- C/o Itching –slightly brtter
- Eruptions –completely better
- Dryness-better
Rx-Placebo TID for 15 days
FOLLOW UP-19-05-2020
- C/o itching-completely better
- Eruptions –completely better
- Dryness-better
Rx-Placebo TID for 15 day
CONCLUSION: This case shows the effectiveness of Homoeopathic medicines in the treatment of Psoriasis
DECLARATION OF PATIENT CONSENT:
Patient consent was taken for images and information to be reported for this Article.
REFERENCES:
- Fauci As, Kasper DL, Braunwald E, Hauser SI, Jamesson JL, Loscalzo J, harrisons principles of internal medicine.20th ed. Volume 2.New York MCGraw Hil
- Boerick’s New manual oh homoeopathic material medica with repertory
- Radar software: Frederik Schroyens Synthesis Repertory, Version 9.1
Dr Nandini S M
PG Scholar MD part -1
Department of Organon of Medicine And Homoeopathic Philosophy
Government Homoeopathic Medical College and Hospital, Bangalore
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