An Insight To Tinea Infection And Homoeopathic Management - homeopathy360

An Insight To Tinea Infection And Homoeopathic Management

TineaIntroduction
The prevalence of superficial mycotic infection worldwide is 20-25 % of which dermatophytes are the most common agents.
The burden of skin disease is multidimensional that encompasses psychological ,social and financial consequences of skin disease on the patient ,their families and on society. In modern society ,more and more people are attacked by a variety of diseases, in which skin diseases share significant proportion. Common skin diseases like fungal infections appear frequently. Skin is the mirror of internal health.
According to other systems of medicine Tinea corporis is a superficial fungal infection  which  is  usually  treated  by  external  application  which  is   merely suppressing the disease condition but the disease tends to recur often and becomes a chronic disease.
But  in  Homoeopathic  system  of  medicine  Tinea  corporis  is  an  external presentation of an internal disorder due to lowered vitality and immunity. Homoeopathy does not believe in treating any   skin diseases by simply applying ointment or creams .As it is a system of medicine which works on inspiration of the humoral or the immune mechanism of the body from its latent or overt reaction, it is thereby the best form of medicine to treat skin diseases and  is having a wider and better scope in giving a gentle and permanent result in Tinea corporis.
AETIOLOGY AND PATHOGENESIS
The three most common organisms are:

  • Tricophyton rubrum
  • Tricophyton mentagrophytes,
  • Microsporum canis.

EPIDEMIOLOGY

  • Tinea corporis may be transmitted directly from an infected human /animals via formite
  • It may occur via auto-inoculation from reservoirs of dermatophyte colonization on the feet
  • A humid climate are associated with more frequent and severe eruptions
  • Wearing of  occlusive  clothing  ,frequent  skin  to  skin  contact  and  minor traumas create an environment in which dermatophytes flourish

TYPES OF TINEA

TYPES COMMON NAMES CAUSES FEATHURES
Tinea pedis (foot)
 
 Athlete’s foot “ringworm of the foot”, tinea pedum,]and “moccasin foot” moist communal areas
barefoot
inside of a shoe
softening and breaking down of skin
vesicles and bullae
fluid-filled lesions

Tinea unguium (nails)

 

Onychomycosis  the tropics and subtropics with a hot and humid climate
 
nail becoming thickened and discoloured: white, black, yellow or green
become brittle, with pieces breaking off or coming away from the toe or finger completely

Tinea manuum (hand)

 

tinea manus  transmitted sexually
 
Itching, burning, cracking, and scaling

Tinea cruris (groin)

 

 “crotch itch”, “crotch rot”, “Dhobie itch”, “eczema marginatum”,[2] “gym itch”, “jock itch”, “jock rot”, “scrot rot” and “ringworm of the groin
 
Tight, restrictive clothing, such as jockstraps, traps heat and moisture,
 
red, tan, or brown, with flaking, rippling, peeling or cracking skin

Tinea corporis (body)

 

ringworm, tinea circinata, and tinea glabrosa  person-to-person transfer
acquired while petting or grooming an animal
 
enlarging raised red rings with a central area of clearing

Tinea capitis (scalp)

 

“Ringworm of the scalp, “Scalp ringworm”, and “Tinea tonsurans caused by dermatophytes in the Trichophyton and Microsporum genera that invade the hair shaft

Tinea faciei (face)

 

contagious just by touch red rash on the face, followed by patches of small, raised bumps. The skin may peel

Tinea barbae (beard)

 

“Barber’s itch,” “Ringworm of the beard,” and “Tinea sycosis
 
 contact of an infected animal to the skin of a human.
 
 
 pimple or blister
swelling and redness
red and lumpy
Crusting around hairs

Tinea imbricata (overlapping pattern)

Tokelau” and in parts of Indonesia as “Kaskado itchy, and mainly in the torso and limbs

Tinea nigra (black)

superficial phaeohyphomycosis,” and “Tinea nigra palmaris et plantaris  Hortaea werneckii. dark brown to black painless patches

Tinea versicolor (various colors)

dermatomycosis furfuracea, pityriasis versicolor, and tinea flava
 
 
Malasseziaglobosa ·         ash-like scale
·         Pale, dark tan, or pink in color, with a reddish undertone
Sharp border

  
DIAGNOSIS

  • Diagnosis usually is made clinically
  • potassium hydroxide preparation(KOH)

INVESTIGATIONS

  • Potassium hydroxide preparation
  • Culture test
  • Dermatophyte test medium

MANAGEMENT
General Management

  • Affected area should be kept neat and clean and dry
  • Avoid Sharing of towels or clothes as it is a medium for Spreading   Towels ,sheets and clothes  should be washed frequently
  • Try not to scratch the rash as this may spread the fungus to other areas.

HOMOEOPATHIC MANAGEMENT
Homoeopathy is a system of medicine which is based on the law of similars. In Homoeopathy we  are  not treating  the  disease, but  the patient  as  a whole.Tinea corporis is an external expression of an internal disorder the reason being  lowered vitality and immunity .Homoeopathy does not believe in treating any skin disease by applying ointment or creams.
Dr Hahnemann explains about  the same in the §189  where he mentions that any external manifestation will have an internal derangement. And  §185 the importance of local maladies.
In §187 he tells us that any injury on external part which  is devoid of  injury will have an  internal derangement. In §191  medicines are powerful internal medicines which immediately after its ingestion causes important changes in the general health of such patient and particularly in the affected external parts of the body and  restoration of health of the entire body along with the disappearance of the external affection without the aid of any external remedy or ointment.
SOME RUBRICS FROM REPERTORIES
 KENT’S REPERTORY
SKIN – ITCHING – night – CARB – S, SULPH.,URT-U, Graph, Sil
SKIN – ITCHING – burning – ARS, BRY,GRAPH,SULPH,Calc.ph,Bell
SKIN – ERUPTION – white – KALI – CHL, Ars , Graph
SKIN – ERUPTION – dry – PHOS, SEP,SIL
HOMOEOPATHIC THERAPEUTICS             
 

REMEDIES SYMPTOMS
SILICEA ·        Delicate,pale,waxy
·        Rose coloured blotches
·        Scars suddenly become painful
·        Aggrevastion from new moon,morning
·        Better by warm,humid weather
SEPIA  
·        Ringworm like eruptions every spring.Urticaria on going in open air
·        Better in warm room
·        Sweat on feet ,worse on toes.
·        Offensive odor of the skin
·        Itching is not relieved by scratching
·        Aggravates from moist weather
Ameliorates from hot application
ARSENICUM ALBUM ·        Skin is dry and rough covered with dry scales extending sometimes even to forehead ,face and ears .
·        Burning and itching eruptions
·        Parts painful after scratching
·        Falling off in patches
BACILLINUM ·        Eczema, tubercular over entire body
·        Itching intense aggravates at night when undressing and from bathing
·        Immense quantities of white bran like scales
·        Oozing behind  the  ears  ,in  the hair , in  folds of skin  with  rawness  and soreness. Fiery red skin. Ringworm
 
SULPHUR ·        Dry ,scaly and unhealthy
·        Every little injury suppurates
·        Itching and burning
·        Worse from scratching and washing
·        Skin affections after local medications
·        Purities especially from warmth and in the evening
·        Better from dry and warm weather
 

 
Bibliography

  • Kent JT. Repertory Of the Homoeopathic Materia Medica And a Word Index.Reprint Edition. New Delhi: B.Jain publishers (P) Ltd; p. 1311,1319,1327
  • Boericke William. New manual of homoeopathy material medica with repertory 3rd revised and augmented edition based on 9th edition p,75,92
  • Allen.HC. Keynotes Rearranged And Classified With Leading Remedies Of The Materia  Medica Added With Other Leading Nosodes And Bowel Nosodes. 6th Edition. B.Jain Publishers.2011.-p,356,375,387
  • Kainthola Anup,Gaur puneet. Et al, Prevalence Of Dermatophytoses In Rural Populatiions  Of   Garhwal   Himalayan   Region,   Uttarakhand   India;International Research Journal Of medical Sciences;Vol.2(8),9-12,August2014;ISSN2320-7353

 

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