A Case Report Of Pemphigus Treated Successfully With The Help Of Belladonna - homeopathy360

A Case Report Of Pemphigus Treated Successfully With The Help Of Belladonna

Authors:
Dr. Virendra chauhan, Professor, Dept. Of Practice of Medicine (Hom.) Dr. M.P.K. Homoeopathic Medical College, Hospital and Research Center. Homoeopathy University, Jaipur.

Dr. Bhupendra Arya, MD Scholar, Department of Practice of Medicine (Hom.), Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.

Dr. Apurva dixit , MD Scholar, Department of Practice of Medicine (Hom.) , Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.

Dr. Manish Singh, MD Scholar, Department of Repertory, Dr. M.P.K Homoeopathic Medical College, a constituent college of Homoeopathy University, Jaipur.

ABSTRACT

Pemphigus refers to a group of autoantibody-mediated intraepidermal blistering diseases characterized by loss of cohesion between epidermal cells. It causes restlessness in patient. In such cases homoeopathic medicines are always helpful when given after individualization of the patient and prescribed  medicine must be similimum in order to cure the patient.

Here in opd ,a 3 year old female child patient was complaining of vesicular eruption all over body since last 10 days. After getting his totality he was prescribed Belladonna 200 single dose and on rubrum for 7 days . In follow up vesicular eruptions was dry and no new eruptions are observed in subsequent visit. So it is classical example of homoeopathic medicine in treatment of pemphigus with photographical evidence.

KEYWORDS

1.Pemphigus     2. Homoeopathy    3. Belladonna     4.  Similimum  

INTRODUCTION

This disease is characterized by fragile, flaccid blisters that rupture to produce extensive denudation of mucous membranes and skin. The mouth, scalp, face, neck, axilla, groin, and trunk are typically involved. PV may be associated with severe skin pain; some patients experience pruritus as well. Lesions usually heal without scarring except at sites complicated by secondary infection or mechanically induced dermal wounds. [1]  

Pemphigus is a mucocutaneous blistering disease that predominantly occurs in patients >40 years of age. Pemphigus typically begins on mucosal surfaces and often progresses to involve the skin.

Etiology: Pemphigus refers to a group of autoantibody-mediated intraepidermal blistering diseases characterized by loss of cohesion between epidermal cells.[1]  

 Types: [2]  

  1. Pemphigus vulgaris
  2. Pemphigus foliaceus
  3. Pemphigus vegetans
  4. Pemphigus erythematosus

CASE PROFILE:

A 3  years female child  came in our OPD with the complaints of vesicular eruption all over body on 10 Aug 2019. The vesicular eruptions was large, filled with fluid  and painful to touch.

History of present complaints & treatment history:

Patient was apparently well 10 days back when she gradually developed a vesicular eruption on neck.  Initially, it was a small which later increased in size becoming very large and filled with large fluid. After that vesicular eruptions appear all over the body which were painfull . Patient taken allopathic treatment for 8 days but no relief so they came in our hospital’s OPD.

Associated symptoms:  Restlessness and anger  since 6 days , Anger increased  gradually due to suffering. she complains that she seen of monsters in room many times. Headache  which was pulsating type in nature

Physical generals: The patient has normal appetite has meals twice daily with no specific desire and thirst of the patient is of 1.5 – 2 litres of water per day .

Mental generals: The patient  was restless with  anger. she complains that she seen of monsters in room many times

Clinical findings: Appearance –Ectomorphic, Height – 3’2”; Weight – 22kgs. Other general and systematic examination findings suggest no abnormal sign.

Provisional Diagnosis: pemphigus vulgaris

Totality of case:

 Anger.

Mentally restlessness.

Delusions of vision of monsters.

Generalized restlessness.

Vesicular eruption all over body.

Eruption painful.

Pemphigus.

Pulsating type headache.

Figure 1: Repertorization of case from Synthesis Repertory using RADAR software.

On reportorial analysis Belladonna scored is 16  and all rubric cover.

First prescription with justification: Belladonna 200 one dose was prescribed after repertorization on  the basis of totality of symptoms and 200 potency prescribed according to susceptibility of patient and  nature of  medicine & disease. 200CH potency was selected  and single  dose  was  given  to  avoid   any unwanted  aggravation. After that patient was given placebo for 7 days.

Date   Symptoms   Prescription  
10.08.2019  Vesicular eruptions all over body ,euption painfull, headache pulsating type, Delusions of vision of monsters, Mentally restlessness., anger Belladonna 200/1 dose Placebo /TDS for 3 days.  
13.08.2019 Eruption became dry , pain decrease , decrese restlessness , decrease headache Rubrum 200/1 dose Placebo /TDS for 15 days.
29.08.2019 No eruption , no restlessness , headache slightly present Rubrum 200/1 dose Placebo /TDS for 15 days.
12.09.2019 No eruption , no restlessness , no headache present  Rubrum 30/TDS for 7 days.

Table 1: Follow ups with prescription and justification

CONCLUSION AND JUSTIFICATION:

Physical appearance related issues have become almost important for young individuals in this modern era and competitive world. This was a case of pemphigus in a 3 years old female child. Disease  have affected her on physical as well as mental level .This case confirms significance of single dose and repertorial approach  on the basis of totality of symptoms. Homoeopathy is a specialized system of medicine which treats the patient and not the disease. Homoeopathy believes in holistic individualized approach, and corrects disturbances in the vital force.

References:

1. Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L. 1., Jameson, J. L., & Loscalzo, J. (2015). Harrison’s principles of internal medicine (19th edition.). New York: McGraw Hill Education.

2. Khanna Neena, Illustrated Synopsis Of Dermatology and Sexually Transmitted Diseases, 4th Edition, 2011, Elservier, UK.

Before Treatment
Before Treatment
Before Treatment
During Treatment
During Treatment
During Treatment
During Treatment
After Treatment
After Treatment
BHUPENDRA ARYA
Posted By: BHUPENDRA ARYA

Dr.Bhupendra arya,MD Scholar, Department of practice of medicine , Dr. M.P.K.Homoeopathic Medical College , a constituent college of Homoeopathy University , jaipur