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.
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.
1.Pemphigus 2. Homoeopathy 3. Belladonna 4. Similimum
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. 
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.
- Pemphigus vulgaris
- Pemphigus foliaceus
- Pemphigus vegetans
- Pemphigus erythematosus
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:
Delusions of vision of monsters.
Vesicular eruption all over body.
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.
|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.
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.