Dr. Sunil Thomas1 Dr. Peeyush Tiwari2, Dr. Poonam Sharma3
- Professor & HOD of Department of Repertory, Dr M.P.K. Homoeopathic medical college, Hospital & Research Center, Jaipur (Rajasthan)
- PG Scholar, Department of Repertory, Dr M.P.K. Homoeopathic medical college, Hospital & Research Center, Jaipur (Rajasthan)
- PG Scholar, Department of Homoeopathic Pharmacy, Dr M.P.K. Homoeopathic medical college, Hospital & Research Center, Jaipur (Rajasthan)
Abstract– Tinea is a common superficial infection caused by dermatophytes. The lack of delayed hypersensitivity reaction in presence of positive hypersensitive response to trichophytin antigen to chronicity of disease is pathogenicity of tinea.1 A case of 40 year male patient having itching herpetic eruption on inguinal region with lesions extremely progressive and chronic. Patient having history of previous conventional treatment and use of antifungal ointments. This case resolved completely with Sulphur within a 6 weeks.
Key word– Homoeopathy, Dermatophytes , Sulphur, Tinea cruris
Introduction- Tinea is the superficial fungal infection of skin. Its manifestations of skin, shows ring like eruption with itching and burning sensation. Dermatophytosis is defined as fungal infection of the keratinized tissue of the hair, nail and corneum of the skin.2 Tinea cruris is the fungal infection of groin region.3
The fungal infection of skin is more common in tropical countries like India due to heat and humidity. The risk factors include socio-economic conditions like overcrowding and poor personal hygiene. alternative therapies are found to be effective in controlling the fungal infections. Homoeopathy has always been an alternative therapy preferred by various dermatologists.4
Case profile- A 40 year male came in OPD with the complaints of itching herpetic eruption on inguinal region with chronic and progressive lesions since 4-5 years ago, red circular patches with intense itching. Complain aggravation at night and changing of cloths. Another complain of Heartburn after eating. Hemorrhoides since 1-2 year ago. Intense burning after defecation in rectal region. Patient have uses of conventional ointments causes loss of skin the inguinal region (shows in picture).
istory of present complaints & treatment history– Patient was apparently well for month
after use of conventional ointments. The complaints gradually increase after treatment. Sometimes complaints slight relief but no improvement of the compalints.
Physical generals– Desire for sweets. Sometimes stool hard and constipated, burning in anus afterdefecation.
Mental generals– patients desire for company.
Provisional diagnosis– Tinea cruris
Totality of case–
- Herpetic eruption on inguinal region.
- Itching eruption on inguinal region at night.
- Heartburn after eating.
- Burning in anus after defecation.
- Desire sweets.
First prescription with justification- Sulphur 200 one dose was prescribed after repertorization onthe basis of totality of symptoms and potency prescribed according to susceptibility of patients and nature of medicine. 200CH potency was selected and single dose was given to avoid any unwanted aggravation. After that patient was given placebo for 7 days.
|Date||Complaints of the patients||Presrcription|
|Itching reduced. Redness is reduced. Burning||Rubrum||No||any|
|24/2/2018||in anus slight relief. Scar formation better.||30/tds||for||7||relapse||or|
|1/3/2018||Itching better but eruption on inguinal region||Rubrum|
|8/3/2018||Itching slight increased and eruption on||Sulphur||No||any|
|inguinal region increased. Burning in anus||200/1dose/||relapse||or|
|slight increased. New superficial skin are||stat||adverse event|
|14/3/2018||Itching better, burning in anus better, no||Rubrum|
|For 7 days|
|20/3/2018||No eruption present in inguinal region, itching||Rubrum|
|better, burning better in the anus.||30/tds for 7|
Discussion & Conclusion– Homoeopathic medicine Sulphur 200CH has worked curatively for the treatment of dermatophytes infection. In this case application of antifungal tubes caused skin demarcation which was regenerated after homoeopathic treatment within 3 months.
- Sahoo AK, Mahajan R. Management of tinea corporis, tinea cruris, and tinea pedis: A comprehensive review.Indian Dermatol Online Journal.2016 Mar-Apr; 7(2): 77–86. doi: 10.4103/2229-5178.178099
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- Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. 2008;51(Suppl 4):2–15.
- Lakshmanan A, Ganeshkumar P, Mohan SR, Hemamalini M, Madhavan R. Epidemiological and clinicalpattern of dermatomycoses in rural India. Indian J Med Microbiol. 2015;33:134–6.
- Uttamchandani PA, Patil AD. Homoeopathy an Alternative Therapy for Dermatophyte Infections. International Journal of Health Sciences and Research.2019;9(1):316-20.