ABSTRACT
Eczema, or atopic dermatitis , is a chronic, relapsing inflammatory skin disease that affects both children and adults. Severe pruritus, erythema, lichenification, and xerosis (dry skin) are its hallmarks.
Eczema is a complex etiology that includes immunological dysregulation, environmental variables, genetic predispo sition, and skin barrier malfunction.
Recent research emphasizes how the pathophysiology of the disease is influenced by mutations in the filaggrin gene (FLG) and an imbalance between Th2 and Th1 immune responses.
The quality of life is greatly impacted by eczema, which increases the risk of secondary infections, causes psycholog ical stress, and disrupts sleep. For moderate-to
severe instances, treatment options include calcineurin inhibitors, topical corticosteroids, emollients, and biologics li ke dupilumab.
In order to enhance patient outcomes, ongoing research attempts to comprehend its immunological mechanisms bett er and create tailored therapeutics.
KEYWORDS
Eczema , Homoeopathy, Reportorisation, Skin Inflammation, Arsenic Album, Case Report.
INTRODUCTION
Eczema or atopic dermatitis is a non-contagious inflammatory skin condition .Hallmarks of eczema is itching, redness, swelling, dryness, and flaky or cracked skin. Some times referred to as atopic dermatitis, a chronic, non contagious inflammatory skin condition. Although it usually starts in childhood, it can happen at any age. Eczema frequently has flare-ups and remissions on a relapsing-remitting basis.
The disorder is thought to be complex, involving skin barrier abnormalities, immune system dysregulation, genetic predisposition, and environmental variables. People who suffer from eczema often have a family history of atopic conditions including allergic rhinitis or asthma. Inflammation results from compromised skin barrier function, which makes people more vulnerable to allergens, irritants, and microbial infections.
Atopic dermatitis, contact dermatitis, dyshidrotic eczema, and seborrheic dermatitis, each with different triggers and clinical presentations.
Key Features:
o Pruritus (itching)
o Dry, scaly, or lichenified skin
o Erythema (redness)
o Recurrent flare-ups
o Common sites: face, neck, elbows, knees, and hands
CASE PRESENTATION
o PATIENT’S PROFILE
o NAME – ABC
o AGE – 18 YRS / FEMALE / UNMARRIED / STUDENT
o ADDRESS – BM 145 NEHRU NAGAR BHOPAL
o PATIENT CAME TO OPD NO. 06 OF GHMC BHOPAL
❖ CHIEF COMPLAINTS
o Patient complaining of itching and burning sensation over neck region and right cheek and cubital fossa [since 5-6 months]
o Agg- Sun exprosure, woolen clothing.
❖ HISTORY OF PRESENT ILLNESS
o The patient has persistent skin outbreaks that cause excruciating itching and burning.Scratching causes skin rashes but offers momentary relief.
o Itching with burning followed by redness started from 5-6 months back
o Starting – from left cubital fossa – neck region and face [Rt cheek ].
❖ TREATMENT OF HISTORY
o Allopathic treatment but did not get relieved
❖ PAST HISTORY
o H/O – Alopecia 3 yrs back relieved from allopathic treatment
❖ FAMILY HISTORY
o FATHER – Asthma , Dry skin , Hypertension
o MOTHER – Asthma
❖ PHYSICAL EXAMINATION
Dry, scaly patches are visible on face back of neck and left cubital region .
Signs of secondary infection is absent , such as pus formation and fever etc .
o THERMAL RELATION – Chilly
o APPETITE – Normal
o THIRST – Increased
o TONGUE – Dry Clean and red
o DESIRE – Sweets
o AVERSION – Sour
o URINE – Normal
o STOOL – Clear
o SLEEP – Late night awakes at 2 to 3 AM.
o DREAMS – Not specific
o PERSPIRATION – Inc in cubital region
❖ GYNECOLOGICAL HISTORY
o MENSES
o CYCLE- 30 – 32 days
o DURATION- 4-5 days
o QUANTITY – 2 pads /day
o COLOR- Dark , Non clotted
❖ MENTAL GENERALS
o Patient want everything need to be in right place.
o Patient cannot rest when things are not in proper place.
o Desire company
o Patient is introverted and reserved
o Restless at night
o Fear from alone
❖ RUBRICS
o MIND – COMPANY –DESIRE FOR
o MIND – FASTIDIOUS- CLEANLINESS; FOR
o MIND – FEAR-ALONE , OF BEING
o MIND – RESERVED
o MIND – REST –CANNOT REST WHEN THINGS ARE NOT IN THE PROPER PLACE o SKIN – ITCHING – BURNING
o SKIN –INFLAMMATION –ITCHING HEAT AGG
o GENERALS – CHILLY PERSON
❖ REMEDY SELECTION
o ARSENIC ALBM – 12/5
o SEPIA – 8/5
o PHOSPHORUS – 12/4
o LYCOPODIUM – 10 /4
❖ PRESCRIPTION
Rx
1. Arsenic Album 1 M x BD FOR 2 DAYS
TAKE 5 GLOBULES IN ½ CUP OF LUKEWARM WATER TWICE A DAY
2. SAC LAC 200 x BD FOR 10 DAYS
TAKE 4-4 GLOBULES TWICE A DAY
❖ FOLLOW UP
AFTER 15 DAYS
o PATEINT FEELS BETTER
o ITCHING –DECREASED
o BURNING – DECREASED
o DRYNESS – DECREASED
o PATCHES – DECREASED
Rx
1. SAC LAC 200 x BD FOR 15 DAYS
TAKE 4-4 GLOBULES TWICE A DAY
❖ BEFORE TREATMENT
❖ AFTER TREATMENT
❖ DISCUSSION
o This example demonstrates how well homeopathy works to treat eczema, especially when the symptoms closely match the profile of a remedy.
o Arsenic Album 1M is administered on an empty stomach for two days. 75% of the symptoms had subsided by the day, and the patient felt better.Within a 10 days.
❖ REFERENCE
✓ Weidinger, S., & Novak, N. (2016). Atopic dermatitis. The Lancet, 387(10023), 1109-1122. https://doi.org/10.1016/S0140-6736(15)00149-X
✓ Williams HC, Stewart A, von Mutius E, Cookson W, Anderson HR. Is eczema really on the increase worldwide? J Allergy Clin Immunol. 2008;121(4):947-954.e15.
✓ Bieber T. Atopic dermatitis. N Engl J Med. 2008;358(14):1483-1494.
✓ Leung DYM, Guttman-Yassky E. Deciphering the complexities of atopic dermatitis: shifting paradigms in treatment approaches. J Allergy Clin Immunol. 2014;134(4):769–779.
✓ Schroyens F. SYNTHESIS 2.0 App. Belgium: trademark Zeus-Soft; 2009.
Author:
Dr. Roopali Bhadoria MD (Scholar) Government Homoeopathic Medical College Bhopal
About the Co-Author:
Dr Juhi Gupta Asst Professor Department Of Organon Of Medicine And Homoeopathic Philosophy Government Homoeopathic Medical College Bhopal
