Abstract: The following case report is alopecia areata in 22 years old female who was treated successfully with individualised homoeopathic medicine within10 months of treatment. Syphilinum was prescribed as a constitutional remedy on the basis of totality of symptoms and after the repertorisation. Homoeopathic medicines have wonderful results in such type of cases, where the modern medicines have very less effective treatment.
Keywords: alopecia areata, Syphilinum.
Introduction:
Alopecia areata is typically presents with sharply demarcated round patches of hair loss non-scarring condition appears as sharply defined non inflamed bald patches, usually over the scalp[1]. The lifetime incidence of alopecia areata is approximately 2% worldwide. It affects people of all ages and both sexes. Loss of hair is considered as an autoimmune process leading to chronic inflammation due to the presence of organ-specific CD8+ T-cell-dependent response mainly affecting hair follicles. Various triggers such as infections, trauma, hormones and stress are known to worsen the disease. The diagnosis is clinical and generally simple in the common cases. In chronic forms, trichogram and biopsy is advised[2].
Case history:
A 22 years female, reported to outpatient department on 24th january 2019. The patient had hair fall in spot with premature grey hairs for last one year. She also had headache for last six months, usually aggravated by exposure to sun and ameliorated by wrapping on the head. Apart from this, the patient was also suffering from watery leucorrhoea with profuse salivation.
Past history:
Appendicitis followed appendectomy 7 year back.
Mental generals:
Difficulty
in concentration during study.
Become easily angry at trifles.
Physical generals:
Aversion:
meat.
Thirst: 2-3 litres/day. Thirst for cold water.
Thermal reaction: chilly patient.
Analysis and evaluation of symptom with miasmatic analysis[5]
| S. No | Symptoms | Analysis | Evaluation | Miasmatic Aanalysis |
| 1 | Difficulty in concentration during study. | mental general | + + | Psora |
| 2 | Anger at trifles. | mental general | + + | Psora |
| 3 | Aversion to meat. | physical general | + + + | Psora-syphlitic |
| 4 | Chilly patient. | physical general | + + | Psora |
| 5 | Thirst for cold water. | physical general | + + + | Sycosis |
| 6 | Hair fall in spots. | particular | + + + | Syco-syphlitic |
| 7 | Premature grey hairs. | particular | + + + | Syco-syphlitic |
| 8 | Headache < exposure to sun > wrapping up of head. | particular | + + | Psora |
| 9 | Thin, watery leucorrhoea. | particular | + + | Sycosis |
| 10 | Profuse salivation. | particular | + + | Psora |
Repertorial totality:
Difficulty
in concentration during study.
Aversion to meat.
Hair fall in spots.
Premature grey hairs.
Headache aggravated by exposure to sun and ameliorated by wrapping up of head.
Thin, watery leucorrhoea.
Profuse salivation.
Repertorial sheet: See figure 1.
Prescription:
Syphilinum 1M/1 dose state.Rubrum 30/thrice a day for
1month.
Selection
of remedy with justification:[3]
Syphilinum was prescribed on the
basis of totality of symptoms and its repertorial analysis as it covered maximum rubrics.
Selection of potency with justification:[5] It is based on
susceptibility of the patient.
Figure 1: Repertorisation from synthesis repertory using RADAR software.[3]
Follow-up
| Date | Symptoms | Prescription |
| 24/01/2019 | Hair falling on spot; headache < from exposure to sun > wrapping on the head. | Syphilinum 1M/ 1 dose stat Rubrum 30/thrice a day for 1month |
| 25/02/2019 | Slightly relief in headache. No improvement in hairfall. | Rubrum 30/thrice a day for 1month |
| 25/03/2019 | No headache, and slightly improvement in leucorrhoea discharge. | Rubrum 30/thrice a day for 1month |
| 23/04/2019 | No specific improvement. Symptoms are standstill with previous dose, therefore repeating the dose. | Syphilinum 1M/ 1 dose stat Rubrum 30/thrice a day for 1month |
| 27/05/2019 | Relief in hair fall | Rubrum 30/thrice a day for 1month |
| 24/06/2019 | Reduction in spot. New hair growth. | Rubrum 30/thrice a day for 1month |
| 26/07/2019 | Improvement in present complaints. | Rubrum 30/thrice a day for 1month |
| 28/08/2019 | Improvement | Rubrum 30/thrice a day for 1month |
| 30/09/2019 | Significantly improved. | Rubrum 30/TDS for 1month |
| 30/10/2019 | Good growth in hairs in place of spots. | Rubrum 30/thrice a day for 1month |
Conclusion:
Individualised homoeopathic medicine was
prescribed selected after repertorisation with the help of Synthesis Repertory. Presenting totality was improved gradually
with the help of individualised homoeopathic medicine.
References:
[1]Walker R. Brian, Colledge R. Nicki, Ralston H.
Stuart, Davidson’s Principles and Practice of Medicine. 21st Edition.[2] Evidence- based homoeopathy: Case report of alopecia areata; Year :
2019, Volume : 13, Issue : 4, Page : 251-255; https://www.ijrh.org/article.asp
[3] RADAR 10. Archibel Homoeopathic Software. Belgium: 2009
About Author:
Dr Yogeshwari gupta
Prof, MD (Hom), Dean, Rajasthan Ayurveda University, Jodhpur, Rajasthan, India.
Principal, Swasthya Kalyan Homoeopathic Medical College and Research Centre, Jaipur, Rajasthan, India.
Dr Jaya Sharma
M.D. (PGR), Materia Medica, Swasthya Kalyan Homoeopathic Medical College and Research Centre, Jaipur, Rajasthan, India.
