Introduction- Scalp psoriasis is a common skin disorder that makes raised, reddish, often scaly patches. It can pop up as a single patch or several, and can even affect your entire scalp. It can also spread to your forehead, the back of your neck, or behind and inside your ears.
Scalp psoriasis can be mild and almost unnoticeable. But it can also be severe, last a long time, and cause thick, crusted sores. Intense itching can affect your sleep and everyday life, and scratching a lot can lead to skin infections and hair loss.
Signs and Symptoms:
Symptoms of mild scalp psoriasis may include only slight, fine scaling. Symptoms of moderate to severe scalp psoriasis include:
• Scaly, red, bumpy patches
• Silvery-white scales
• Dandruff-like flaking
• Dry scalp
• Itching
• Burning or soreness
• Hair loss
Scalp psoriasis itself doesn’t cause hair loss, but scratching a lot or very hard, picking at the scaly spots, harsh treatments, and the stress that goes along with the condition can lead to temporary hair loss. Fortunately, your hair usually grows back after your skin clears.
CASE STUDY-
A 20 yrs old female patient attended out-patient department in December 2018 with following complaints-
Scaling from scalp since 2 years especially in cold weather,or on becoming cold. Itching eruptions on head since 2 years with burning on itching with watery discharge after scratching espically in cold weather.
History of present complaints-
She was under treatment I both aloopathuc and ayurvedic systm of medicine but it gives temporary relief after 2 years of suffering she visited our OPD in December 2018.
Past history– patient suffered from chicken pox 3 years ago.
Family history- Both mother and father suffered from diabetes. And brother suffers from dandruff.
Generals –
Her appetite was good and connot remain empty stomach for prolonged period. She has desire for sour food, acid, bitter, and warm food and thirst is moderate amount with scanty perspiration. Bowel movement us regular and has to go in early in the morning. Thermal reaction of patient is hot patient ( prefer winter and cannot tolerate heat) and always irritable in morning with religious affection. A general feeling of weakness accompanies the patient most of the time.
Local and systemic examination-
Tongue was clean and moist. Anemia- mild, cyanosis- absent, lymphn node- not enlarged, pulse-74/min, B.P- 110/70 mmhg.
Diagnosis – it probably a case of Scalp psoriasis.
Analysis of case- after analyzing the symptoms of the case the characteristics mental, physical and particular symptoms were considered for framing totality-
Morning irritability with religious affection , lassitude in general, desire for sour food and acid with early morning diarrhea were the important general symptoms. tongue was clean and moist, aversion to milk were included I totality.
Miasmatic evaluation for the present symptom was done with the help of “The chronic disease by Dr Samuel Hahnemann “ showed the predominance of Psoric miasm.
Considering the above mentioned symptoms Kents repertory was preferred and using RADAR software systemic repetorisation was done. Repertorisation sheet is given below.
Sulphur 200, 1 dose was prescribed along with rubrum 200 on first visit on 18 dec 2018 considering the reportorial totality and miasmatic background. The patient was improved symptomatically as compared to before on 12/01/2019.
Discussion and conclusion-
Homoeopathy treats the person as whole, it eliminate the exciting and fundamentals cause by annihilating the disease manifestation (sign and symptoms). In this case, important mental generals, physical generals and particulars.
After repertorization many medicine were competiting with each other namely, sulphur, arsenic, lycopodium, Rhus toxicodendron, sepia, hepar sulp, lachesis etc, but after consulting material medica SULPHUR was prescribed which remain unchanged in the subsequent follow up was responding well to medicine.
Sulphur is not only the homoeopathic most specific medicine but also covers the miasmatic background of the case.
Time including follow up-up of the case-
Follow-up date Indication for prescription Medicine with dose
18.02.2019 Scaling is better,Itching is better,Pain in abdomen since 1 week in empty stomach,Thirst- moderate,Tongue- Clean
Sac lac 200/ 2 doses OD
Rubrum 200/ 1 dr BD
On 04.03.2019 Scaling better,Itching better,Pain abdomen better,Thirst- moderate
Tongue- clean
Nihilinum 30/ 6 doses OD,
Rubrum 1M/ 1 dr BD
On 15.04.2019 Itching is better,Scaling is better,Loss of appetite is better,Irritable in morning is better
Thirst- moderate
Tongue- clean
Sac lac 1M/ 4 doses OD,
Rubrum 1M/ 1 dr BD
15.05.2019 Itching aggravated than before ,Scaling aggravated than before ,Loss of appetite is better,Irritable in morning is better
Thirst- moderate
Tongue- clean
Nihilinum 200/ 6 doses OD,
Rubrum 30/ 1 dr BD
27.05.2019 Itching aggravated ,Scaling aggravated
Loss of appetite is better,Irritable in morning is better,Thirst- moderate
Tongue- clean
Sulphur 1M/1 dose OD,
Rubrum 30/ 1 dr BD
24.06.2019 Itching is better,Scaling is better
Loss of appetite is better,Thirst moderate
Tongue- clean
Sac lac 200/ 4 doses OD,
Rubrum 200/ 1 dr BD
31.07.2019 Itching is better,Scaling is better,Loss of appetite is better,Cough and cold
Thirst- moderate
Tongue- clean
Bryonia alb 30/ 4 doses OD,
Rubrum 200/ 1 dr BD
5.09.2019 Itching is better, scaling is better, loss of appetite is better, cough and cold is better, thirst- moderate, tongue- clean, stool- satisfactory, urine- clear
Phytom 200/ 4 dose,
lactogen 200, 1 dr, bd.
Continue
05.03.2020 There is no itching , no scaling, no lesion found, thirst- moderate, tongue clean, urine clear, stool- satisfactory.
Lactogen 1M, 1 dose,
sac lac 200/ 1 dr , bd,
phytum 200/ 1 dr, bd
08.04.2020 Better
Rubrum 200/2 dr OD
References –
• Fry, L; Baker, BS (2007). “Triggering psoriasis: the role of infections and medications”. Clinics in Dermatology. 25 (6): 606–15. doi:10.1016/j.clindermatol.2007.08.015. PMID 18021899.
• Guerra I, Gisbert JP (January 2013). “Onset of psoriasis in patients with inflammatory bowel disease treated with anti-TNF agents”. Expert Rev Gastroenterol Hepatol. 7 (1): 41–8. doi:10.1586/egh.12.64. PMID 23265148.
• Weller, Richard; John AA Hunter; John Savin; Mark Dahl (2008). Clinical dermatology (4th ed.). Malden, MA: Blackwell. pp. 54–70. ISBN 978-1-4443-0009-3.
• Hahnemann S. The chronic disease their peculiar nature and their homoeopathic cure. Low price edition. New delhi: B jain publishers pvt. Ltd;2002. P46.61-2
• Kent JT. Repertoryof the homoepathic material medica. Enriched indiaan edition reprinted from 6th American edition. New delhi: b jain publishers pvt ltd.2000
Author: Dr HOZAIFA AYUBI.
RBTS GOVERNMENT HOMOEOPATHIC MEDICAL COLLEGE AND HOSPITAL
