A Case of Allergic Dermatitis treated with Silicea

Dr HARSHAVARTHINI M 

ABSTRACT: The patient presented with the complaints of itching with eruption since 6 years and increased since 1month and treated with SILICEA 0/3 weekly  one dose followed by improvement as a whole.

INTRODUCTION: Allergic diseases are the most common disease condition among Indians. Approximately 60 million Indians suffer from allergic diseases. Homoeopathy has a great scope in treating such cases by selecting the suitable remedy on the basis of the symptom similarity. This is a case was effectively treated with Silicea.

KEY WORDS: Silicea, LM potency

PATIENT AS A WHOLE

  • Name- Mr. XX
  • Age/ Sex -8 / Male
  • Religion – Christian
  • Occupation- Student
  • Address – Kandanvillai
  • Date of case taking: 01/09/2018
  • Op.no. – YYY

PRESENTING COMPLAINTS

LOCATION SENSATION MODALITY ACCOMPAINMENTS
Extremities upper and lower extremities

Since 6 years.

  • Itching
  • Eruption blackish discolouration and watery discharge
  • Dry skin
<Morning, 

<night

< intake of fish

<scratching

HISTORY OF PRESENTING ILLNESS: 

Patient’s complaints started before 6 years.Itching and eruptions with

Blackish discolouration and watery discharge from eruptions. Initially complaint starts in the upper arm and later spreads to forearm and to lower extremities with itching and it is followed by the watery discharge from the eruption.Skin is very dry in nature.

HISTORY OF PREVIOUS ILLNESS WITH TREATMENT ADOPTED:

 Underwent allopath treatment for presenting complaints but no relief.

FAMILY HISTORY:

        Father: Alive and healthy        Mother: Alive and healthy

PERSONAL HISTORY:

Takes mixed diet.

GENERAL FEATURES:

Appetite: Reduced, Thirst –Normal, Sleep- Good Desire: Egg, sweets, fish

Aversion – Nil. Stool- Regular once daily, Urine- 4-5 times/day; Sweat- Increased on palms.

LIFE SPACE INVESIGATION:

Patient was born and brought up in Kandanvillai. He is the only child to his parent. He is normally delivered baby and full term baby. He is studying in 3rd standard. He is very silent in nature fear of meeting new people and he is moderate in his studies. Feels worried about his condition. He is not willing to go to school because everyone is mocking at him due to his complaints. He used to cry because of his complaints. Initially the complaint started at age of 6 months. He developed eruptions in the left arm and later spread throughout the hand and he was taken for allopathic treatment it will subside and again it will appear. There is offensive discharge from the eruptions. During childhood there is repeated eruptions and he was taking many treatment for his complaints but no relief, there is recurrence of complaints. 

He is mild in nature, very shy type won’t mingle with other children’s. He used to always cling with his mother and father. He takes time to talk with others.

OBSTERTIC HISTORY:

He is first baby for his parents. He is full term and normal delivery.

MENTAL STATE OF MOTHER DURING PREGNANCY:

His mother is SUPPRESSED during pregnancy. She is suppressed because her husband is not taking care of her. Husband is not willing for the child, he asked to postpone   the pregnancy but she is wants to conceive, so father is not interested in her pregnancy he didn’t came to see her till 7th month of pregnancy.  He is not staying with her he used to spend time with others but not with her. He won’t listen to her complaints and her wishes. He will go out for his work and won’t even call her. She won’t express her feelings to anyone. She will tell only to her mother and she will weep on thinking of that. She want care and love from her husband but he won’t even mind about her but his social relation is very nice with other people and neighborhood. He used to share his complaints with his colleagues and people who are living around his house. He will only give paisa to manage the home. When she asked about his character towards her he won’t mind it and asked her to leave. She loves to be alone and she will cry when no one is around her. Still now she is longing for love from her husband.

MENTAL GENERALS:.

  • Shy
  • Nervous and anxiety on meeting new people
  • Weeps easily 
  • Doesn’t want to meet new people

REACTION TO:

Desire – warm food

 Desire – Fanning, covering. 

PHYSICAL FINDINGS:

Anemia- Not anemic, Jaundice- not icteric, 

Clubbing – Nil, Cyanosis – Nil, Oedema – Nil, Lymphadenopathy – Nil

Conscious and oriented.

Pulse –82 beats/ min 

BP:   

Respiratory rate: 16/minute

Body weight: 25kgs

Height: 123 cm

SYSTEMIC EXAMINATION:

RESPIRATORY SYSTEM:

Inspection: Nose: No DNS, No Hypertrophied turbinate. No Polyp.

Palpation: No warmth, No tenderness.

Auscultation: Normal vesicular breathing heard all over the lung fields.

CARDIOVASCULAR SYSTEM:

First and second heart sounds are heard normally in all 4 auscultatory areas.

EXAMINATION OF SKIN:

pastedGraphic.png

  • Dry skin
  • Rough with eruptions
  • Discharge from the eruptions
  • Unhealthy
  • Watery discharge from eruptions
  • No redness
  • No warmth
  • Scar marks are seen
  • No keloid formations
  • No skin tag
  • No ulcerated wounds.
  • No bleeding

LAB INVESTIGATION:

                     NIL

ANALYSIS OF SYMPTOMS

COMMON SYMPTOM UNCOMMON SYMPTOM
  • Itching with eruption
  • <night
  • <scratching
  • < intake of fish
  • Shy
  • Nervous and anxiety on meeting new people
  • Weeps easily 
  • Doesn’t want to meet new people
  • Desire – warm food
  • Desire – Fanning, covering.
  • Sweat- Increased on palms.
  • Eruption blackish discolouration and watery discharge
  • Dryness of skin
  • <Morning, 

EVALUATION OF SYMPTOMS

Mental Generals:

  • Shy
  • Nervous and anxiety on meeting new people
  • Weeps easily 
  • Doesn’t want to meet new people

Physical generals:

  • Desire – warm food
  • Desire – Fanning, covering.
  • Sweat- Increased on palms.

Particulars:

  • Eruption with itching
  • Eruptions with blackish discolouration
  • Dryness of skin
  • Watery discharge from eruptions
  • <scratching
  • <Morning.

TOTALITY OF SYMPTOMS:

  • Shy
  • Nervous and anxiety on meeting new people
  • Weeps easily 
  • Desire – warm food
  • Desire – Fanning, covering.
  • Sweat- Increased on palms.
  • Eruption with itching
  • Eruptions with blackish discolouration
  • Dryness of skin
  • Watery discharge from eruptions
  • <scratching
  • <Morning

MIASMATIC ANALYSIS1

PSORA SYCOSIS SYPHILIS
  • Dry skin
  • Scratching eruptions followed by dry skin.
  • Itching in night and evening
  • Watery discharge
  • Unhealthy skin
  • <scratching
  • Desire warm food
  • Weeps easily 
  • Shy
  • Blackish discolouration of skin
  • Agg: night
  • Anxiety on meeting new people
  • Profuse sweat in palms
  • Agg: night

Miasm: Psora Sycotic

PROVISIONAL DIAGNOSIS:  

Allergic Dermatitis

MEDICINAL SELECTED: RHUSTOX

BASIS OF SELECTION1, 2:

      • Intense itching
      • Burning eczematous eruptions
      • Urticaria
      • Red, swollen
      • Eruptions with tendency to scale formation
      • Vesicles
      • Exanthema on face in general on chin, face, cheeks, mouth, nose, forehead causing much burning and itching2
      • Itching < after scratching
      • Rashes itches
      • Itching over hairy parts 
      • Burning itching 
      • Eruptions with burning, itching worse after scratching 

METHODS ADAPTED:

FIRST PRESCRIPTION:  01-09-2018

RX

  1. RHUSTOX  200 /1 DOSES ,(no 30  sized globule in 1 grain of sugar of milk – dry dose) (M X 1 DAY)
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS  ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS

BASIS OF SELECTION OF POTENCY:

Potency is selected according to the susceptibility of the patient.

  CRITERIA  CRITERIAS  SUSCEPTIBILITY
AGE 7 HIGH
SEX MALE HIGH [ MALE]
SEVERITY OF DISEASE MODERATE MODERATE
MODERATE/DISTURBED

SLEEP

MODERATE MODERATE

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FOLLOW UPS:

DATE FOLLOW UP MEDICINE PRESCRIBED
22/9/2018
  • Patient complaint increased after 3 days.
  • Patient took allopathic ointment for presenting complaint.
  • Itching increased before 3 days.

M/G: Shy

         Moderate in education.

         Sweating over palm and foot.

P/G: 

    App: Normal

    Thirst: Increased 

    Sleep: Normal

    Stool: Regular

    Perspiration: Profuse on palm 

   Weight: 20kgs

CVS: S1 S2 is heard and no added sound is heard.

RS: Normal vesicular breath sound is heard. 

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RX

  1. SILICEA 0/3 1DOSE  poppy sized  globule in 1grain of sugar of milk – Dry dose  (M) X 1 DAY
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS

BASIS OF SELECTION OF SILICEA:

  • Every little injury suppurates
  • Long lasting suppuration
  • Dry fingers
  • Eruptions itch only in day and night
  • Better by warmth
  • Nervous temperament
  • Inclined to sweat
  • Want of grit both physical and mental
  • Silicea will mature the abscess and also reduce the suppurations
  • Painful sensitive skin
  • Itching over whole body < night
  • Unhealthy skin, every injury tends to heal.
29/09/2018
  • Patient feels better.
  • Itching is reduced, but persist
  • Eruptions started coming out.
  • Watery discharge from eruptions.

  P/G:

 App: Reduced

Thirst: normal

Urine: Normal

Stool: Regular

pastedGraphic.png

RX

  1. SILICEA 0/3 1DOSE (1 Poppy seed sized globule in 1 grain of sugar of milk – dry dose)no.30 sized globule in 1gm of sugar of milk – Dry dose  (M) X 1 DAY
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS  ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS
06/10/2018
  • Eruption on extensor aspect of forearm and leg is feels better.
  • Itching is reduced but persists.
  • Discharge present but reduced

P/G: 

App: Reduced

         Thirst: normal

         Urine: Normal

         Stool: Regular

RX

  1. SILICEA 0/3 1DOSE  (1 Poppy seed sized globule in 1 grain of sugar of milk – dry dose)  (M) X 1 DAY
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS  ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS
13/10/2018
  • Patient feels better.
  • Itching is reduced
  • Eruptions are reduced.

 P/G: 

App: Reduced

         Thirst: normal

         Urine: Normal

         Stool: Regular

pastedGraphic_3.png

RX

  1. SILICEA 0/3 1DOSE  (1 Poppy seed sized globule in 1 grain of sugar of milk – dry dose) (M) X 1 DAY
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS  ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS
20/10/2018
  • Patient feels better
  • Complaints are reduced but still persist.
  • Itching is reduced, but still slightly persist
  • Eruptions are reduced.

P/G:

App: Reduced

Thirst: Normal

Other: Good.

CVS: S1S2 is heard. No added sound is heard.

RS: Normal vesicular breath sound is heard.

pastedGraphic_4.png

RX

  1. SILICEA 0/3 1DOSE  (1 Poppy seed sized globule in 1 grain of sugar of milk – dry dose) (M) X 1 DAY
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS  ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS
27/10/2018
  • Patient feels better
  • Complaints are reduced but still persist.
  • Itching is reduced, but still slightly persist
  • Eruptions are reduced.

pastedGraphic_5.png

RX

  1. SILICEA 0/3 1DOSE  (1 Poppy seed sized globule in 1 grain of sugar of milk – dry dose) (M) X 1 DAY
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS  ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS
03/11/2018
  • Patient feels better
  • Itching is reduced, but occasionally present
  • Eruptions are reduced
  • Discharge is reduced
  • Weakness of memory
  • Difficulty in remembering subjects

P/G: 

App: Regular

Thirst: Normal

Stool: Regular

pastedGraphic_6.png

RX

  1. SILICEA 0/3 1DOSE  (1 Poppy seed sized globule in 1 grain of sugar of milk – dry dose) (M) X 1 DAY
  2. SACLAC /6 doses M X 6Days
  3. B.PILLS  ( 3 – 0 – 3 ) X 7 DAYS
  4. B.DISK  ( 1 – 0 – 1 ) X 7 DAYS
10/11/2018
  • Patient feels better
  • Itching is reduced, but occasionally present
  • Eruptions are reduced
  • Discharge is reduced
  • Weakness of memory
  • Difficulty in remembering subjects

P/G: 

App: Regular

Thirst: Normal

Stool: Regular