Papular Dermatitis Treated with Homoeopathy

A 10-year-old male child reported to the State Homoeopathic Dispensary, Pataria, Uttar Pradesh with blackish-brown, itchy papular eruptions on the back and left side of the chest, encroaching to axilla, for the last 3 months. Itching aggravated at night and occasionally there was oozing of sticky fluid after scratching. The case was clinically diagnosed as papular dermatitis by a dermatologist and treated with different oral medications and topical steroids without any significant relief.

The presenting characteristics symptoms were desire for bitter things, strong aversion to sweets and meat, yellowish-white coating on tongue, constipated and offensive stool and offensive perspiration especially on the back and chest. In addition to that he was thermally chilly, mentally timid and had fear of ghosts.

• Diagnosi s : Papular dermatitis ([Figs. 1] and [2]) (Other and unspecified dermatitis-ICD-10 CM Code: L30.8).

• Prescription: Graphites 200/2 doses (once daily in the morning for 02 days) followed by placebo for 28 days.

• First Follow-Up (at day 30): Eruptions on the chest and back are decreased along with reduced itching with an occasional sticky discharge ([Figs. 3] and [4]). Stool is soft and offensive, passing almost every day. Perspiration is offensive and profuse. Placebo was continued.

• Second Follow-Up (at day 62): Eruptions are completely disappeared, and there is no itching or discharge at all ([Figs. 5] and [6]). Stool is regular, soft, less offensive. Perspiration is profuse and offensive.

Fig. 1 Eruptions on left anterolateral chest (first visit).

Fig. 2 Eruptions of left posterolateral back of chest (first visit).

Fig. 3 Decrease in eruption of left anterolateral chest (first follow-up).

Fig. 4 Decrease in eruptions of left posterolateral back of chest (first follow-up).

Fig. 5 No eruptions on left anterolateral chest (second follow-up).

Fig. 6 Eruptions of left posterolateral back of chest completely disappeared (second follow-up).

The Declaration of Patient Consent

The author certifies that all appropriate patient consent forms were obtained. In the form, the patient has given consent for the use of his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.

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Artikel online veröffentlicht:
23. Oktober 2023