Patient name: P.D., Female, age 35
Consultation date: 15.6.2020
Diagnosis – molluscum contagiosum (acute viral skin infection)
She has been a regular patient of my clinic for the last 3-4 years. She used to come for every minor complaint. Whatever happens to her or to her family takes them to the clinic. In March, just before the lockdown, I successfully treated her son who suffered with molluscum contagiosum.
At the end of the March I received a phone call from her and she said anxiously: “Doctor, I got pimples over my face. Day by day they are increasing in number. Now I am in another city since lockdown and I can’t come there (no transport). She described the lesions and they sounded like her son’s molluscum eruptions.
When the lockdown period was over, she came to my clinic (April 15th. )
Pt: I have been feeling eager to come to your clinic since 15 days for this complaint. My face is full of pimples and they look like my son’s eruptions. I counted days of lockdown to meet you in clinic. In the interim I observed my face how it is filling with eruptions like small spots. At midnight bump come out. eruptions will spoil my skin. Are these viral eruptions?
(I observed that she laughed along with her emotional narration.
Dr: What did you do in this 15 day period?
Pt:I called my cousin, a dermatologist, to get help. I called my friend the beautician who suggested some home-based preparations, steaming but in vain.
If these eruptions grow like this they will occupy all over my face and body . Oh…I can’t imagine that situation. I have hope only on you doctor. You cured my son’s case
(I gave her three doses of medicine and she left the clinic with peace of mind and a smile as usual. )
History: Whenever she got a fever she used to have cold sores (fever blisters) on her upper lip. In the past she shared one thing. She participated in sex after so many days and she laughed as usually to closing the dialogue.
Physical Generals
APPETITE: good
THIRST : Fluctuates on weather conditions. In general, moderate quantity.
BOWEL MOVEMENTS : regular
URINE: watery colour, no specific change
SLEEP: sometimes disturbed due to thoughts about this disease
THERMALS: no specific change in this acute episode. As a person she is chilly.
There is vital energy in her narration. She is very expressive.
DISCUSSION;
As this was an acute disease of the skin, I did not go deep into her history except the history of her son’s molluscum. Usually molluscum is limited to the young and rarely does it affect adults.
Analysis;
She had much anxiety about her condition.
Prescription: PHOSPHORUS 30 one dose and three doses to take home
She was cured within a week.
Nice case Doctor, could you please elaborate what all points made you to prescribe phosphorous here.?