Clinical Cases

A Case of Ringworm

Sept  Ramkrishna Valaki

Dr. Ramkrishna Valaki presents a case of ringworm in a man of 35.

A CASE OF RINGWORM –

  • Ringworm
  • It is a very infectious and common skin infection causing a ring

shaped red rash.

  • Ringworm is caused by a fungus that grows on the skin. Once the fungus is established, it spreads out in rings.
  • The center of the lesion may clear up, while a new ring of infection develops at the edge of the old ring.
  • CASE DETAILS

A 35 year old man suffering from severe ringworm for one year.

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  • PAST HISTORY

Typhoid before 1 year. Skin rashes during treatment of typhoid because of allopathic medication.

  • PHYSICAL EXAMINATION

Weight – 45kg

Blood pressure – 122/ 78 mmhg

Respiratory rate – 17/minute

Pulse – 72/minute

  • SYSTEMATIC EXAMINATION

Exfoliation of skin more on chest, abdomen, neck and face with ring shape eruption.

  • INVESTIGATION

CBC, BT, TC are normal

  • DIAGNOSIS

RINGWORM

  • DIFFERNTIAL DIAGNOSIS
  • Psoriasis
  • Eczema
  • Dermatitis
  • Drug reaction
  • Hypersensitivity reaction
  • ANALYSIS OF CASE
  • All complaints aggravate after allopathic medication so we can understand that the patient is oversensitive to allopathic medication.
  • SKIN IS VERY SENSITIVE – REACTION IS VERY STRONG – SO WE NEED REMEDY WHICH HAS THIS TYPE OF HYPERSENSITIVITY.
  • Within 1 year it spread to chest abdomen and face
  • Reperterisation
  • SKIN SYMPTOM

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  • PHYSICAL GENERALS

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  • Here Pulsatilla is the remedy which has hypersensitivity of skin as well as the strong physical general thirstlessness, as well as desire for open air.
  • SO WE GET MORE SURETY BECAUSE OUR REMEDY MATCHES THE LOCAL COMPLAINT AS WELL AS PHYSICAL GENERAL LEVEL.
  • CORRESPODENCE WITH MATERIA MEDICA
  • Clarke
  • Itching, mostly burning or pricking (as if caused by stings of ants),

principally in evening, and at night in heat of bed, < by scratching.

  • Strong desire for open air, which makes patient feel better in every way,
  • Thirstlessness with all complaints.
  • REMEDY – PULSATILLA
  • POTENCY SELECTION – 30 (tds) for
  • Here pathology is at local level so remedy should be given in low potency.
  • Scanty characteristics
  • FOLLOW UP

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After one week

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After one year

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       Date    Follow up   Treatment
06/02/2014 Improved 25 to 30%(++)

All eruptions are decreased. (+++)

Pulsatilla 30(tds) for 30 days
18/03/2014 Improved(+)

Itching decreased (+)

Pulsatilla 200(sd) fresh

S.L.(tds) for 30 days

21/05/2014 Improved(++) As above for 30 days
13/06/2014 Improved(++) As above.
16/06/2014 Eruption increased As above
26/06/2014 Eruption on arm improved(++) As above for 1 month
23/07/2014 Eruption increased(++) As above
11/08/2014 As it is Puls 200(sd) fresh

S.L.(tds) for 15 days

28/08/2014 Eruption increases. Puls 200(3pkt) every night

Phytum (tds)15 days

15/09/2014 Improved(++) S.L.(3pkt) every night

Phytum (tds)1 month.

18/10/2014 Boils(++) Puls 200(2pkt) every night

Phytum (tds)1month.

23/12/2014 Improved(+) Puls 200(sd) phytum (tds) for 15 days
15/01/2015 Improved(++) Puls 1M(sd) phytum (tds) for 1month.
27/02/2015 Improved(++) As above.
13/04/2015 Improved(++) Puls 200(sd) phytum (tds) for 30 days
18/05/2015 Improved(++) S.L.(sd)

Phytum (tds) for 2 month.

20/08/2015           – Puls 200(sd) phytum (tds) for 30 days
29/09/2015 Boils(++) Puls 200(sd)

Phytum (tds) for 1month.

21/12/2015 Improved(++) S.L.(sd)

Phytum (tds) for 1 month.

 

(For the last 4 months the patient is on placebo. No complaint at all)

About the author

Ramkrishna Valaki

Ramkrishna Valaki

Dr. Ramkrishna Valaki (B.H.M.S.) has been practicing for the last four years at Dhara Homoeopathic Clinic Bhavnagar, State – Gujarat. India, working as Medical Officer at Swami Vivekanand Homoeopathic Medical College and Hospital.

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