Alopecia Areata

Dr. Satyakaam Trigunait presents a case of Alopecia Areata in a 26 year old man.

Preliminary Data:

Name: Mr. XYZMarital status: Married
Age: 26yrsReligion: Hindu
Sex: MaleAddress: DEF
Education: graduateDate: 08-09-14
Occupation: Service

 

Chief Complaints: Patient came with complaints of circumscribed bald patch over left parietal region measuring approx. 3cm diagonally since more than 6 months. He also suffers from dandruff which is white in color and causing itching since 1yr.

LocationSensationModalityConcomitant
HeadScalp

Since 6 months

Circular bald patch

Itching++/Redness

Dandruff+

< Morning< winter+

 

Associated complaints: No associated complaints

Past History:

Corns on back of hand and legs. 6 months back took allopathic treatment

Family History:

Grandfather: Diabetes since 12 yrs

Grandmother: Diabetes since 8yrs

Uncle: Renal Calculi

Patient as a person:

Appearance: Average built

Diet: veg and non-veg

Appetite: Good

Thirst: 4-6 glasses/day

Desire: Spicy food++, chocolate+

Aversion: not particular

Bowel: regular

Urine: 4-5 times /day

Sleep: Sound, on abdomen, salivation

Perspiration: cold on head, scanty

Dreams: Not remembered

Habits/addiction: Smoking since 4yrs

Thermals: chilly

    Summer       Rainy       Winter
Fanning    Slow       Slow    No fan
Covering    1 thin       1 thin    1 thick
Bathing(water)  Warm       Warm    Warm

 

Life Space Investigation:

A 26 yr old male, hails from a village and working in a company. Childhood was uneventful. Relationship with each family member is good. He likes company+3 of others. Parents are good in nature, relationship with siblings cordial. He was average in studies. He has fear of water+3 and has lack of self-confidence+2. Patient gets angry occasionally. Excitable by nature but anger is short lasting. He has many friends and likes to spend time with them. He likes to read history books especially of great warriors and having interest in playing chess and running.

Physical Examination

General Examination: T – 98.40 F               P/R – 96/min            RR – 18/min

BP-120/80mmHg                            Weight – 60kg

No signs of pallor, cyanosis, clubbing, lymphadenopathy and icterus

Systemic Examination

Respiratory System: Air entry bilaterally equal and clear

CVS: S1S2+, no murmur          P/A: Soft, non-tender    CNS: Normal

Diagnosis of Disease: Alopecia Areata

Miasm: Syco syphilitic

Susceptibility of the case: Moderately susceptible

Analysis of symptoms:

Mental GeneralsPhysical generalsParticulars
Likes companyFear of water

Lack of confidence

Desire spicyDesire chocolate

Perspiration cold on head

Sleeps on abdomen

Salivation sleep during

Head baldness in patchesHair dandruff white

Extremity corn

Repertory used: Synthesis

Trigunait-jul15-img01

Probable Remedies: Phos, Sulph, Lyco, Nat-m

Constitutional remedy: Phos

Potency: 30

Reason: From the study of the patient and reference to materia medica, Phos covers the following features – company desire, fear of water, baldness in patches, desire for spicy food and chocolate. Thus Phosphorus gets highest marks in the above features and was prescribed.

Prescription: PHOS 30 (4 pills- 1 dose) S.L. BD x 15 days.

Auxiliary measures: Avoid smoking, start taking lots of citrus fruits and healthy balanced diet, wash your hair regularly and avoid using any irritant dyes, shampoo and chemicals.

Follow Up:

DATEOBSERVATIONPLAN   TREATMENT
23-09-14No fresh complaint, feeling better generally,No change in bald patchWait and watch S.L. BD x 1month
25-10-14Dandruff and itching reduced. Now smokes only twice a day. Small hair visible in center but only through magnifying lens. Feeling betterWait and watchS.L. BD x 1month 
29-11-14Not Much improvement from last month.Status quoRepeat the dosePhosphorus 30 1 doseS.L. BD x 1 month
2-01-15Great improvement in bald patch new hairs are visible, no itching and no dandruff.Wait and watchS.L. BD x 1 month
3-02-15Now the whole patch is covered with new hair, patient was very excited and pleased from the response of homoeopathic treatment.He was advised to stop treatment and report if any problem in future

alopecia-areata-before           alopecia-areata-after

BEFORE TREATMENT                  AFTER TREATMENT

About the author

Satyakaam Trigunait

Satyakaam Trigunait

Dr. Satyakaam Trigunait has been practicing in Chinchwad Pune for one year. He completed his MD Degree in Practice of Medicine from Shri Bhagwan Homoeopathic Medical college, Aurangabad. He specializes in treating Gastrointestinal disorders, skin diseases and musculoskeletal disorders. He enjoys reading medical books, playing chess and participating in debates. His approach is deeply influenced by the work of Drs. Kent, Hering and Sankaran.

6 Comments

  • Practicing doctors who see several of these cases will notice the realistic time frame that Dr Satyakaam has shown in this case of alopecia areata- very well presented case and the WAIT & WATCH concept is so important in these cases – and that miraculous results are possible but certainly not overnight!
    Well Done done Dr Satyakaam – & great that HPathy puts up these simple realistic cases that all so often drop into our OPDs!

  • Well done Dr Satyacam
    Thanks for sharing your experience with us
    It will boost confidence of all homoeopaths and will help to grow homoeopathy

  • DEAR DR.SATYAKAAM JI ,
    I READ YOUR ARTICLE AND QUITE IMPRESSED …. I AM NOT A MEDICO … I AM AN ENGINEER AND
    KEEP READING VARIETY OF HOMEOPATHY ARTICLES… CONGRATES.. FOR YOUR SUCCESS.
    ALSO WOULD LIKE TO KNOW… IS IT POSSIBLE TO TREAT MALE PATTERN HAIR LOSS FOR PEOPLE
    BETWEEN 45-50 yrs , WHO IS A PATIENT OF HYPO-THYROID… MY BROTHER HAS TRIED MANY
    BUT STILL COULD NOT GET ANY RESULT. HOPEFULLY , HE WILL GET SOME ONE , SOME DAY , WHO
    CAN CURE HIM.
    REGARDS , NIRMAL NAHAR , 98290-20304 , [email protected]

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