Alopecia Areata

Preliminary Data:

Name: Mr. XYZ	Marital status: Married
Age: 26yrs	Religion: Hindu
Sex: Male	Address: DEF
Education: graduate	Date: 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.

Location	Sensation	Modality	Concomitant
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 Generals	Physical generals	Particulars
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

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:

DATE	OBSERVATION	PLAN	TREATMENT
23-09-14	No fresh complaint, feeling better generally,No change in bald patch	Wait and watch	S.L. BD x 1month
25-10-14	Dandruff and itching reduced. Now smokes only twice a day. Small hair visible in center but only through magnifying lens. Feeling better	Wait and watch	S.L. BD x 1month
29-11-14	Not Much improvement from last month.Status quo	Repeat the dose	Phosphorus 30 1 doseS.L. BD x 1 month
2-01-15	Great improvement in bald patch new hairs are visible, no itching and no dandruff.	Wait and watch	S.L. BD x 1 month
3-02-15	Now 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

           

BEFORE TREATMENT                  AFTER TREATMENT