Clinical Cases

Chalazion in a Woman of 21

Written by Hinal Pankaj Shah

Dr. Hinal Pankaj Shah shares a brief case of chalazion in a woman of 21. Fear of the dark and obstinate were among the symptoms leading to the simillimum.

Chalazion, the most common inflammatory lesion of the eyelid, is slowly enlarging eyelid nodules, formed by inflammation and obstruction of sebaceous glands of the eyelids. It can be categorized as either superficial or deep, depending on the glands that are blocked. Inflammation of a tarsal Meibomian gland leads to a deep chalazion, whereas inflammation of a Zeis gland leads to a superficial chalazion. Chalazion can recur, and those that do should be evaluated for malignancy.

CASE:

A 21yr /female Came on 11th of feb 2023 with complaints of hard swelling over right upper eye lid Since 15 days.  mild Lachrymation, no pain, no discharge, no modalities.

PHYSICAL GENERALS:

Likes-cold

Dislikes- sweet+2

Thirst- Normal

Stool- satisfactory

Urine- NAD

Perspiration- moderate all over the body. Non-offensive. Non-staining

Sleep- refreshing. No habits

Dreams- n.s

Chilly patient

P/H: Jaundice in 3rd std

Herpes zoster infection in 12th std

F/H: P. Grandmother- dyslipidemia, htn

  1. Grandmother- DM

Both grandfathers died in their 50’s

LIFE SPACE:

Obstinate, stubborn

Fear of dark. Will not go in the room if lights are off..

Anxiety during exams

Anger- will cry in anger.

Mood swings will cry a min early and will smile or be normal the second min.

EXAMINATION:

Height- 5.1’

Weight- 50kg

Pulse-78

B.P- 120/80 mmHg

R.R- 16/ min

R.S- AEBE, CLEAR

CVS- S1S2 +

CNS- ORIENTED

P/A- SOFT

EYE RIGHT- Hard swelling 0.2cm, no local warmth, tenderness

DIAGNOSIS: CHALIZION

Remedy Given: Pulsatilla  200 4PILLS BD x 3 days

TOTALITY:

  • Fear of dark
  • Anxiety during exam
  • Obstinate
  • Chilly patient
  • Dislikes sweet
  • Hard swelling over right upper eye lid

MIASM: SYCOTIC

FOLLOW- UP: 

15th Feb

Chalazion – SQ –

Generals- normal

Rx- Pulsatilla 1M bd x 3days

20th Feb

Chalazion- SQ-

Generals- normal

Rx- Staph 30 bd x 3days

Remedy changed to Staphysagria as even after increasing the potency of Pulsatilla from 200 to 1M there was no change in the conplaint. Staph is a specific remedy for recurrent chalazion over eyelid. Staph was the first remedy listed after repertorization.

23th Feb

Chalazion decreased in size

Generals- normal

Rx- Staph 30 bd x 3days

26th Feb

Chalazion decreased in size

Generals- normal

Rx- Staph 30 bd x 3days

2nd March

Chalazion decreased in size

Generals- normal

Rx- Staph 30 od x 3days

7th March

Chalazion decreased in size

Generals- normal

Rx- SL 30 od x 3days

The chalazion disappeared after 10 days.

About the author

Hinal Pankaj Shah

Dr. Hinal Pankaj Shah (M.D Part-2 Dept of Medicine)
D.K.M.M. Homoeopathic Medical College, Aurangabad, Maharashtra.

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