Clinical Cases

Psoriasis in a Girl of 4

Shishir Paranjape
Written by Shishir Paranjape

Dr. Shishir Paranjape shares a case of psoriasis in a girl of four. Exfoliative, itching, dry, patchy skin eruptions aggravated in winter and fearful dreams, were among the symptoms leading to the simillimum.

Date of Examination-11-05-2020

A female child of 4 suffering from eruptions all over the body for the last  2 years.

LOCATION SENSATION MODALITIES CONCOMITANTS
       
Skin (Scalp, forehead, back, neck, abdomen, extremities) Exfoliative skin eruptions all over the body in the form of patches   ITCHING2+   Flakes shed off on scratching   <winter2+, Bathing+   >Scratching, applying coconut oil
Scalp Dandruff in the form of flakes.   Itching Itching

O.D.P. – Patient was alright 2 years ago when an eruption developed on her back which turned into a boil and then other eruptions started erupting on other body parts in the form of eczema. These slowly turned into psoriatic patches.

Initially parents started conventional treatment which was helping only partially and later they decided to switch over to homoeopathy.

P/H– NO HISTORY OF MAJOR ILLNESS.

Her birth was normal and uneventful.

Mother’s history during pregnancy – NO HISTORY OF MAJOR ILLNESS.

-Patient has undergone all vaccinations (according to national program) till date and that was seemingly uneventful

-Milestones were near to normal till date.

GENERALITIES-

THERMAL-HOT+

THIRSTY++

Tendency of slow healing of skin lesion.

Marks of the wound remain on her skin for long.

Tendency to take cold easily

CONSTIPATION+

DESIRE- JUNK  FOOD

AVERSION-MILK+

DREAMS- MONSTERS++ and fearful dreams++

STRONG DESIRE TO PLAY IN WATER AND DOES NOT WANT TO COME OUT.

MIND-

  • CALM, TIMID CHILD…
  • WANTS APPRECIATION++ by parents, teachers and if does not get it then complains about it to mother. There is a sibling rivalry. She thinks that parents are not listening to her and are listening to her brother only. Then she becomes SAD AND SITS QUIETLY.
  • SHE SOMETIMES LAMENTS for appreciation++.
  • Very much attached to the mother++
  • Likes to study and is excellent in studies.
  • Emotionally very SENSITIVE++.
  • WILL NOT TALK MUCH but her internal unexpressed world is large.
  • Want of self confidence
  • Sees frightful images at night when trying to sleep..++
  • LOTS OF FEARS of persons, animal etc.

ANALYSIS-

I want the following symptoms in my medicine:

  • EXFOLIATIVE, ITCHING, DRY, PATCHY SKIN ERUPTIONS
  • SENSITIVITY
  • ERUPTIONS AGG BY WINTER
  • MENTALLY WANT OF APPRECIATION AND LAMENTING FOR IT
  • PATIENT WITH LOTS OF FEAR AND WITH FEARFUL DREAMS.

PRESCRIPTION

CALC SULPH 200, 3 DOSES AND SL FOR 15 DAYS 11-05-2020

Auxiliary treatment– Apply oil whenever necessary. No use of creams, medicinal soaps etc.

Diet regular

FOLLOW UPS:

DATES SYMPTOMS PRESCRIPTION
29-05-20 COMPLAINTS SQ. No change. Generals no change. CALC SULPH 200, 3 DOSES AND SL FOR 15 DAYS  
16-06-20 Eruptions on back better. FEW NEW ERUPTIONS ON HAND.  GENERALS SQ. Mentally seems ok. Pulse,BP- Normal  SL FOR 15 DAYS  
30-06-20 – EXFOLIATION REDUCED. Eruptions losing thickness. Itching reduced CALC SULPH 200, 3 DOSES AND SL FOR 15 DAYS  
18-07-20 Has some indigestion issues. Not eating well. Stools slightly difficult. SKIN CONDITION SQ SL FOR 15 DAYS  
05-08-20 DIGESTION BETTER. Patches over scalp and back are thin and reducing. Generals better. Stool better. Jealousy reduced. Much better with her brother now. SL FOR 15 DAYS  
28-08-20 Eruptions are much better, thinner. Few small spots on legs but are thin. Exfoliation reduced. CALC SULPH 200, 3 DOSES AND SL FOR 15 DAYS  
15-09-20 Eruptions are better on back, almost disappearing. Scalp is better. Hair growth is better. Skin texture is improving. Generals better. She is ok if not praised. Pulse, BP- Normal SL FOR 30 DAYS  
14-10-20 Eruptions are much better, thinner. Few small spots on legs but are thin. Exfoliation reduced. SL FOR 30 DAYS  
23-11-20 Her curiosity in her studies has increased. Much more confident now. Patient thanked me  for her better skin. SL FOR 30 DAYS  
28-12-20 Again some digestion issues because she eats some outside food. Constipation and less of appetite. Pulse and BP normal. P/A examination seems ok. GENERALS BETTER. CALC SULPH 200, 3 DOSES AND SL FOR 30 DAYS  
27-01-21 Eruptions are much better, thinner. Face absolutely clear. Exfoliation reduced to normal. Generally better. SL FOR 30 DAYS    
18-05-21 Patient was irregular in taking medicine, still is doing well. She seems a very different individual now. More confident, healthy, enjoying life. Eruptions are negligible. SL FOR 90 DAYS  
18-10-21 Eruptions are slightly reappearing and started itching now, especially on scalp. CALC SULPH 200, 3 DOSES AND SL FOR 30 DAYS  
21-11-21 Eruptions better now. g.c. better. no new complaints SL FOR 30 DAYS  

NOTE –  This case is still under treatment but has improved significantly than before.

Here are some pictures for reference.

BEFORE –

A STAGE IN BETWEEN –

AFTER-

About the author

Shishir Paranjape

Shishir Paranjape

Dr. Shishir H. Paranjape has been practicing for the last eleven years and is much appreciated for his skill in the Pimpri - Chinchwad area of Maharashtra, India where is practices. He formerly worked as a lecturer at P. DR. DYPHMC, Pimpri and is currently working with the LSFPEF'S Lokmanya Homoeopathic Medical College, Chinchwad, Maharashtra, as a Lecturer in the Dept. of H.M.M. After completing his B.H.M.S. from Lokmanya Homoeopathic Medical College he received very valuable guidance from Dr. Prashant Khaire, and subsequently from Dr.Gaurang Gaikwad. Dr. Paranjape follows the teachings of Dr. Sankaran, Dr. Vijaykar, Prof. Vithoulkas and of course, the classical pioneers.

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