Clinical Cases

Psoriasis with Dark Pigmentation in a Man of 63

Dr. Venkat Chowdary presents a case of psoriasis with dark pigmentation in a man of 67. Aggravation from heat, dry, crusty eruptions and desquamation after scratching were among the symptoms leading to the simillimum.

Patient Name  XY

Male  – 67 Yrs

Profession – Retired Policeman

Consultation   24 -2 – 2020

A 63 year old male consulted me in my clinic for his skin complaints

CHIEF COMPLAINTS

He has been suffering with skin complaints since for 8 years.  Dry skin, severe itching, psoriatic points are making thick plaques that are coming after scratching.  He used to scratch over the eruptions and gradually his skin filled with dark pigmentation.  Eventually that pigmentation stretched all over his body with a symmetrical appearance. He used topical conservative treatments including salicylates and cortisone, but without effects. Dermatologists stated it was incurable.

SKIN ERUPTIONS DESCRIPTION

Symmetrical distribution of the eruptions with dark black pigmentation. Dry eruptions, crusty, desquamation after scratching.

SENSATION

Itching and dry sensation of the skin

CONCOMITANTS

No concomitants to this complaint

MODALITIES

Itching day and night, but especially aggravates when he covers with a blanket. When fan is off, itching increases. Skin becomes dry and  aggravates after taking meat diet.

AMELIORATION

He wants to lie always free of clothes except under waist in bed . He would always apply water to tolerate dryness which encourages itching. No fluctuations of symptoms with seasons.

OTHER SYMPTOMS AT THE TIME OF CASE TAKING

An abscess formed over the foot, Benign prostate gland hypertrophy.

MIND OF THE PATIENT

He is a very friendly person by nature. He shows his pigmentation at his private parts, buttocks. This also helps to analyze his nature. He is vexed with his itching.

History: He had no complaints before developing this. One day itching started at his waist region and then gradually it covered over his body and pigmentation followed. No obvious causative factors like allergens.

PHYSICAL GENERALS

Hunger – he can tolerate

Thirst – drinks moderate amounts

Food– no specific desires/ cravings or aggravations

Bowel movements – regular

Urine ;- watery colour. Due to prostatic complaint  some urgency is there.

Sleep – disturbed sleep in warm conditions, otherwise good sleep. No specific dreams

Thermals – He is a hot patient.

PAST HISTORY

He suffered on and off with seasonal colds. At age 45 he contracted typhoid.

DISCUSSION

As it was a chronic skin case I determined to take his constitution along with local skin manifestations. I enquired for the causative factor, but there was no apparent element expressed by the patient.

ANALYSIS

Being a friendly talker, he discussed everything without much questioning by me   and with a cooperative attitude.  From the symmetrical appearance of complaints I took the following rubrics:

1.MIND –   COMMUNICATIVE 

  1. GENERALITIES – FOOD AND DRINKS MEAT AGG
  2. SKIN – DRY
  3. SKIN-ERUPTIONS –CRUSTY , DRY SCRATCHING AFTER
  4. SKIN – ERUPTIONS- DESQUAMATING
  5. SKIN – ERUPTIONS –DRY-ITCHING
  6. SKIN- ERUPTIONS –PSORIASIS DIFFUSA
  7. SKIN- ITCHING –DRYNESS, FROM
  8. SKIN – ITCHING OLD PEOPLE

MEDICINE PRESCRIBED   

Sulphur 30, 200, 1m potencies 

FOLLOW UP

24.2.2020 

Rx-1. Sulphur 30 3 doses every day morning (I believe Sulphur acts better when adminstered in the morning as per Dr Allen )

2. Phytum for 15 days time .

7.4.2020

Patient did not appear for 42 days for next consultation. 30 days time he had no medication . Skin symptoms started to fade, but itching was there due to dryness of skin and from psoriatic patches .

Rx-1.Sulphur 30 1 dose in morning

2.phytum for 15 days

9.5.2020

Patient again came after 1 month.  Dark pigment started to fade. Itching 40 % decreased.

16.5.2020

He has shown good improvement in psoriatic patches. Itching dramatically decreased 60-80 % percentage.

Rx-1.phytum for 1 month

17.6.2020

No change in progress, but improvement in same as it is. I felt case is suspended in improvement. All his generals are good, no abnormality.

Rx-1. Sulphur 200 3 doses every morning.

2.phytum for 1month

13.7.2020

He has shown 60-70 % improvement in depigmentation. His original skin colour is visible at dark pigmentary places. His generals are good.

Rx- 1.phytum for 1 month

21.8.2020

Improvement in dark patches and itching continued. Generals are good. 10 days ago he got seasonal cold due to rainy season. No medication used and it passed on its  own.

Rx- 1.Sulphur 200 1 dose

2. rubrum for 15 days to observe for seasonal cold attacks in rainy season.

5.9.2020

No cold attacks.

Decided to wait for further 15 days.

Rx-1. rubrum for 15 days

31.10.2020

No further improvement in pigmentation as it stopped at 70%.  Decided to change potency of same medicine. 1M of Sulphur.

Rx-1. Sulphur 1M 3 doses daily morning .

2. phytum for 1 month .

2.12.2020

Improvement gears up. Pigmentation faded up to 90% percent, psoriatic patches decreased. Skin got its natural glow. Still winter dryness is there. I suggested to apply coconut oil instead of petroleum jelly.

Rx –1. phytum for 1 month

15.1.2021

Improvement in dark pigmentation of 97% achieved.

1.Sulphur 1M 1 dose dispensed for morning time.

2. rubrum for 1 month….

About the author

Venkat Chowdary

Venkat Chowdary

Dr. Venkat Chowdary BHMS MD(HOM) works as an Associate Professor in a Department of Surgery. He Graduated from India’s second Homeopathy Medical College which has a history of 75 years, Dr Gururaju Homeopathic Medical College, Natural Health University, and then did Ap. postgraduation from Nashik Health University, India. Dr. Chowdary has been practicing classical homeopathy for the last 13 years. He currently runs a chain of clinics as Managing Director, Dr Chowdary’s Homoeo Clinics which are located at various sites in the state. He can be contacted at +91-97406-80019 or by email: [email protected]

1 Comment

  • I have studied Ozone therapy with basics in Anatomy & Physiology, Physics of Emotions, Clinical Injection and first Aid Level 1-3
    I am now running a Health Shop dealing with Natural Products. I do have a case of a woman in the early 60s with psoriaisis, i managed to get her the medication from the company called DNA-Biopharm from South Africa. She is improving though a bit slowly. I have read much about homeopathic medications and very much interested to incorporate the modality in my practice, how can you help me?
    I am based in Lesotho – Southern Africa.

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