Abstract
Palmoplantar psoriasis is a form of psoriasis that affects the palms of the hands and the soles of the feet. Symptoms include areas of raised, thickened, scaly and discolored skin. It can also cause pain, bleeding, and skin cracking.
Keywords – homoeopathy, psoriasis, discoloration , crusty
Presenting Complaint
Patient who is a 23 yr male complaint of white crusty eruptions on palms and fingers from 7 months.
Burning but no itching on eruptions
Location – Both palms and fingers
Sensation – Burning on eruptions
Modalities -Aggravation: touch, heat
Amelioration: no specific
Concomitant – disturbed sleep
Duration – 7 months
History of Present Complaint
Onset – Gradual
Treatment adopted – Try various corticosteroids but no results
Result – no improvement
Family History : father is suffering from psoriasis 10 years
Past History :
Childhood: History of typhoid 5 years back.
Patient has history of skin eruption with burning
Personal History
Mind & disposition : extroverted , very cheerful ,vivacious has many friends with sympathy for others
Anxiety about health
Married or single : single
No. of children : Not applicable
Health of children : Not applicable
Marital relations : Not applicable
Physical Generals
Diet : Vegetarian diet
Desire : Nothing specific
Disagrees : Nothing specific.
Thirst : Increased, 3-4 lit. per day.
Tongue : Clean
Taste : No altered taste as mentioned by the patient.
Salivation : Moderate as per patient.
Perspiration : More on back and neck, no specific odour and no staining on clothes as mentioned by the patient.
Stool : Clear stool.
Urine : Passes urine every 3-4 hours with no burning and no specific odour.
Bathing : Regularly.
Covering : Not specific
Sexual relations : Not applicable.
Dwelling place : Well ventilated house with proper sunlight
Appetite : Proper, eat well at proper time.
Aversion : Nothing specific.
Habits / Addictions : No addictions as mentioned by the patient.
- Tobacco : No
- Alcohol : No
- Coffee / Tea : tea drinker
- Drugs etc : No
- Thermal reaction : Chilly
- Skin : eruptions on palm
- Sleep : disturbed
- Dream : Daily routine .
Gynecological History
Menarche : Not applicable
Menstrual Cycle Not applicable
Leucorrhoea : Not applicable
Menopause : Not applicable.
Obstetrical History
Pregnancy : Not applicable.
Labour : Not applicable.
Delivery : Not applicable.
Abortion : Not applicable.
General Examination
Anaemia: Not detected Cyanosis: not detected
Jaundice: Not detected Oedema: Not detected
Hair: Black, slight hairfall present Neck glands: Not swollen
Neck veins: Not engorged Teeth: Healthy
Gum :Brown in colour, healthy Tongue: Clean
Pupils: Normal Pulse: 76/min
Temperature: Afebrile Blood Pressure:120/80mmhg
Respiration:17/ min
Systemic Examination
Brief examination of other systems
RESPIRATORY SYSTEM: Normal vesicular breathing heard all over the lung field.
GASTROINTESTINAL SYSTEM: Liver, spleen not palpable. No free fluid in abdomen. Normal peristaltic sounds.
CARDIOVASCULAR SYSTEM: Apex normally placed, S1, S2 heard normal, no added sounds.
NERVOUS SYSTEM: Higher functions cranial nerves and speech were intact.
Motor system: Power and tone normal. No involuntary movement or atrophy detected.
Reflexes: Jerks and superficial reflexes were normal.
Coordination: Both upper and lower limbs were coordinated.
Sensory system: No sensory loss.
No hyperaesthesia.
Gait: No abnormality detected.
UROGENITAL SYSTEM: Nothing abnormality detected.
LOCOMOTOR SYSTEM: No restriction of movement of all joints were there.
SKIN AND MUCOUS MEMBRANE: Normal, black discolouration around neck
Laboratory Investigations Previously Done
No investigation done
Laboratory Investigations Advised
Not required
Provisional Diagnosis – Psoriasis
Differential Diagnosis – Eczema ,contact dermatitis
Symptom Miasm
Palmer eruptions Psora and sycosis
Prescribing Totality
Palmer skin eruption with burning with sclay white appereance
Thermal – chilly
Mental – very extroverted , vivacious ,and friendly diffuse in every environment
Anxiety about health
Sleep – disturbed
Hair fall
Final Selection of Medicine With Comments Regarding Selection Of Remedy
PHOSPHORUS selected on the basis of :
Palmer skin eruption with burning with scaly white appearance
Thermal – chilly
Mental – very extroverted , vivacious ,and friendly diffuse in every environment
Anxiety about health
Sleep – disturbed
Hair fall
Final Selection of Medicine With Comments Regarding Selection Of Remedy
Modalities – worse by warm and heat
Prescription
RX
PHOSPHORUS 200 XBD X3days 4 globules
To be taken twice a day for 3 days
Rubram SULPH 200 X BD X 7 days
DR BHAGYASHRI SISODIYA
26/11/2024
FOLLOW UP :
| Date | Observation & interpretation | Remedies |
| 10/12/2024 | Pt. is better Itching reduce No Burning No scaly skin | SAC LAC 300 X BD FOR 15 DAYS |
| 29/12/2024 | Completely disappearance of eruptions | SAC LAC 400 OD FOR 20 DAYS |
| 30/1/2025 | No eruptions appears till now and patient is very satisfied | Rubrum |
About the Author:
Dr BHAGYASHRI SISODIYA
Md scholar Department of materia medica in government homoeopathic medical college and hospital Bhopal, Madhya Pradesh
Guided By:
DR SOBHANA SHUKLA
HOD & PROPESSOR OF DEPARTMENT OF MATERIA MEDICA GHMC BHOPAL MP
