Abstract

HOMOEOPATHIC KEYNOTE PRESCRIPTION ON ALLERGIC CONTACT DERMATITIS DUE TO TOPICAL MEDICAMENTS: A CASE REPORT

Ruchi Singh, Namrata Singh Kushwaha, Hari Shankar Tiwari* and Siddhi Jain

Abstract

Introduction: Allergic contact dermatitis (ACD) is an inflammatory reaction due to exposure to topical medicaments such as corticosteroids, antibiotics, antimycotics disinfectants, local anaesthetics or NSAIDs and characterized by pruritus, erythema, swelling, vesicles and scaling of the skin. A case treated with homoeopathy is presented. Case Summary: A 35-year female presented with the complaint of macular eruption with redness, burning, itching on face since 4 years, complaints get aggravated in sun and heat. She was using OTC ointments regularly so no lesions were found on examination. After detailed case taking the patient was advised to stop ointment for 1 week and the she was kept on placebo to observe the complete symptoms as per Hahnemannian guidelines (§ 91). She was advised to use only coconut oil as local application. On 17.8.2023 the case was retaken. The particular symptoms became more apparent. Homoeopathic medicine Sulphur 30 CH potency was given on the basis of keynote, which showed a positive role in the treatment. Causal attribution of changes in her condition to the homoeopathic treatment depicted ―+9‖ by Modified Naranjo Criteria for Homoeopathy (MONARCH) and treatment response assessed by Dermatology Life Quality Index (DLQI) in which pre score was ―14‖, during was ―6‖ and after was ―0‖.

Keywords: Homoeopathy, ACD, Topical Medicament, Sulphur, MONARCH, DLQI.