Clinical Cases
Case. Ms.C.G. 24 Yrs. prseneted on 13.5.2000 with Hypopigmented patches on the body since 3 yrs. Patches were wide spread on Face, Neck, Forehead, Chest and both Breasts around nipples of the sizes 6x 3 cms to 8x 4 cms dimensions.
Complaints started in 1998 with small white spots appearing on the body. Took allopathic treatment in the form of Internal medicines and local applications. Took Homoeopathic Tt. With some relief. PUVA Tt. was also taken by Skin Speacialists which gave much relief but spots reappeared after some tiome. No itching or burning. Slight redness over the patches. H/O Hair falling with Dendruff in winters.. H/o Fungal infection and palpitations at times. ECG showed Arrythmia. Had tendency for Boils in the past.
Had tendency for Sore throat infections,Epistaxis and Palpitations.H/O Acute Mental shock and depression prior to the appearance of the spots.
F/H 1st Cousin's daughter has same white spots. Father suffers with Hypercholestremia. G.M had Cancer Breast.
Gen. Nothing very significant except gets hot flushes on Ears when gets embarrassed, Perspiration Offensive. Menstraul history –NAD except oc.leucorrhoea which is thick,sticky,whitish creamy. Tendency to get mouth ulcers.
.Mentals: - Sensitive++, Sympathetic+++ , Sentimental ++ , Fastidious++ , Strong Headed ++ , Likes Company, Likes Sympathy, Fault Finding + , Supresses her Emotions++.
O/E ?Patches on face white spots with regular margins. Patches around the Lips are with irregular margins. One big patch on the chest with mild pigmented spots. Bilaterally symmetrical spots on both the breasts. Nipple with red discolouration surrounded by an area of pink discolouration with regular margins,No itching any where except the area on breasts.
ECG ?Deep S in V6 ?Sinus Arrythmia.
Stool Cysts of E.Histolytica .BCs ?-3/hpf.
Urine- Bacteria +ve.
S.Calcium ?0.9 mg%
ESR- 31mm /1st Hr.
Tt, started on 13.5.2000 with Sil1M/1 dose followed by Ars.Sulf Flav 30.
24.6.2k ?boils appeared on lower abdomen with suppurative mouth.
Rx . Sil 1M/1 dose followed by A.S.F 30 and Ematin Hydrochloride 30 and HydrocotyleQ.
15.7.2k ?On further probing she revealed the actual incident which led her to the Acute mental shock and depression altwr on followed by these spots.
Rx. Phos 200/3 doses followed by S/L
22.7.2K. Remarkable change in the colour of spots.White spots turned Reddish,barring one spot on the left side of the chhek and one over the lips.Developed acute cold and coryza .Rx.Allium Cepa 200.
7.10.2k.All over much better. Now difficult to identify that where thewhite spots were. Few spots diffused in shape and mingled with the normal skin colour. Developed Stye inLeft Eyelid.Rx.Staph200/3 doses.followed by A.S.F and Hydrocotyle Q. Repertporial Analysis on the following symptoms:
1. Sentimental+ ,
2. Sensitive++
3. Company Desire for++
4. Courageous+++
5. Sympathetic++
6. Fastidious+
7 .Fault Finding+
8 . Tendency for mouth ulcers
9 . Rec. Sore Throat
10 . Tendencyfor eruptions Pustular1
1. Desire Sweets++
12. Discolouration Chest spots
13 . Discoloration face
14. Discoloration Mammae spots.
Remedies on reportrisation.
Ars.Alb-23/11
Phos- 21/9
Sulph- 20/9
Lyco- 17/8
N.V. - 15/8
Nit.Acid- 15/6
Nat.Mur 13/7
The Pt. Has shown remarkable improvement since the beginning of treatment. Many a pathes have completely disappeared and has gained he repigmentation. Change of color is notice in all the patches the minimum effect has been seen in the patches of the breasts.
Discussion ; I selected Phos as her main remedy despite Ars Alb coming on the top on reportorial analysis. As she has the essence of Phos remedy.