Common Dermatological Disease in Paediatrics and Homoeopathy Medical Science

1. COMMON DERMATOLOGICAL DISEASE IN PAEDIATRICS
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Common Dermatological Disease in
Paediatrics Patients with
Homoeopathic Therapeutics:
By- Dr.Ankit Srivastav,
B.H.M.S. (Gold medallist), M.D. (PGR)
Email; ankitsrivastav183@gmail.com
Introduction: Skin is the largest and most
superficial organ of the body. Nearly one third
(1/3rd
) of the pediatric opd visits involve a
dermatology complaints. In addition to wide variety
of primary skin disorder seen during childhood, skin
is a marker of underlying systemic diseases and
many hereditary syndrome. Thinner, less hairy,
weaker intercellular attachment Paediatric skin in
compare to adult skin have fewer eccrine and
sebaceous gland secretions, increased susceptibility
to external irritants, increased susceptibility to
micro-coccal infection, depressed contact allergen
reactivity Percutaneous permeability increased only
in premature, damaged or scrotal skin.
Common Skin Disease in Paediatrics
Patient:
1.Toxic Erythema of Newborn (Erythema
Toxicum Neo-natorum):
Benign self–limiting eruption, Characterized by
erythematous macules and plaques, 2-3cm in size,
with a tiny 1-3mm central vesicle or pustule. Onset
mostly during first week of life, rarely at birth.
Site– mostly on trunk and proximal extremities.
Systemic symptoms are absent, Lesion
spontaneously disappear in 3 to 7 days.
Homoeopathic indicated medicines: Graphites is
a constitutional remedy that corresponds well to
children who are rather heavy, chilly, and who tend
to suffer from skin problems, In infants, with an
extensive red eruption (erythema) on the upper and
lower extremities1
.,
Medorrhinum In the
family history there
are cases of cancer and
chronic rheumatism.
Medorrhinum infants
sleep flat on their
stomach, rear in the
air. They often have a
red rash (erythema) on
the buttocks.2
2.Miliaria Rubra
(Prickly Heat):
Crops of superficial
vesicles resulting from
blockage of sweat
ducts. Tiny, papulo-
vesicle are on
erythematous base.
Site- flexural areas e.g.
neck, groins, axilla and
face, following
excessive sweating.
Secondary infection by
staphylococcus is
common. Treatment:
Avoidance of excessive
heat and humidity.
Light clothing, cool
bath and avoidance of
heavy blankets.,
Homoeopathic
indicated medicines:
Psorinum, Red miliaria
on the neck, beginning
with a stitching pain.
Pimples on the neck and
chest.2
Selenium
metallicum, Miliaria in

2. COMMON DERMATOLOGICAL DISEASE IN PAEDIATRICS
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forearm, Tearing in hands at night, with cracking in
wrists. Itching at wrist, in palms; itching vesicles on
and between fingers. Dry, scaly eruption on palms,
with itching, having syphilitic base. 3
3. Acropustulosis of infancy:
Characterized by crops of intensely pruritic papulo-
pustular or vesico-pustular lesions appear for period
of 7 to 10 days remits for 2 to 3 weeks prior to
recurrence. Site - palm & soles, dorsal aspect of
hands, feet, wrists, ankles, face and scalp. Pustules
are sterile and contain eosinophil & neutrophils.
Homoeopathic indicated medicines: Adelheid
aqua, Hard pimples, with a red, inflamed areola,
itching somewhat, with a yellow, pustular apex,
somewhat moist on scratching it off (like small
boils), on fingers, toes and forearm.2
Ammonium
Carbonicum, Boil on right thigh, the size of a
child's fist, very painful, and not relieved by
poultices; the boil, cut open, discharged much pus
and blood.2.
4. Transient Neonatal Pustular Melanosis:
Characterized by transient, benign, superficial, non
inflammatory, vesicle-pustules that are extremely
fragile last for 24-48 hrs. Commonly present at
birth. Site- predominantly in clusters, under the
chin, forehead, axilla and nape of the neck. Lesions
disappear spontaneously by Day 5. Homoeopathic
Indicated Medicines: Sarsaparilla officinalis,
Black and blue spots filled with pus on backs of
hands, Eruptions following vaccination. Eruptions
agg. washing. Copper-coloured eruption, Small pus
boils with stinging pain on touch.4
Anthracinum, A
small red spot, sometimes with a blackish point in
middle, gradually becoming more sensitive, has to
scratch, it reddens more and more, swells and forms
a small pustule or blotch.5
5.Cutis
Marmorata:
Benign cutaneous
vascular phenomena
seen in neonates as an
accentuated
physiologic
vasomotor response to
the cold. Reticulate,
bluish mottling of skin
on trunk and
extremities. Usually
disappear as the
infants is rewarmed.
Its persistence is seen
in Downs syndrome,
trisomy-18,
hypothyrioidism.
Homoeopathic
Indicated Medicines:
Croton tiglium,
"Rubbed upon the
skin, it brings out after
a few hours, an
eruption of minute red
pimples, which are
always numerous in
proportion to the
delicacy and
vascularity of the skin,
and which are
gradually converted
into pustules.6
Arsenicum
sulphuratum flavum,
Eruptions; blisters;
bloody after
scratching, painful,
burning in nature.7

3. COMMON DERMATOLOGICAL DISEASE IN PAEDIATRICS
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6.Milia: Multiple, pearly- white papules, 1-2 mm
in size particularly prominent on cheeks, nose,
nasolabial fold and forehead. May be present in oral
cavity –Epstein perls. Superficial epidermal
inclusion cysts that contain laminated keratinized
material. Usually disappear spontaneously during
first 3-4 weeks. Pulsatilla, nodular, white, hard
elevations on red base; nodules of irregular form,
round, elongated, and angular.2
Alumina, Nodules
on face and nose, nodule ass if white of egg has
dried on it.4
7.Diaper Dermatitis
(Nappy Rash, Napkin Dermatitis):
Acute inflammatory reaction of the skin associated
with the wearing of napkins. Irritant contact
dermatitis – due to occlusive contact of urine and
faeces with skin. Rash is usually bounded by the
margins of the nappy with sparing of the inguinal
fold. After prolonged contact, a papulo-erosive
eruption occurs with formation of multiple small
ulcers, called Jacquet’s ulcers. Secondary infection
by candida is common. 4 clinical forms , most
common is chafing dermatitis-over conva-xicities,
7-12 months age.. 2nd
limited to perianal area,
observed in who have/had diarrhea. 3rd
discrete
shallow ulceration throught the diaper area. 4th
beefy red confluent erythema-occurs after
secondary c. albicans infection. Homoeopathic
Indicated Medicine, Pulsatilla, Red rash over the
body, face, neck, back, chest, arms, legs, abdomen;
most on chest and abdomen; red blotches, and in
some places red points running together making
blotches.2
Gambogia, Red nates (dermatitis) in
infants with diarrhoea.8.
Rosa canina, Skin disease
(atopic dermatitis - infantile eczema).9
Medorrhinum, He had a diaper dermatitis and
infantile eczema.10.
8.Infantile
seborrheic
dermatitis (cradle
cap): Characterized
by erythematous,
scaly or crusted
eruption over the area
rich in sebaceous
gland. Etiology -
pityrosporum oval,
hereditary (genetic)
immuno- dysfunction,
atmospheric humidity
etc. Site - Scalp, face,
post-auricular,
presternal and
intertriginous areas
etc. Homoeopathic
Indicated Medicines,
Lobelia Inflata,
Seborrhoea of scalp
smelling offensively
(produced in an infant
every time),3
Bryonia,
hot and painful.
Seborrhoea, Hair very
greasy, Slow
development or
sudden receding of
rash. Eruptions
characterized by
sensation of prickling,
esp. when parts are
touched. Skin
eruptions generally
dry. Burning-itching
eruptions.4.
9.Intertrigo:Superfi
cial inflammatory

4. COMMON DERMATOLOGICAL DISEASE IN PAEDIATRICS
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dermatitis of apposed skin surface. Heat, moisture,
friction and sweat retention induce maceration and
inflammation. Secondarily infected by bacterial
(s.aureus, group A streptococci) or fungal (candida)
infection. Merc.Sol., Raw sore feeling. Useful in a
variety of skin diseases. Moist intertigo.
COWPERTHWAITE A. C., Text book of Materia Medica and Therapeutics.
Camphora officinalis, Cold, pale, blue, livid. Can't
bear to be covered, dermatitis, with bright redness,
Skin rarely moist, dryness of skin, not a trace of
sweat. hot sweat on forehead, child will not be
covered. Skin of whole body painfully sensitive,
slightest touch hurts. Skin: flabby, leather-like;
burning; itching. Skin dry like parchment. VERMEULEN
F., Concordant Materia Medica
10.Measles: Caused by RNA – Para-myxovirus,
Erythematous, maculo-papular rash starts on 2-4
days after fever behind the ears & spreads over the
face, trunk and limb. Koplik's spots are diagnostic
and are visible before onset of rash as ‘‘tiny white
spots” like grains of sand on mucous membrane of
the cheeks opposite the lower molars.
Homoeopathic Indicated Medicines: Camphor,
It is a most important remedy in retrocession of
measles and scarlatina when the face is pale, cold
hippocratic, the child is restless and will not tolerate
any covers. BLACKWOOD A. L., A Manual of Materia Medica
Therapeutics and Pharmacology.
Oenanthe crocata, Child
faint eruption like measles on body, which,
however, soon disappeared; continued working of
muscles and motion of limbs. HERING C., Guiding Symptoms
of our Materia Medica.
Pulsatilla pratensis, Measles :
catarrhal symptoms prominent; coryza and profuse
lachrymation; cough usually dry at night and loose
by day; child sits up in bed to cough; earache; not
indicated in beginning when fever is high. HERING C.,
Guiding Symptoms of our Materia Medica.
Stramonium, Measles,
fever before eruption, great heat of body and
copious sweat; very great redness of puffed-up face;
peculiar delirium; full
of fear and anxiety;
children see frightful
figures, rats and mice,
attempted to hide;
spasmodic affection of
oesophagus. HERING C.,
Guiding Symptoms of our Materia
Medica.
Chamomilla,
When a child with
measles takes cold and
a painful watery
diarrhoea sets in, this
drug should not be
forgotten. HOYNE T. S.,
Clinical Therapeutics.
Refrences:
1. GRANDGEORGE D., The
Spirit of Homropathic
Medicines.
2. ALLEN T. F.,
Encyclopedia of Pure
Materia Medica.
3. CLARKE J. H., Dictionary
of Practical Materia
Medica.
4. VERMEULEN F.,
Concordant Materia
Medica.
5. HERING C., Guiding
Symptoms of our Materia
Medica.
6. BURT W. H.,
Physiological Materia
Medica.
7. KENT J. T., Lectures on
Homeopathic Materia
Medica.
8. SAMUEL, Keynotes.
9. RICHARDSON-
BOEDLER C., Psychic
causes of Illness: Applying

5. COMMON DERMATOLOGICAL DISEASE IN PAEDIATRICS
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Homeopathy and Bach flowers therapy to Psychosomatic
illness.
10. GEUKENS A., Homeopathic Practice.
11. Rook’s Text book of Dermatology.
12. Thieme Clinical CompanionsDermatology.