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Atopic Dermatitis
Types of Atomic Dermatitis
Atopic
Non
Atopic
3 stages of Atopic Dermatitis
Infant AD
Childhood AD
Adult AD
Causes of Atopic Dermatitis
Case 1
Dr.B. J
M.B.B.S
Occupation: General Physician
Age :40 years
Chief Complaint
• She came to me with complaint of itching all over the body with
weeping of skin on extensor aspect of hands and legs since 3 months,
sleep disturbed due to itching.
• by sitting ideal ,night ,winter ,anxiety, spicy.
• by scratching ,antihistaminic.
• ODP: Erythematous eruptions appeared on face at the age of 1 year
with itching and crusting treated by allopathic medicines and
ointments after that it returns in winter, humid weather and
exacerbated by stress.
• Patient has taken many allopathic medicines but only temporary
relief .
• Lichenification is present all over body with itching.
Physical Generals
DIET 3 Meals/Day THERMAL STATE Chilly
THIRST 3 to 4 Lts/ Day SLEEP Disturbed due to itching
DESIRE Sour Food, Eggs MENSTRUAL HISTORY FMP 13 years
Before: Acne on Face
Menses Regular
AVERSION Pungent OBSTRETIC HISORY 2 FTND Male Child
PERSPIRATION Scanty Around Head PAST HISTORY No Significant Disease
BOWEL Constipated once in 2 or
3 days
FAMILY HISTORY Mother, Maternal Uncle,
Brother and Both sons
Life Space
Patient says that she was second daughter among two brothers and two sisters
During childhood she was more attached to parents.
She was intelligent in studies and got admission in MBBS.
After marriage she was not accepted by her sister in laws,at inlaws house initially that time was feeling much insecured and lonely but now
with the support of her husband all feeling decreased .
Dreams of daily routine and remember it well.
Aversion to work or exertion
Anxiety with palpitation on trifles.
1
2
3
4
5
6
7
Totality Of Symptoms
Eruptions itching all over the body ,sleep disturbed .
Ideal, sitting ,night, winter ,anxiety.
Laziness, Anxiety , Chilly
Craving for eggs and sour food, Constipation
Acne before menses.
1
2
3
5
4
Repertory Sheet
Date Treatment
24/9/2011 Calcarea Carb 1M /1 dose
7/10/2011 better-S.L.
30/10/2011 statusquo-Calcarea Carb1M /1 dose
17/11/2011 better in itching ,sleeping well and weeping lesions started healing-S.L.
3/12/2011 no further improvement-Psorinum1M/1 dose
24/12/2011 better in itching,lichenification,no antihistaminic since 2 months-S.L.
7/01/2012 better in itching ,lichenification reduced ,no itching on exposure to aggravating factors.-S.L.
28/01/2012 Statusquo-Calcarea Carb 1M/1 dose
15/02/2012 significant improvement ,no itching-S.L.
Treatment
Case 2
Name : Baby A.
Age : 2.5 years
Sex : Female
Chief Complaint
• she presented with the complaint of recurrent popular eruptions on
face, right cubital fossa ,abdomen since one month with severe
itching .
• In winter ,by scratching, after bathing and by moisturising and in
summers
• At the age of 5 days she started having erythematic eruptions on
both cheeks which was relieved by applying external ointment .After
few months eruptions again appeared on face and ears with thick
scabs ,watery oozing discharge was continued for one and half
years. It was relieved after winter then again appeared in next
winter with eruptions on buttocks ,abdomen, cheeks and earlobes.
• Known case of Asthma since 1 year which is aggravated in winter, by
dust exposure, change of weather. On auscultation ronchii heard on
both upper lobes.
Physical Generals
DIET 3 Meals/Day THERMAL STATE Hot
THIRST Thirst less SLEEP Talks during sleep of daily events
,sleeps on abdomen.
DESIRE hotchpotch, chocolate, ice
cream
BIRTH HISTORY Born by CS section, birth weight
4.5kg.
AVERSION Bitter OBSTRETIC HISORY 2 FTND Male Child
PERSPIRATION Scanty PAST HISTORY Urticaria-1 year of age relieved by
homeopathic medicine.
Pneumonia-1.5 years of age
relieved by allopathic medicine.
BOWEL Normal FAMILY HISTORY A)Father –Skin allergy, Asthama,
Diabetes Mellitus.
b)Mother- Asthama
c)Maternal Grandmother: Asthama
Life Space
Mischievous, Jolly nature
Understanding nature..
Fear of insects
Fear when alone
Mild
Weeps easily
Sensitive
1
2
3
4
5
6
7
Totality Of Symptoms
Recurrent popular eruptions on right cubital fossa with itching. winter, by scratching, after bathing
summer, application of moisturiser.
Asthma , dust ,winter ,change of weather
Mischievous, Jolly nature, Fear of insects
Sensitive , Thirst less
Scanty Perspiration, Family history of allergy
1
2
3
5
4
Repertory Sheet
Date Treatment
12/10/11 Pulsatilla 30 O.D.S
27/10/11 Eruptions better .-Pulsatilla 30
3/11/11 reddish popular eruptions ,itching marked-S.L.30
17/11/2011 Statusquo-Tuberculicum 1M/1 dose
8/12/2011 eczema disappeared but dark black spots on skin remained ,Ronchii decreased.-Pulsatilla
30 O.D.S alternate days.
29/12/11- Better-Pulsatilla 30 O.D.S. alternate days
19/1/2012 Pigmentation decreased ,ronchii disappeared.-Pulsatilla 30 twice a week.
2/2/2012 Pigmentation minimum. No aggravation in winter-Pulsatilla 30 twice a week
23/02/2012 No complaints.
Treatment
Before and After Images
Conclusion
•From above discussed 2 cases we can
conclude that homeopathic treatment and
medicines can do the miracles and can cure
the hereditary disease with the proper
treatment and medications.
Questions?
My clinical experience in cases of atopic dermaitis

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My clinical experience in cases of atopic dermaitis

  • 1.
  • 3. Types of Atomic Dermatitis Atopic Non Atopic
  • 4. 3 stages of Atopic Dermatitis Infant AD Childhood AD Adult AD
  • 5. Causes of Atopic Dermatitis
  • 6. Case 1 Dr.B. J M.B.B.S Occupation: General Physician Age :40 years
  • 7. Chief Complaint • She came to me with complaint of itching all over the body with weeping of skin on extensor aspect of hands and legs since 3 months, sleep disturbed due to itching. • by sitting ideal ,night ,winter ,anxiety, spicy. • by scratching ,antihistaminic. • ODP: Erythematous eruptions appeared on face at the age of 1 year with itching and crusting treated by allopathic medicines and ointments after that it returns in winter, humid weather and exacerbated by stress. • Patient has taken many allopathic medicines but only temporary relief . • Lichenification is present all over body with itching.
  • 8. Physical Generals DIET 3 Meals/Day THERMAL STATE Chilly THIRST 3 to 4 Lts/ Day SLEEP Disturbed due to itching DESIRE Sour Food, Eggs MENSTRUAL HISTORY FMP 13 years Before: Acne on Face Menses Regular AVERSION Pungent OBSTRETIC HISORY 2 FTND Male Child PERSPIRATION Scanty Around Head PAST HISTORY No Significant Disease BOWEL Constipated once in 2 or 3 days FAMILY HISTORY Mother, Maternal Uncle, Brother and Both sons
  • 9. Life Space Patient says that she was second daughter among two brothers and two sisters During childhood she was more attached to parents. She was intelligent in studies and got admission in MBBS. After marriage she was not accepted by her sister in laws,at inlaws house initially that time was feeling much insecured and lonely but now with the support of her husband all feeling decreased . Dreams of daily routine and remember it well. Aversion to work or exertion Anxiety with palpitation on trifles. 1 2 3 4 5 6 7
  • 10. Totality Of Symptoms Eruptions itching all over the body ,sleep disturbed . Ideal, sitting ,night, winter ,anxiety. Laziness, Anxiety , Chilly Craving for eggs and sour food, Constipation Acne before menses. 1 2 3 5 4
  • 12. Date Treatment 24/9/2011 Calcarea Carb 1M /1 dose 7/10/2011 better-S.L. 30/10/2011 statusquo-Calcarea Carb1M /1 dose 17/11/2011 better in itching ,sleeping well and weeping lesions started healing-S.L. 3/12/2011 no further improvement-Psorinum1M/1 dose 24/12/2011 better in itching,lichenification,no antihistaminic since 2 months-S.L. 7/01/2012 better in itching ,lichenification reduced ,no itching on exposure to aggravating factors.-S.L. 28/01/2012 Statusquo-Calcarea Carb 1M/1 dose 15/02/2012 significant improvement ,no itching-S.L. Treatment
  • 13. Case 2 Name : Baby A. Age : 2.5 years Sex : Female
  • 14. Chief Complaint • she presented with the complaint of recurrent popular eruptions on face, right cubital fossa ,abdomen since one month with severe itching . • In winter ,by scratching, after bathing and by moisturising and in summers • At the age of 5 days she started having erythematic eruptions on both cheeks which was relieved by applying external ointment .After few months eruptions again appeared on face and ears with thick scabs ,watery oozing discharge was continued for one and half years. It was relieved after winter then again appeared in next winter with eruptions on buttocks ,abdomen, cheeks and earlobes. • Known case of Asthma since 1 year which is aggravated in winter, by dust exposure, change of weather. On auscultation ronchii heard on both upper lobes.
  • 15. Physical Generals DIET 3 Meals/Day THERMAL STATE Hot THIRST Thirst less SLEEP Talks during sleep of daily events ,sleeps on abdomen. DESIRE hotchpotch, chocolate, ice cream BIRTH HISTORY Born by CS section, birth weight 4.5kg. AVERSION Bitter OBSTRETIC HISORY 2 FTND Male Child PERSPIRATION Scanty PAST HISTORY Urticaria-1 year of age relieved by homeopathic medicine. Pneumonia-1.5 years of age relieved by allopathic medicine. BOWEL Normal FAMILY HISTORY A)Father –Skin allergy, Asthama, Diabetes Mellitus. b)Mother- Asthama c)Maternal Grandmother: Asthama
  • 16. Life Space Mischievous, Jolly nature Understanding nature.. Fear of insects Fear when alone Mild Weeps easily Sensitive 1 2 3 4 5 6 7
  • 17. Totality Of Symptoms Recurrent popular eruptions on right cubital fossa with itching. winter, by scratching, after bathing summer, application of moisturiser. Asthma , dust ,winter ,change of weather Mischievous, Jolly nature, Fear of insects Sensitive , Thirst less Scanty Perspiration, Family history of allergy 1 2 3 5 4
  • 19. Date Treatment 12/10/11 Pulsatilla 30 O.D.S 27/10/11 Eruptions better .-Pulsatilla 30 3/11/11 reddish popular eruptions ,itching marked-S.L.30 17/11/2011 Statusquo-Tuberculicum 1M/1 dose 8/12/2011 eczema disappeared but dark black spots on skin remained ,Ronchii decreased.-Pulsatilla 30 O.D.S alternate days. 29/12/11- Better-Pulsatilla 30 O.D.S. alternate days 19/1/2012 Pigmentation decreased ,ronchii disappeared.-Pulsatilla 30 twice a week. 2/2/2012 Pigmentation minimum. No aggravation in winter-Pulsatilla 30 twice a week 23/02/2012 No complaints. Treatment
  • 21. Conclusion •From above discussed 2 cases we can conclude that homeopathic treatment and medicines can do the miracles and can cure the hereditary disease with the proper treatment and medications.