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    A CASE of Acne Vulgaris

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    Homoeopathic Pulse
    A 18-year-old male patient presented with painful, indurated pustular eruptions on his face that had been present for 2-3 years. Examination found multiple pustules, papules and cysts on both cheeks. Based on the patient's thermal reaction, tendency to suppuration, and pathological symptoms, Calcarea sulphurica was prescribed in increasing potencies. The pustules healed and almost disappeared within one month of treatment with Calcarea sulphurica, demonstrating its efficacy in controlling suppuration.

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    A CASE of Acne Vulgaris

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    Homoeopathic Pulse
    833 views4 pages
    A 18-year-old male patient presented with painful, indurated pustular eruptions on his face that had been present for 2-3 years. Examination found multiple pustules, papules and cysts on both cheeks. Based on the patient's thermal reaction, tendency to suppuration, and pathological symptoms, Calcarea sulphurica was prescribed in increasing potencies. The pustules healed and almost disappeared within one month of treatment with Calcarea sulphurica, demonstrating its efficacy in controlling suppuration.

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    by Dr.Pramod K.

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    A CASE of Acne vulgaris

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    A 18-year-old male patient presented with painful, indurated pustular eruptions on his face that had been present for 2-3 years. Examination found multiple pustules, papules and cysts on both cheeks. Based on the patient's thermal reaction, tendency to suppuration, and pathological symptoms, Calcarea sulphurica was prescribed in increasing potencies. The pustules healed and almost disappeared within one month of treatment with Calcarea sulphurica, demonstrating its efficacy in controlling suppuration.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    833 views4 pages

    A CASE of Acne Vulgaris

    Uploaded by

    Homoeopathic Pulse
    A 18-year-old male patient presented with painful, indurated pustular eruptions on his face that had been present for 2-3 years. Examination found multiple pustules, papules and cysts on both cheeks. Based on the patient's thermal reaction, tendency to suppuration, and pathological symptoms, Calcarea sulphurica was prescribed in increasing potencies. The pustules healed and almost disappeared within one month of treatment with Calcarea sulphurica, demonstrating its efficacy in controlling suppuration.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 4

    A CASE OF ACNE VULGARIS

    Author: Dr Pramod K, MD (Hom) working as Chief Medical Officer in the Dte of


    AYUSH, Govt of NCT of Delhi
    Key words: Acne Vulgaris, Calc.sulph.
    Introduction
    Acne vulgaris 1 is the formation of comedones, papules, pustules, nodules or cysts as a
    result of obstruction and inflammation of pilosebacious units. It most often affects
    adolescents. Diagnosis is by examination.
    Etiology and Pathophysiology2
    Acne occurs when pilosebaceous units become obstructed with plugs of sebum and
    desquamated keratinocytes and may be infected with normal skin anaerobe
    Propionibacterium acnes. Manifestations differ depending on whether P. acnes stimulate
    inflammation in the follicle; acne can be inflammatory or non inflammatory.
    Comedones are uninfected sebaceous plugs impacted within follicles. Comedones are
    termed open or closed depending on whether the follicles dilated or closed at skin
    surface.
    Inflammatory acne comprises papules, pustules, nodules and cysts. Papules appear when
    lipase from P. acnes metabolise triglycerides into free fatty acids(FFA),which irritates the
    follicular wall. Pastules occur when active P. acne infection causes inflammation within
    the follicle. Nodules and cysts occur when rupture of follicles due to inflammation,
    physical manipulation or harsh scrubbing releases FFAs, bacteria and keratin into tissues,
    triggering soft tissue inflammation.
    The most common trigger is puberty, when surges in androgen stimulates sebum
    production and hyperproliferation of keratinocytes.
    Other triggers include hormonal changes that occur with pregnancy, menstrual cycle,
    occlusive cosmetics, clensing agents, clothings, humidity and sweating.
    Association between acne exacerbation and diet, inadequate face washing, masturbation
    and sex are unfounded. Acne may improve in summer months because of sunlights antiinflammatory effects.
    Classification of Acne severity2
    Mild
    Moderate
    Severe

    <20 comedones, or < 15 inflammatory


    lesions or < 30 total lesions
    20 to 100 comedones, or 15 to 50
    inflammatory lesions or < 30 to125 total
    lesions.
    >5 cysts, or total comedone count >100,
    total inflammatory count >50 or >125 total
    lesions

    Diagnosis and Differential diagnosis


    Diagnosis is obvious on examination. Differential diagnosis includes rosacea in which no
    comedones are seen, perioral dermatitis, acneiform drug eruptions and corticosteroid
    induced acne, in which lack of comedones and pustules are in the same stage of
    development.
    Homoeopathic concept
    Acne vulgaris is an expression of psoric miasm. Unhealthy skin, every little lesion passes
    into sores. Skin dry, rough and pimply, unwashed and unclean appearances are psoric
    manifestations3.
    Hahnemann highlighted the following regarding the treatment of these disease
    conditions. No cutaneous eruptions, of whatever kind it may be, ought to be expelled
    through external means by any physician who wishes to act conscientiously and
    rationally. In every case there is at the bottom a disorderly state of the whole internal
    living organism. Therefore the eruptions are only to be removed by internal healing and
    curative remedies which change the state of the whole. Then the eruptions which are
    based on the internal disease will be cured and healed by itself without the help of any
    external remedy and more quickly than it could be done by external remedies4.
    Case Report:
    Male patient aged18 yrs presented with pustular, indurated eruptions on face. Eruptions
    are painful and occasional itching when getting warm and discharge of pus and blood.
    The patient had been suffering from these complaints since 2-3 years and took various
    treatments and outcome was not satisfactory. It is observed from the history that all the
    comedones are turning into pustules and healing occurs with the discharge of its contents.
    Personal History of the Patient:
    Patient is a student, belonging to lower socioeconomic class.
    No addictions
    Mixed diet
    Appetite and thirst normal
    No marked desires and aversions observed.
    Bowels are regular and satisfactory
    Urine normal
    Sleep well
    Perspiration general
    Thermal reaction- intolerance towards warmth of all kinds
    Previous history shows tendency to the formation of boils in the body especially in humid
    weather.

    Family history: No relevant complaints


    Treatment history: Took allopathic treatment but had no long lasting improvement.
    Physical Examination: Moderately built and nourished no pallor, not icteric, no cyanosis,
    no lymphadenopathy, BP 110/70 mm of Hg, Pulse: 72/mt.
    Examination of Skin : Multiple pustules, papules and cysts on both cheeks.
    Analysis
    As this patient has few general symptoms, the particular symptoms are considered for the
    selection of remedy.
    The following rubrics were selected5
    1. Skin Unhealthy skin
    2. Eruption on face-acne simplex
    3. Eruption on face-pustules
    Homoeopathic Treatment:
    The patient has been advised to wash face with soap and shampoo the hair at regular
    interval. Also advised to avoid greasy cosmetics and hair oils.
    Prescription & Follow up
    Based on the pathological symptoms, thermal reaction and tendency to suppuration
    Calc.sulph was selected and administered in 6x trituration thrice daily for 1 week and
    followed by 30c and 200c. Pustules are healed and almost disappeared in a period of one
    month.
    Discussion
    In this case, the lesions showed the signs of improvement within a week and it is more
    marked when the medicine was administered in centesimal potencies.
    Calc sulph, is a tissue remedy introduced by Schuessler and has been used on biochemic
    theory. Many authors have high lighted its efficacy in controlling the process of
    suppuration. This has to be studied further for verification to asses Calc sulphs efficacy
    in centesimal potencies.
    References
    1. Beers, H Mark et.al (2006)The Merck Manual of Diagnosis and Therapy, Merck
    Research Laboratories Publication, Eighteenth Edition, p 941
    2. Beers, H Mark et.al (2006) ibid p 942
    3. Speight Phyllis (1994)A Comparison of the Chronic Miasm ,B. Jain Publications,
    New Delhi, p 32
    4. Hahnemann Samuel (1991) The chronic disease(1991) B. Jain Publications,New
    Delhi,p 174

    5.Boericke E Oscar (1984), Pocket manual of Homoeopathic Materia Medica, B. Jain


    Publications, New Delhi, p 744

    Photograph 1(a)

    Photograph 1 (b)

    Photograph 2(a)

    Photograph 2(b)

    Photograph 3(b)
    Photograph 3(a)
    Photograph 1(a),(b) at the beginning of treatment.
    Photograph 2(a),(b) during the course of treatment.
    Photograph 3(a),(b) at end of one month.

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