This case is presented by Dr. Rajneesh Kumar Sharma, BSc, BHMS, MD (Hom), DI (Hom) London, hMD (UK) etc
Introduction
It usually occurs in individuals within the age group of 3 to 16 years and is childhood eczema of unknown origin, characterized by white skin patches with delicate scales on the face, trunk and limbs.
Worm infestations, sun sensitivity, dry skin, and sensitization to various food preservatives have also been cited as the causes for this disorder with loss of skin colour.
It occurs on face as a rounded scaly patch of 0.5 to 2 cm in diameter having red or pink colour with loss of natural skin colour. Later the colour starts fading and there is loss of pigmentation within the patch. There is minute scaling. This hypopigmented patch is more evident in dark skins.
The patches are, and mainly limited to the face, though the neck, chest and forearms may also be involved.
Case History
On 21-08-2012, a dark skinned child 8 years of age presented with white patchy eruption on both cheeks for a month. He is intelligent, craving spices, fats, fried food and sweets. Has very violent anger. No other symptoms marked or noticeable.
Analysis and Evaluation of Symptoms
1 FACE – ERUPTIONS – scurfy (Psora/ Sycosis)
2 FACE – ERUPTIONS – scurfy – white (Psora)
3 FACE – ERUPTIONS – scurfy – Cheeks (Psora/ Sycosis)
4 GENERALS – FOOD and DRINKS – spices – desire (Psora)
5 GENERALS – FOOD and DRINKS – fat – desire (Psora)
6 GENERALS – FOOD and DRINKS – fried food – desire (Psora/ syphilis)
7 GENERALS – COMPLEXION – dark (Psora/ Sycosis)
8 MIND – ANGER – violent (Psora/ Pseudopsora)
Miasmatic Analysis
Psora> Sycosis> Syphilis > Pseudopsora
Repertorization
|
|
nit-ac. |
nux-v. |
hep. |
ars. |
sulph. |
caust. |
phos. |
calc. |
nat-m. |
lyc. |
|
|
40 |
40 |
32 |
31 |
31 |
30 |
30 |
29 |
26 |
25 |
|
|
|
1 |
1 |
2 |
2 |
3 |
1 |
3 |
2 |
2 |
1 |
2 |
|
|
2 |
– |
– |
– |
2 |
– |
– |
– |
– |
– |
– |
|
|
3 |
– |
– |
– |
– |
– |
– |
– |
1 |
– |
2 |
|
|
4 |
1 |
2 |
2 |
1 |
3 |
1 |
3 |
– |
1 |
1 |
|
|
5 |
3 |
2 |
1 |
1 |
2 |
– |
1 |
1 |
1 |
– |
|
|
6 |
– |
– |
– |
– |
– |
– |
– |
– |
– |
– |
|
|
7 |
3 |
2 |
1 |
1 |
1 |
3 |
1 |
2 |
1 |
1 |
|
|
8 |
3 |
4 |
3 |
1 |
1 |
2 |
1 |
2 |
2 |
2 |
First Prescription (21-08-2012)
Rx
Acidum nitricum covers most of the symptoms in higher grades as well as miasms indicated in this case.
Acidum nitricum 200 one dose stat
Sac lac TDS
Second Prescription (12-09-2012)
Marked improvement, but patches still visible.
Rx
Acidum nitricum 200 one dose stat.
Sac lac TDS
Third Prescription (03-10-2012)
Cured. No sign.
No medicine.
References
Pityriasis AlbaCURRENT Diagnosis & Treatment: Pediatrics > Chapter 14. Skin > Common Skin Diseases in Infants, Children, & Adolescents > Dermatitis (Eczema)
Pityriasis Alba Fitzpatrick’s Dermatology in General Medicine, 8e > Chapter 75. Hypomelanoses and Hypermelanoses > Hypomelanosis > Acquired Localized Hypomelanosis
Radar 10