Individualised homoeopathic medicine in the treatment of psoriasis: An evidence-based case report
Javed Aqutar Bappa, Rayba Khatoon, Sumanta Kamila, Sanjay SarkarPsoriasis is a chronic inflammatory, hyperproliferative skin disease. It is an autoimmune condition that causes patients significant distress due to its recurrent episodes. The patient in this case report presented with a complaint of a shiny, scaly, silvery eruption accompanied by itching, diagnosed as psoriasis, for 15 years. After experiencing an unsatisfactory outcome with modern medicine, the patient turned to homoeopathic treatment. After a detailed case assessment and repertorisation, Mezereum 30C was initially prescribed as a single dose. Subsequently, the patient showed improvement during follow-up visits. The appropriate medication was then administered based on the totality of the symptoms, until the patient was symptom-free at his last visit. The causal association of clinical outcome to the homoeopathic treatment was evaluated using the Modified Naranjo Criteria for Homoeopathy (MONARCH) tool. Significant improvement was found in the psoriatic skin affections, with photographic evidence. The MONARCH score (+9) suggested that the clinical improvement was likely attributable to the homoeopathic treatment. The present case report suggests the usefulness of homoeopathic remedies in the treatment of psoriasis, but further clinical trials are required to validate its results and provide further data.