INTEGRATED HOMOEOPATHIC MANAGEMENT OF ANDROGENETIC ALOPECIA WITH SEBORRHOEIC DERMATITIS, CHRONIC TELOGEN EFFLUVIUM, AND PSYCHOSOCIAL STRESS IN A PATIENT WITH METABOLIC COMORBIDITIES: A CASE REPORT

Abstract

Background: Androgenetic alopecia (AGA) frequently coexists with seborrhoeic dermatitis (SD), chronic telogen effluvium (CTE), metabolic abnormalities, and psychological stress, resulting in accelerated hair loss and poor treatment satisfaction. Management becomes more challenging when multiple aggravating factors coexist. Case Summary: A 36-year-old unmarried male banker presented with a 10-year history of progressive androgenetic alopecia associated with a recent six-month increase in hair fall. Hair loss was accompanied by seborrhoeic dermatitis involving the scalp, eyebrows, ears, and nasal folds, oily scalp, occasional folliculitis, chronic gastric intolerance, grade I fatty liver, chronic low back pain, disturbed sleep, and significant psychosocial stress due to prolonged caregiving responsibilities for his father with psychiatric illness. Previous dermatological management had provided only temporary relief. Intervention: An individualized homoeopathic prescription based on constitutional characteristics was administered. Calcarea carbonica was selected as the constitutional remedy, supported by individualized management of acute scalp inflammation together with dietary counselling, scalp hygiene measures, and lifestyle modification. Outcome: During follow-up, scaling and itching reduced gradually, seborrhoeic lesions over the scalp and facial areas became less prominent, hair shedding stabilized, scalp inflammation reduced, and the patient reported improvement in sleep and overall well-being. Hair density remained stable with gradual reduction in active hair loss. Conclusion: This case demonstrates the usefulness of individualized homoeopathic management in addressing multiple interacting factors contributing to chronic hair loss, particularly when androgenetic alopecia is associated with seborrhoeic dermatitis, metabolic dysfunction, gastrointestinal disturbances, and chronic psychological stress.