THERAPEUTIC OUTCOME OF INDIVIDUALISED HOMOEOPATHIC MEDICINE IN ACNE VULGARIS: A CASE REPORT

Abstract

Acne vulgaris is a long-term inflammatory disorder of the skin involving pilosebaceous units, which include the hair follicles and their associated sebaceous (oil) glands.(1,2) Although it is most frequently seen during adolescence, acne may continue beyond the teenage years or may first appear after the age of 25 years, which is known as adult-onset acne. Changes in specific hormonal levels, particularly androgens such as dehydro-epiandrosterone (DHEA), play a significant role in the development of acne. In addition, colonization by Cutibacterium acnes contributes to the development of pathogenesis. Clinically, acne presents with a spectrum of lesions that may be non-inflammatory, such as open and closed comedones (blackheads and whiteheads), or inflammatory, including papules, pustules, nodules, and in more severe cases, cystic lesions.(1) Although acne does not have a single definitive cause, its development is influenced by multiple contributing factors, including hormonal disturbances, psychological stress, dietary habits, and genetic predisposition. Management typically involves topical preparations or systemic medication, depending on the severity of the condition. In certain cases, homeopathic approaches are also considered, with the intention of managing symptoms, regulating excess sebum production, and helping to reduce post-acne scarring and pigmentation. Approximately sixty percent of teenagers with acne experience only mild symptoms and usually manage them on their own using non-prescription products, without seeking medical advice. The other forty percent have more significant concerns and therefore represent the group that typically presents to healthcare professionals for evaluation and treatment. CASE SUMMARY A 19-year-old female presented to our outpatient department with complaints of facial eruptions involving both cheeks, associated with itching, redness, comedones (blackheads), and residual scarring after resolution. After detailed case taking and evaluation of the totality of symptoms—including characteristic mental and physical generals—Natrium muriaticum 200 was selected as the indicated homoeopathic remedy. The documented case, supported by serial photographic records, demonstrates the clinical improvement observed in acne vulgaris following the administration of this remedy.