INDIVIDUALIZED HOMOEOPATHIC MANAGEMENT OF CHRONIC PLAQUE PSORIASIS WITH SEVERE PRURITUS: A CASE REPORT AT DR BATRA’S

Abstract

Background

Psoriasis is a chronic immune-mediated inflammatory skin disease characterized by erythematous scaly plaques, itching, and recurrent relapses. Emotional stress, unresolved grief, and long-standing interpersonal conflicts are recognized triggers that may influence disease activity.

Case Summary

A 67-year-old female presented with biopsy-confirmed psoriasis since 2020. The disease initially began on the scalp and gradually spread to multiple body regions. Severe itching, scaling, erythema, and sleep disturbance significantly affected her quality of life. The patient had a history of prolonged emotional stress, family conflicts, caregiving burden for a disabled daughter, and suppressed grief. Individualized homoeopathic treatment was prescribed based on the totality of symptoms.

Intervention

Ignatia amara was selected as the constitutional remedy considering the patient's silent grief, emotional suppression, sensitivity, and long-standing disappointments. Mezereum was prescribed as an acute remedy for severe itching and psoriatic lesions. Regular moisturization was advised.

Outcome

Within four months, significant improvement was observed in itching, erythema, scaling, scalp involvement, and overall lesion severity. Sleep quality improved and the patient reported marked improvement in quality of life.