Successful Management of Drug-Triggered Erythrodermic Psoriasis: A Case Report at Dr Batra’s

Abstract

Background

Erythrodermic psoriasis is a rare but potentially life-threatening variant of psoriasis characterized by generalized erythema, diffuse scaling involving more than 75–90% of the body surface area, impaired skin barrier function, thermoregulatory disturbances, fluid loss, and increased susceptibility to systemic complications. The condition may develop following abrupt withdrawal of corticosteroids, inappropriate medications, infections, emotional stress, or progression of chronic psoriasis. Prompt recognition and treatment are essential to prevent serious morbidity. Individualized homoeopathy considers constitutional characteristics, mental-emotional factors, and physical generals in addition to the dermatological diagnosis while selecting the similimum.

Case Presentation

A 64-year-old retired Air Force mechanical engineer presented with generalized erythematous, exfoliative skin lesions of one month's duration following an adverse reaction to allopathic medication prescribed for chronic allergic dermatitis. The patient developed diffuse erythema, profuse scaling, painful fissures, burning sensation, and exfoliation involving the face, neck, palms, eyelids, fingers, and other body regions. Burning was aggravated by warmth and relieved by cold applications. The patient experienced considerable emotional distress due to facial involvement, which prevented him from participating in his regular social and religious activities. Constitutional assessment revealed an emotionally sensitive, responsible, caring, perfectionistic individual with long-standing grief related to family conflicts and a strong sense of responsibility towards his siblings. Based on constitutional analysis, Magnesia sulphurica was prescribed.

Outcome

Serial follow-up demonstrated progressive reduction in erythema, scaling, fissuring, crusting, burning, and itching. By the final follow-up, no new lesions appeared, psoriatic plaques had dried considerably, pain and itching had subsided, and facial lesions improved sufficiently for the patient to resume routine social activities.

Conclusion

This case illustrates favorable clinical improvement in drug-triggered erythrodermic psoriasis following individualized constitutional homoeopathic treatment integrated with supportive skin care.