Individualized Homeopathic Management of Pyogenic Granuloma: A Case Report with Clinical Resolution Within One Month

Abstract

Background

Pyogenic granuloma (lobular capillary haemangioma) is a benign, rapidly growing vascular lesion of the skin or mucosa that commonly presents as a friable, erythematous lesion with a tendency to bleed easily. In this case, a 14-year-old male presented with a localized lesion over the right mandibular region, clinically diagnosed as pyogenic granuloma.

Case Presentation

A 14-year-old male student presented with a lesion over the right side of the mandible for approximately 1.5 months. The principal complaint was marked bleeding (+++), particularly aggravated by friction. Betnovate-C lotion was being used, with reported amelioration. There were no associated complaints.

Detailed constitutional case-taking revealed a markedly shy, introverted and reserved adolescent who preferred being alone. He was sensitive to scolding and noise, emotionally sensitive, easily hurt and had a tendency to cry easily. He was described as obedient, disciplined, punctual, understanding and mature. He had good family relationships and was studying in a residential Navodaya school. His aspiration was to become a judge.

Based on the totality of symptoms and the constitutional characteristics, Carcinosin was selected as the constitutional remedy.

Result

At 1-month follow-up, the pyogenic granuloma showed significant clinical improvement, with resolution of the presenting lesion as documented in the case outcome. The result was achieved within one month of individualized management.

Conclusion

This case demonstrates the application of individualized constitutional case-taking in a young patient presenting with pyogenic granuloma. The marked bleeding and local modality were considered along with the patient's characteristic mental and general symptoms. The documented clinical improvement within one month warrants further systematic documentation and follow-up in similar cases.