Chronic Dandruff with Scalp, Eyebrow and Beard Involvement: A Longitudinal Case Report of Individualized Homeopathic Management

Abstract

Background

Dandruff and seborrheic dermatitis are chronic, relapsing disorders predominantly affecting sebaceous areas such as the scalp and face. Scalp scaling may extend to the eyebrows, beard and retroauricular regions.

Case Presentation

A male patient presented with gradually progressive dandruff of approximately 2 years' duration. The condition initially appeared as mild intermittent scalp scaling and subsequently progressed to involve the vertex and temporal scalp, eyebrows, moustache/beard region and behind the ear. The lesions were characterized by fine white scales over a dry scalp, severe itching and occasional clear fluid discharge following scratching. Symptoms were aggravated by sweating, stress and winter and improved after washing the scalp. The onset was temporally associated with increased occupational stress.

The patient had a family history of male-pattern hair loss and a past history of allergic rhinitis. His constitutional assessment revealed weak memory, poor concentration, mental restlessness, aversion to sustained effort, boredom with routine and a desire for change. He also reported stage fear, preference for solitude and withdrawal when angry.

Treatment and Follow-up

The documented homeopathic treatment plan included Lycopodium as the constitutional remedy, with Mezereum 6C and Kali sulphuricum 6X subsequently documented. Serial follow-up showed progressive reduction in dandruff and itching. By July 2026, dandruff was reported to be approximately 90% better, with no itching and reduced hair fall. In August 2026, approximately 70% improvement in dandruff was reported, with only intermittent itching during the rainy season. Hair-pull test improved from 3–4 hairs/pulls to 1 pull.

Conclusion

This case documents longitudinal improvement in chronic scalp dandruff with extension to facial hair-bearing areas during individualized homeopathic care. Because this is a single uncontrolled case and several concurrent factors—including hair-care practices, environmental changes and supportive measures—were present, the observed improvement cannot establish a causal therapeutic effect.