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Chronic Adult Eczema (Atopic Dermatitis)

Allergy
Renjith MenonGender: MaleAge: 35 years (Adult) Chronicity: 3 years

Presenting Complaints & History

  • Dry, red, and itchy skin patches on elbow creases
  • Severe itching at night, disrupting sleep
  • Thickened, scaling skin (lichenification) from scratching
  • Post-meal stomach bloating and gas

Clinical Assessment

A 35-year-old software engineer from Triprayar presenting with severe adult eczema. Previous treatments involved long-term daily steroid creams and antihistamines, which only provided temporary relief. Discontinuing steroids resulted in severe rebound skin redness and itching.

Diagnostic Investigations: Elevated serum IgE level (420 IU/mL); normal thyroid panel; stool test suggesting mild gut dysbiosis.

Homeopathic Therapeutics & Management

Constitutional evaluation focused on his skin dryness (worse from washing, worse for warmth of bed), digestive bloating, craving for sweets, and chilly thermal profile. After 1 Month: Night itching reduced; sleep quality improved. After 3 Months: Skin redness decreased by 60%; scaling resolved. After 6 Months: Skin patches fully cleared; IgE dropped to 180 IU/mL. One Year Follow-up: Healthy skin barrier and normal digestion.

Selected Constitutional Remedies: Sulphur and Graphites

Lifestyle & Nutritional Support

Avoided chemical soaps and synthetic fabrics; applied organic virgin coconut oil twice daily; eliminated processed sugar and dairy.

Clinical Outcome

Follow-up Period: 1 year
  • Complete clearing of chronic adult eczema patches
  • Significant reduction in serum IgE levels
  • Natural sleep without night itching or antihistamines
  • Healthy skin barrier with zero peeling or redness
Medically reviewed by Dr. Navaneeth K. Unni
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