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Chronic Plaque Psoriasis Support

Allergy
Gopalakrishnan P.Gender: MaleAge: 56 years (Adult) Chronicity: 5 years

Presenting Complaints & History

  • Thick, red plaques covered with silvery scales
  • Severe itching and burning on elbows and scalp
  • Skin cracking and bleeding in cold weather
  • Morning joint stiffness and muscle aches

Clinical Assessment

A 56-year-old retired clerk from Thalikulam presenting with chronic plaque psoriasis. Previous treatments included coal tar preparations, topical steroid ointments, and methotrexate, which caused liver enzyme elevation, digestive nausea, and fatigue.

Diagnostic Investigations: Skin biopsy confirming plaque psoriasis; elevated liver enzymes (ALT: 75 U/L) from methotrexate use.

Homeopathic Therapeutics & Management

Homeopathic constitutional analysis focused on his dry, scaling skin (worse for cold damp weather, better for warmth), morning joint stiffness, chilly thermal profile, and anxiety about health. Methotrexate was tapered off under medical supervision. After 1 Month: Scalp itching reduced; liver enzymes normalized. After 3 Months: Plaque thickness decreased by 50%; joint stiffness resolved. After 6 Months: Scalp plaques cleared; elbow plaques resolved. One Year Follow-up: Skin healthy.

Selected Constitutional Remedies: Arsenicum Iodatum and Sulphur

Lifestyle & Nutritional Support

Applied natural moisturizers daily; daily warm sesame oil skin application; anti-inflammatory diet high in omega-3; daily walks.

Clinical Outcome

Follow-up Period: 1 year
  • Silvery plaques on scalp and elbows fully cleared
  • Normalized liver enzymes (ALT: 22 U/L, AST: 20 U/L)
  • Resolution of morning joint stiffness and aches
  • Healthy skin barrier without crackings or bleeding
Medically reviewed by Dr. Navaneeth K. Unni
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