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Chronic Psoriasis with Scalp Involvement

Dermatology
Kavya NairGender: FemaleAge: 34 years (Adult) Chronicity: 4 years

Presenting Complaints & History

  • Thick, silvery-scaled plaques on the scalp and hairline
  • Severe itching, burning, and scaling leading to hair thinning
  • Symmetric plaques on elbows and knees
  • Low self-esteem and anxiety regarding appearance

Clinical Assessment

Presented with persistent scalp psoriasis that was unresponsive to coal tar shampoos and topical steroid lotions. Desired systemic, non-suppressive support.

Diagnostic Investigations: Clinical evaluation confirming plaque psoriasis with a PASI score of 12.5.

Homeopathic Therapeutics & Management

Constitutional homeopathic treatment aimed at immunomodulation and reducing cellular epidermal turnover rates.

Selected Constitutional Remedies: Arsenicum Album and Mezereum

Lifestyle & Nutritional Support

Daily application of virgin coconut oil to soften plaques, avoiding harsh synthetic chemical shampoos, and stress reduction practices.

Clinical Outcome

Follow-up Period: 8 months
  • Significant reduction in scalp scaling and itching within 3 months
  • Complete clearance of hairline plaques and improved hair density
  • Symptom reduction in elbow and knee plaques
  • Improved emotional well-being and confidence
Medically reviewed by Dr. Navaneeth K. Unni
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#Psoriasis#ScalpPsoriasis#SilveryScales#Dermatology#Arsenicum
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