Chronic Plaque Psoriasis
Allergy Nandakumar Nair•Gender: Male•Age: 47 years (Adult)• Chronicity: 10 years
Presenting Complaints & History
- Thick red skin patches covered with silvery scales on elbows and knees
- Intense dry itching and scaling
- Painful bleeding cracks (fissures) on skin joints
- Stiffness in small joints of hands
Clinical Assessment
A 47-year-old engineer from Thrissur presenting with chronic plaque psoriasis for 10 years. Patches spread over elbows, knees, and scalp, causing social isolation. Worsens in winter. Previously treated with coal tar ointments and oral immunosuppressants.
Diagnostic Investigations: Skin biopsy confirming plaque psoriasis; Rheumatoid Factor (RF) negative (ruling out rheumatoid arthritis).
Homeopathic Therapeutics & Management
Arsenicum Album was indicated for dry scaly patches with burning and anxiety, while Petroleum addressed winter aggravation and painful bleeding skin cracks.
Selected Constitutional Remedies: Arsenicum Album and Petroleum
Lifestyle & Nutritional Support
Apply oatmeal-infused moisturizers; take mild sunlight exposure in the morning; avoid alcohol and smoking.
Clinical Outcome
Follow-up Period: 1 year- Skin scaling and thickness reduced by 40% in 2 months
- Winter pass without skin cracking or bleeding fissures in Month 6
- Silvery plaques completely resolved, showing healthy skin at 10 months
- No relapse reported during the 1-year follow-up
✓Medically reviewed by Dr. Navaneeth K. Unni
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