Management of Lichen Planus Nodularis through Individualized Homoeopathic Medicine: A Case Report

Abstract

Lichen planus nodularis is a chronic dermatological condition characterized by painful, pruritic nodular lesions, often leading to intense discomfort and reduced quality of life. Conventional treatments may have limited effectiveness, creating a need for alternative therapeutic options. This case report presents the successful homeopathic management of a 72-year-old male diagnosed with lichen planus nodularis, highlighting the potential benefits of individualized homeopathic treatment. The patient, a 72-year-old male, presented with a six-month history of intensely pruritic, painful nodular lesions affecting 50-60% of his body. The initial Lichen Planus Severity Index (LPSI) score was 45, indicating moderate to severe disease involvement. The patient’s primary concerns were severe itching, discomfort, and impaired daily functioning. The diagnosis of lichen planus nodularis was confirmed clinically. An individualized homeopathic remedy, Sulphur 200, was prescribed based on the patient’s symptoms. Treatment progress was tracked over six months using the LPSI, photographic documentation, and the modified Naranjo criteria for assessing the causal relationship between treatment and outcomes. The patient demonstrated significant improvement, including reduced pruritus, decreased nodule size, and eventual symptom remission. These positive outcomes were corroborated by a decrease in LPSI score and photographic evidence. This case report suggests that individualized homeopathic treatment may provide relief for chronic dermatological conditions such as lichen planus nodularis. The observed improvement supports a probable causal link between the homeopathic intervention and clinical outcomes, as indicated by the modified Naranjo criteria. However, larger studies are necessary to validate the efficacy and generalizability of homeopathic interventions in treating chronic dermatological conditions where conventional approaches may be insufficient.