Homoeopathic Management in Lichen Simplex Chronicus: A Case Report

Abstract

Lichen simplex chronicus is a chronic inflammation of the skin characterized by lichenification of the skin because of excessive itching and scratching. It is a common form of neurodermatitis which causes leathery texture of the skin, raw surface, skin patches and plaques. This disorder is the reflection of the pruritic dermatosis which may be the result of psychological stress.  Conventional treatment only keeps the  symptoms in abeyance and eruptions reappear again  and again. In this case report a 23 year old male presented to Dr. B.R Sur Homoeopathic medical college, hospital and research centre, New Delhi, with complaints of hyperpigmentation with itching of bilateral feet since 1 year after detailed case taking and analysis Arsenic Album 30C  was prescribed three times a day for 1 day, as constitutional remedy based on his symptom totality. After six months of treatment, the patient exhibited significant clinical improvement, with complete resolution of the lesion and restoration of normal skin texture and color. Photographic evidence of before and after treatment served as objective evidence of clinical changes.  Modified Naranjo score of +8 provides evidence that the clinical outcome is due to homeopathic intervention. This case report suggests that Homoeopathy can serve as a possible treatment option for the management of Lichen simplex chronicus cases.