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Ulcers of Leg and Foot

The prevalence of venous ulcers is estimated to be approximately 1%. It rises with patient age, obesity, previous leg injury (fractures), DVT (Deep-Vein Thrombosis Vein Thrombosis) and phlebitis (inflammation of vein). Patients complain of limb heaviness, swelling associated when standing and become worse in evening, and with pain. Venous ulcers are associated with at least one or all the symptoms of CVI and may be single or multiple. They are commonly found on the medial aspect of the calf, especially over the malleolus, in the area supplied by incompetent perforating veins. They can be large, involving the circumference of the entire lower leg. They are sharply defined, irregularly shaped, relatively shallow with a sloping border, and usually painful. The base is usually covered by fibrin and necrotic material and there is always secondary bacterial colonization. Squamous-cell carcinoma (A type of cancer) can arise in a long-standing  venous ulcer on the leg.

Stasis Ulcer

Type of Ulcers

Neuropathic Ulcer (Leprosy)

Arterial Ulcer

Venous Ulcer

Treatment

Stasis ulcer is becoming more and more common. The main reason is behind due to occupation that needs prolonged standing as well as sitting, and obesity. The person with stasis ulcer should always keep the leg raised whenever they get a chance to sit. Persons with standing profession should wear a creep bandage during the daytime if he develops varicose vein and during the night hours should lie with leg elevated position. Itching and scratching should be avoided as minor injuries will worsen the ulcer.

Homeopathic Treatment

Since ulcer is a break into the continuity with the skin and so a destructive process.  According to homeopathy, it belongs to syphilitic miasm. But it is completely curable in the majority of the cases. Depending up on the site of ulcer, nature of pain, aggravation time of pain, and chronicity of the ulcer suitable medicines are selected. It is better to start the treatment lower potency. The scope of homeopathy in treating various types of ulcers is very promising.

For information on Succesfully treated cases, please check on the 'CASE-STUDY' page.

Lichen Planus

Lichen planus affects the skin and mucous membrane. It is a group of flat topped inflammatory pink or violaceous papules showing a criss cross appearance on the surface in the skin. In the mucous membrane, it appears as milky white papules.

Etiology

Unknown is etiology. Mental tensions or trauma may predispose.

Clinical Features

Young adults and children are affected. Both sexes are involved.
The lesion first appears under the flexor aspect of upper or lower limb, over axilla or the abdomen, shins, scalp, glans penis, and mouth. The papules are 1 to 10 mm in size, shiny, sharply defined. White zig zag striae can be seen on the top which is called as wick hams's striae.

Lichen Planus on Leg

40 to 60 percent of individual with Lichen Planus have oropharyngeal involvement. On lips, tongue, and gingival the lesion may be of white network like pattern. It is the most common pattern. It is known as reticular types. On the tongue and buccal mucosa there will be erosion on the surface. Carcinoma may develop rarely in mouth lesion.

Lichen Planus in the buccal mucosa

Papular or erosive lesion may occur on penis, scrotum, and labia majora and minora.

Homeopathic treatment.

Out of my 23 years of experience I can boldly that a homeopathy is far superior in the treatment of lichen Planus than corticosteroid treatment. Since the cause is not known, homeopathy goes deep within the system and unlocks the miasm and makes the system capable of curing the lesion.
But the erosive type of lichen Planus takes little more time for the complete cure. Usually deep acting medicines are needed to complete the cure. The miasm of LP is syco- syphilitic according to homeopathic philosophy. Medicine comprising of both categories is needed. Ars Alb, Thuja, Syphyllinum, etc. is the most commonly used medicines. However, It may vary for each case depending up on the mental and physical peculiarities of the patient.

Herpes Zoster

HZ is an acute viral infection with reactivation of varicella zoster virus.  It is also known as shingles. It is characterized by unilateral pain and vesicular and bullous eruption to a nerve root. Age of onset: less than 50 yrs. of age. People who are at risk of getting the herpes zoster are:

Diminishing immunity against the varicella zoster virus with advancing age and occurring below 55 years.

  • Malignancy
  • Immunosuppression
  • Chemotherapy and radiotherapy
  • HIV-infected individuals have increased chance of herpes zoster.

Clinical Features

Herpes zoster manifested in three clinical stages. Prodromal stage, active stage, chronic state Acute pain is accompanied by a rash. Chronic pain may persist even after the lesions have healed or persist four weeks after the onset of a lesion.
Skin symptoms: pain and tenderness, paresthesia, followed by vesiculation with itching but not painful.
Abdominal zoster: present with severe abdominal pain that may precede rash by hours to days.
Chronic stages: described as ice burning, shooting or lancinating can persist for weeks months or years.

Constitutional symptoms

Prodromal stage- vesiculation, headache, malaise, fever

Chronic stage: depression

Eruption occurs unilaterally along the course of a nerve root.

Site of predilection

Thoracic, face, lumbosacral, and cervical area

Mucous membranes: vesicles and erosion occur in mouth, vagina and bladder depending on the nerve root involved.

There will be also lymph node enlargement on affected area.

HERPES GENITALIA

Genital herpes is a chronic sexually transmitted viral infection characterized by symptomatic and asymptomatic viral shedding. Symptomatic genital herpes may present with grouped vesicles at the site of inoculation. There will be associated pain and lymph node enlargement.

Mode of transmission

It is transmitted usually by skin to skin contact. The risk factors to the disease increase with the number of sex partners.

Clinical Features

Incubation period - 2 to 20 days.

Symptoms

The primary GH is asymptomatic and there can be symptoms like fever, malaise, headache, myalgia for the first 3 to 4 days after the onset of lesions. And it began to resolve during the subsequent 3 to 4 days. There is pain, itching, dysuria, lumbar radiculitis, vaginal or urethral discharge. Tender inguinal lymphadenopathy occurs during second or third weeks. To start with, erythematous plaque seen initially, followed by groups of vesicles, which may evolve to pustules. The erosions are punched and may enlarge to ulcerations, which may be crusted or moist. In recurrent GH,  there can be common symptoms like,  itching,  burning,  fissure, redness,  irritation,  dysuria, sciatica, rectal discomfort prior to eruption of vesicles.

HERPES LABIALIS

It is also known as fever blisters. It is caused by the herpes simplex viruses. It is characterized by grouped vesicles around and may be with mild fever.

Causes
  • Upper respiratory tract infection
  • Weakness
  • Menstruation
  • Hormonal changes
  • Stress
Treatment

Homeopathic medicines are strongly advocated for herpes zoster treatment. Since homeopathy is highly effective in viral infection, further recurrence can also be avoided. Besides this, homeopathic medicines are very much helpful for the pain that persists after healing. It is called as post herpetic neuralgia one of the most painful sequale after herpes zoster.

Medicines:
Mezerium, Rhust tox, Ars alb, Apis, Cantharis are some frequently indicated medicines.

Chronic Venous Insufficiency

Chronic Venous Insufficiency (CVI) results from failure of return of venous blood and increased capillary pressure, resulting in changes like swelling stasis (stagnation) dermatitis, hyper pigmentation, fibrosis (thickening) of the skin and subcutaneous issue of the leg and ulceration. CVI is in the majority of cases is associated with varicose vein. And varicose veins are more common in women than in men, and it is an inherited characteristic. The aggravating factors include pregnancy, increased blood volume, and increased cardiac output, increased progesterone.

Clinical features

CVI is commonly associated with heaviness or aching of leg, which is worse on standing and relieved on walking. Thickening of skin may limit movement of ankle and cause pain and limitation of movement in turn increase stasis (stagnation). Leg edema aggravated by dependency, summer season. On physical examination, the superficial leg veins are enlarged.

Skin lesions

Swelling of lower leg improved in the morning after a night's sleep in the horizontal position. Stasis dermatitis occurs about the lower legs and ankles, there are inflammatory papules, scaly and crusted erosions. There is also pigmentation stippled with recent and old hemorrhages, dermal sclerosis and excoriations due to scratching.

Lipodermatosclerosis what it is?
Inflammation, indurations and pigmentation of lower third of leg making inverted champagne bottle appearance with edema above and below the sclerotic region. The leg is narrow above the ankle, and as it goes up become wider.

Ulceration: ulcers, sharply defined with deep margins, necrotic base surrounded by stasis dermatitis, and lipodermatosclerosis.

Stasis ulcer & Stasis ulcer with stasis dermatitis

Inverted champagne bottle appearance of the leg

Treatment

Nowadays, the incidence of venous insufficiency is getting more, and it can be considered as one of the occupational disease. Prolonged standing and prolonged sitting are the main cause for. Once the varicose vein has developed tight bandage during the daytime, and while lying at night has to elevate the leg, like keeping the leg on the pillow. While sitting keep the leg elevated.

Homeopathic treatment

Once the varicose vein has fully formed, to make it to its normal position is difficult. But early stages can be managed by medicines and with daytime bandage and night elevation method.
Pain and ulceration can be managed by homeopathic medicine in the majority of cases. The medicines selection depends up on the site of the ulcer, nature of pain, aggravation time of the pain and also side of the leg affected. Since homeopathic treatment is purely individual based the medicines may change from persons to a person. And over-all prognosis is very good.
Medicines like Lachesis, Ars alb, Carbo veg, Secale cor, Silicia, etc. are the more frequently indicated medicines.

Candidiasis

What is candidiasis?

Candidiasis is caused by the yeast candida albicans. Superficial infection of mucosal surface is common in healthy individuals. Infection of esophagus or tracheobronchial tree also occurs in immuno compromised individuals. The term candida is often interchangeably used as thrush. Cutaneous candidiasis occurs at moist occluded areas of skin. Candida albicans and other species frequently colonies in GI tract. Colonization may occur during birth from the birth canal during infancy or later. Oropharyngeal colonization is present in 20%of healthy individuals, the rate being higher in hospitalized patients. Women are colonized vaginally with candida albicans, and it may also colonize the skin. Candida may be transmitted from sexual partners. Young and old are more likely to be colonized.

Who all are affected with the candidiasis?
  • Immunocompromised persons
  • Obesity
  • Diabetes
  • Chronic debilitation
  • Excessive sweating
  • Heat
TYPES OF CANDIDIASIS

1)Cutaneous candidiasis:

Usually seen in moist, occluded cutaneous sites.
The skin lesion includes –a) intertrigo: initial pustules on erythematous base, which become eroded. Usually seen in axilla, groins, perineal, intergluteal cleft.

  • Interdigital intertrigo: initial pustules become eroded with formation of superficial erosion or fissure surrounded by thickened white skin. It is distributed in hands between 3rd and 4th fingers and on feet.
  • Diaper dermatitis: irritability, erythema, oedema with papular and pustular erosion.

2)Oropharyngeal candidiasis:

Candidiasis of the oropharyngeal mucosa occurs after antibiotic therapy, glucocorticoid therapy.
Oropharyngeal symptoms: usually asymptomatic. Burning or pain on eating spicy food. Diminished taste sensation. White curd like patches upon the tongue.

3)Genital candidiasis:

Genital candidiasis occurs in the mucosa of the vulva vagina and preputial sac of the penis vulvitis/vulvovaginitis, usually the onset is a week before menses. Symptoms may recur before each menses. Pruritis, vaginal discharge, vaginal soreness, vulvar burning, dyspareunia, external dysuria.

Genital Candida

Homeopathic treatment
  • General  measures include
  • Keep the affected part dry
  • Control the underlying diseases in any for e.g: diabetes
  • Change to weight reducing diet if obese.

There is no specific homeopathic medicine for candidiasis. Like other diseases, the selection medicines depend of the physical nature of the patient, site of infection, and also on constitutional built of the patient. External application with calendula tincture can be used to wash the parts.
Internal medicines like Natrum Mur, Sepia, Tellurium, Sulphur, etc. are very much effective. Since the medicine is used to internally usually, it takes some time for the complete cure. Homeopathic to be very c treatment is found to be very effective for the treatment of candidiasis.

Alopecia

It is a localized loss of hair in round and oval areas without any visible inflammation of skin. The most common presenting site is the scalp. Usually affect the young adults, more than 25 years. Equal in both sexes. Children are also affected.
The duration of hairless is gradual over weeks to months. Patches of alopecia areata can be stable and often spontaneous regrowth over a period of several months. Skin symptoms are minimal. Scalp, eyebrows, eye lashes beard, pubic hairs are affected.

ALOPECIA AREATA

Alopecia areata

This is the common progressive balding that occurs through the combined effect of genetic predisposition and action of androgen on scalp hair follicles.
Age of onset in males may begin any time after puberty and in females later in about, in the 6th decade. In male receding of anterior hairline, especially in the parietal regions which result in the M shaped recession. Following this a bald spot may appear in the vertex. If AGA (Androgenetic Alopecia) progresses rapidly some patients complain of increased falling out of hair. In female's severe thinning of hair is not common.
The hair in areas becomes finer in texture. In time, hair becomes vellus and eventually atrophies completely. In males, it is mainly distributed in the front or temporal and vertex areas, and the result may be only a rim of residual hair on the lateral and posterior scalp.

CICATRIAL ALOPECIA

Cicatrial alopecia is due to destruction of the hair follicle due to destruction or damage of the hair follicle by inflammatory or by other pathogenic processes. The hair follicle is replaced by fibrous tissue.

OPHIASIS

It is the band like pattern of hair loss over the periphery of the scalp.

ALOPECIA UNIVERSALIS

In this pattern, hair loss from scalp, eye brows, eye lashes, beard, and body hair.
Homeopathic treatment of alopecia areata.
AA though not a serious disease but it needs some investigation. Usually, it causes a cosmetic problem in many patients. Homeopathy has a definite role in the treatment of alopecia areata. Since there no inflammation of the skin, according to homeopathic philosophy it belongs to syphilitic miasm, because there is a destruction of the hair follicle. So homeopathic medicine has an effective role since it treats the patient in an individualistic approach.
The efficacy and duration of homeopathic treatment depend on-
The duration of occurrence of alopecia areata
Site of affection AA
Age of the patient
Type of underlying disease, like thyroid and other diseases
Homeopathy is effective in patchy type of alopecia areata. But in scarring type and alopecia universalis the result is not satisfactory.
Anyway in alopecia totalis if constitutional medicines are given by taking the totality of the symptoms further progress can be prevented.
Medicines like Natrum Mur, Sepia, Acid phos, etc. are indicated if the emotional factor is a role in the development of alopecia areata. Thyroidinum, Acid flour, etc. if there is any underlying disease like thyroid disease, or diabetes, etc.

Warts

Warts are a discrete benign growth on the surface of skin. And it is caused by a virus. It can appear anywhere on the body.

EPIDEMIOLOGY AND ETIOLOGY

Since it is a viral infection transmission is by skin to skin contact the causative organism is the human papilloma virus (HPV).

OTHER FACTORS

Also occur in HIV disease or after iatrogenic immunosuppression with solid organ transplantation.

CLINICAL FEATURES
Symptoms

It occurs on the site of trauma. Hands, fingers, knees, etc. butcher’s warts are large cauliflower like warts on hand of meat handlers.

Palmar warts

Plantar warts are sharply emarginated papule, studded with brown –black dots. Plantar warts are quite painful during walking it is located on the pressure points. "Kissing lesion" may occur on opposing surface of two toes. Usually, warts heal without scarring.

Warts on toes

Plantar warts

VERRUCA PLANA (Flat Warts)

Sharply defined flat papules of lesion 1 to 2 mm, skin colored or brown round. Oval, polygonal linear lesions occur on face, beard area, dorsum of hands, chin.

Treatment

Modern methods like applying solutions or cauterization are only temporary measures. But homeopathy offers promising cure in warts. There is no local application; the duration of treatment depends on chronicity and severity of the warts. Usual medicines are Thuja, Causticum, Natrum mur, Medorrhinum, etc.

Urticaria

Urticaria or hives are red raised patches or bumps on the skin. It can occur anywhere in the body. The shape and size of the patches may vary. Depending on the duration of occurrence it can be divided as acute urticaria and chronic urticaria. The hives may change the size and place during each episode, and each episode may last about 2 to 24 hours. The size may vary from less than 1cm to be larger than 8cm. The hives are sharply defined erythematous rim, round or oval or serpiginous. Angioedema is like hives but occurs in a large area that involves the dermis and subcutaneous tissue. It may occur around eyes, lips and genital. Usually, it subsides without complication. But when it occurs in throat, tongue or lungs, it will block the air ways, and respiration may be arrested. And it is a serious condition.

Angioedema

Acute urticaria

Acute urticaria may be due to an allergic reaction and the exact cause for chronic urticaria is unknown, but considered to have an autoimmune cause. 80% of chronic urticaria is considered to be idiopathic.

Types of urticaria
  • Acute urticaria–may be due to food allergies, insect bites, infections, or medications.
  • Foods include shell fishes, meat, certain food grains, etc. certain food additives may also cause urticaria
  • Chronic urticaria may last for years.
Immunologic
  • IgE  -mediated urticaria.
  • Auto-immune  urticaria
  • Immune contact urticaria
Physical urticaria

A-Dermographism-the hives occur after stroking or scratching the skin. Hives fade about in 30 minutes.

Dermographism

B-Cold urticaria-hives occur in areas exposed areas. Application of the ice cube for a few minutes to skin (Ice cube test) establishes the diagnosis.

C-Solar urticaria-hives occur after exposure to sun.

A-Aquagenic urticaria- hives after contact with water of any temperature.

E-Cholinergic urticaria-exercise to the point of perspiration provokes the hives.

F-Pressure Angioedema-hives occur in areas of sustained pressure, for example, foot swelling after walking, and buttock swelling when seated.

Treatment

Patients have to watch for the triggering factors/foods. If identified should keep away from it till the treatment is over.
Homeopathic medicine is very effective for acute as well as chronic urticaria. The acute conditions are managed by short-acting homeopathic medicines, and also homeopathic medicines, which have got special affinity to allergy to certain foods. In chronic cases, constitutional or miasmatic remedies are selected according to the homeopathic method. But certain medicines are specific for certain food allergies for eg: Antim crud for urticaria from beef, from shell fish apis, bromum etc.
Apis mel, nux vom, urtica urens, ars alb, rhus tox are used for acute exacerbations.
Chronic cases can be treated with constitutional medicines like nat- mur, sulphur, calc carb, tuberculinum, sulphur etc.

Molluscum Contagiosum

  • It is a viral infection characterized by skin colored papules that are often umbilicated, occurring in children and sexually active adults.
  • It is caused by molluscum contagiosum virus.
  • Age and sex: children and sexually active adults are commonly affected. Males more than females are affected.
  • Risk factors: HIV-infected individuals
  • Transmission: skin to skin contact
    • Classification by risk groups:
    • In children more common on exposed skin sites.
    • In sexually active adults, it is in the genital region.
    • HIV infected individual: commonly occur in the face and spread by shaving.
Pathogenesis

The carrier state of MCV (Molluscum contagiosum Virus) exists in many adults. Rupture and discharge of the infectious virus packed cells occur in the umbilication or crater of the lesion.

Clinical features

Papules are of 1 to 2 mm 5 to 10 mm sized nodules. Pearly white or skin colored, round, oval, spherical, umbilicated lesions. Lesions are isolated single or multiple scattered discrete or confluent mosaic plaques. In HIV infected males who shave, molluscum can be confined to beard area.
Distribution: any site may be infected. Axilla, antecubital fossa, popliteal fossa, crural folds,
In adults: sexually transmitted: groins, genitalia, thighs and lower abdomen.
MC can also occur on the conjunctiva.

Homeopathic treatment

Like other viral infections, homeopathy offers a very effective treatment for molluscum contagiosum. Of course, it is a self-limiting disease, if it becomes extensive and severe definitely homeopathic treatment is needed. And sometime this viral infection may extend for months without receding. In such cases, also medicinal interference is needed. Here a detailed case study as homeopathy explains is needed.

Homeopathic remedies- Calc Carb, Thuja, Sil, Hep sulph etc. is some medicines.

Measels

It is a viral infection characterized by fever, coryza, cough, conjunctivitis and a rash.

EPIDEMIOLOGY AND AETIOLOGY

Etiology: measles virus

Transmission: spread by respiratory droplet produced by sneezing and coughing.

Clinical features

Incubation period: 10 to 15 days

Symptoms:
  • Fever
  • Malaise
  • Photophobia
  • Coryza
  • Cough
  • Conjunctivitis
  • Periorbital oedema

On the 4th febrile day, erythematous macules and papules on forehead, hairline, behind ears spread centrifugally and downwards to involve the face, trunk, extremities,  palms, soles reaching the feet 3rd day.  Exanthema resolves in 4 to 6 days.

Mucous membranes: Koplik spots: It is a cluster of tiny bluish-white spots on red back ground that appears on 2nd day on the buccal mucosa opposite to premolar teeth. It appears before the rashes.

Along with this, there will be generalized lymphadenopathy, diarrhea, vomiting, and splenomegaly.

Homeopathic Treatment

Homeopathic medicines like Aconite, Belladona, Pulsatilla, Anti tart, Anti crud, Rhus tox etc. are some of the usually indicated homeopathic medicines. These medicines if started from the beginning will prevent the complication. Pneumonia is the major complication of measles.

Atopic Dermatitis

Atopic dermatitis (AD), otherwise known as atopic eczema is an acute sub acute, or chronic relapsing skin disorder characterized by dry skin, pruritis, which leads to Scratching, and ultimately thickening of skin (lichenification). So an itch –scratch-itch cycle develops. Serum IgE usually increases.
Diagnosis is on clinical findings.
When infected there is a colonization of S aureus bacteria. Usually associated with personal/family history of atopy ie; allergic rhinitis, asthma, atopic dermatitis. The word atopy is from Greek and meaning is “strange." In general, we can call it as allergy.

Atopic dermatitis is more common in infants and children. By about 60 percent of cases, the first appearance is about the 2nd month, 30% of cases by about the age of 5, and 10% cases between 6 and 20 yrs. Adult onset is not rare.
Males are affected more than the females.
The inheritance pattern has not been fully ascertained, but 60% of the adults with AD had children with AD.
If both parents have AD, 80% of children will have AD. Along with skin symptoms, there may be allergic rhinitis characterized by sneezing, nasal obstruction, rhinorrhoea, itching of conjunctiva, pharynx, and eyes with lachrymation. It may be seasonal when associated with pollen.
Site of predilection-flexures, forehead, face, front and sides of neck, wrist, dorsum of feet and hands are the common sites.
In severe case, the distribution may be general. But the sites may vary in the age
In infants and young children commonly involved, areas are face, side and back of neck, chest. These are the areas where the infant and young children can easily scratch. So the diaper areas are usually spared. But in older children and usual areas are the flexures like front of elbow, back of knees, hands.

Atopic dermatitis in infant Atopic dermatitis in a female child

In adults, commonest areas are hands and feet.

Dust mites, pollens exacerbate the disease.

There is a flare-up in winter as well as summer. Cotton clothing is the better choice, because wools, blankets, trigger the pruritis.

Atopic dermatitis in ankle-adult type

Stress, anger and frustration will trigger the AD, but it won’t as such cause the disease. If it not properly managed the smooth day to day activities of the patients is usually affected.

Measures to take care and avoid dryness of skin.
  • Avoid frequent and prolonged bathing with soap
  • Use moisturizer after bathing
  • Avoid soaps in every bath
  • Use mild and nondrying soaps
  • Avoid adding bath oil in bath water
Investigations

Bacterial culture-S aureus is very common in the involved skin.
Blood studies- increased IgE, AEC.

MANAGEMENT

Advise the patient to avoid rubbing and scratching,
Keep away from the triggering factures.
Advice to use cotton clothing.
In children and adult advice yoga to get rid of emotional stresses.
Treat the infection

Homeopathic treatment

Scope of homeopathy in atopic dermatitis:
Almost complete cure is possible under homeopathic treatment. Since atopic dermatitis being a genetically mediated condition, external application will only help to suppress the disease but the not complete cure. By using ointment and other external application the disease as per homeopathic view, will go deep inside and will manifest to some other form. So an anti-miasmatic or constitutional medicine is needed for the complete cure.
Main remedies are:
Sulphur, graphitis ,mezerium, ars alb, sepia, petroleum are the usually indicated remedies.
For and to control allergic rhinitis ars alb, silica, allium cepa etc; Along with medicine and precautionary measures as mentioned above is also needed for the complete cure.

Acne

ACNE VULGARIS

Inflammation of pilosebaceous (hair, hair follicles and sebaceous glands) units of certain body areas occur mostly in adolescents and manifest as comedones, papulopustules or nodules or cyst. It is due to action of hormones on oil glands within the skin. Sometimes it can cause scarring and disfigurement of the face.

Occurrence: very common

Age of onset: puberty 10 to 17 teenagers, 14 to 19 males.

Sex: more in males than in females

Clinical features

Duration of lesions: weeks to months

Season: worse in fall and winter

Symptoms:

Pain in lesions.
Comedones: are white or black open or closed papules and papulopustules, nodules or cyst 1 to 4 cm in diameter. Soft nodules result from follicular ruptures, and cysts are pseudocyst.
Special forms of acne:

  • Acne conglobata-It is the boil or abscess of the sweat gland occurring in axilla, buttock, groin, and under the breast of females.
  • Acne fulminants-It is a type of acne conglobata in the severe form.
  • Tropical acne
  • Acne with facial edema
  • Acne in the adult women
  • Neonatal acne
  • Occupational acne
  • Acne cosmetica- acne due to the use of cosmetics
  • Pomade acne

Acne vulgaris is the common form of acne seen in during puberty and disappear by the age of twenty.

Acne vulgaris with comedons

Acne rosacea is a form of acne affecting the nose cheek, face. There is redness, flushing with inflamed pimples.

Homeopathic treatment

Homeopathic remedies are very effective for acne. But they have to change the diet, should relieve from stress, and modify their dietary habits.
It is better to avoid junk foods, cow milk, sugar and fast foods. Also avoid high glycemic index foods like white rice, cookies, cakes and potato chips, etc.
Chocolate will also increase the acne.

Patient can eat:

  • Fish rich in omega-3 fatty acids
  • Oysters
  • Dry fruits like walnut, roasted pumpkin seeds, watermelon seeds, flax seeds
  • Green tea
  • More fruits and vegetables.
Acute exacerbation can be treated with Hep sulph, Sil, kali mur etc. once the acute episodes are subsided to detailed case taking is needed to prevent its recurrence.
For chronic cases the duration, nature or eruption, area of distribution,and mental emotion aspect of the patient all should be taken into consideration. Complete cure is possible in a majority of the cases by homeopathic treatment.

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