Eczema: Difference between revisions

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===Terminology===
{{#seo:
 
|title={{#if: {{{Eczema|}}} | {{{page_title}}} | Welcome to WikiSEO}}
* Many authors use the terms [[dermatitis]] and eczema synonymously
|title_mode={{{title_mode|}}}
* Others use the term eczema to specifically mean atopic dermatitis
|keywords={{{Eczema|}}}
* Atopic dermatitis is also known as atopic eczema
|description={{{description|}}}
 
|published_time={{REVISIONYEAR}}-{{REVISIONMONTH}}-{{REVISIONDAY2}}
}}
===Related disease===


* [[Herpetic eruption|Herpetic eruptions]]
* [[Seborrheic dermatitis|Dandruff]]
* [[Psoriasis]]
* [[Alopecia]]
{| class="wikitable"
|+
!
=== Clinic ===
!
=== Types ===
=== Types ===
 
|-
* Atopic dermatitis: Dry, itchy, red skin
|
*Dermatitis and eczema are used interchangeably.
* Dermatitis is inflammation of the skin typically characterized by itchiness
* Sign / Symptoms:
** Redness of skin and a rash
** Swelling, itching
** Skin lesions with sometimes oozing and scarring
** May be small blisters, which may end in skin thickness.
|
*Atopic dermatitis = Atopic eczema: Dry, itchy, red skin
* Contact dermatitis
* Contact dermatitis
* Stasis dermatitis
* Stasis dermatitis
* Dermatitis herpetiformis: Itching, Stinging , Burning sensation. Papules / Vesicles. Small red bumps are usually about 1 cm in size, red in color and may be found symmetrically grouped or distributed
* Dermatitis herpetiformis: Itching, Stinging , Burning sensation. Papules / Vesicles. Small red bumps are usually about 1 cm in size, red in color and may be found symmetrically grouped or distributed
* Seborrhoeic dermatitis: Appear gradually, from dry or greasy scaling of the scalp (dandruff) to scaling of facial areas. Sometimes itching, but without hair loss. In newborns, the condition causes a thick and yellowish scalp rash, often accompanied by a diaper rash. In severe cases, symptoms may appear along the hairline, behind the ears, on the eyebrows, on the bridge of the nose, around the nose, on the chest, and on the upper back
* [[Seborrheic dermatitis]]: Appear gradually, from dry or greasy scaling of the scalp (dandruff) to scaling of facial areas. Sometimes itching, but without hair loss. In newborns, the condition causes a thick and yellowish scalp rash, often accompanied by a diaper rash. In severe cases, symptoms may appear along the hairline, behind the ears, on the eyebrows, on the bridge of the nose, around the nose, on the chest, and on the upper back
* Drug-induced dermatitis
|}
== Repertory ==
{| class="wikitable"
|+
!
=== Accompanies by ===
!
=== Quality ===
!
=== Locality ===
|-
|
* Internal maladies: [[Graph, Graphites|Graph]]
|
*Clusters of grapes, like: [[Calc-c, Calcerea carbonica|Calc]]
* Desquamative: [[Merc, Mercurius Solubilis|Merc]], [[Nit-ac, Nitricum Acidum|Nit-ac]], [[Rhus-t, Rhus toxicodendron|Rhus-t]], [[Sep, Sepia|Sep]], [[Sul , Sulphur|Sul]]
* Flat skin lesions: [[Bell, Belladona|Bell]], [[Lach, Lachesis Mutus|Lach]]
* Gard eczema: [[Ant-c, Antimonium Crudum|Ant-c]]. [[Ran-b, Ranunculus Bulbosus|Ran-b]]
* Offensive: [[Psor, Psorinum|Psor]], [[Sul , Sulphur|Sul]]
* Raised skin lesions: [[Bry, Bryonia Alba|Bry]], [[Crot-h, Crotalus horridus|Crot-h]], Cupr-ac, [[Tarax, Taraxacum Officinale|Tarax]]
* Rough eczema: [[Hep, Hepar Sulphur|Hep]]
|
* Hair skin eczema: [[Merc, Mercurius Solubilis|Merc]], [[Nat-m, Natrium muriaticum|Nat-m]], [[Rhus-t, Rhus toxicodendron|Rhus-t]]
* Scalp eczema: [[Mez, Mezereum|Mez]], [[Borx, Borax|Borx]], Astacus fluviatilis
|}


== First class remedies ==
{| class="wikitable"
|+
!
!Character
!Modalities / Concomitats
!Rubrics/ Location
|-
|
=== [[Graph, Graphites|Graph]] ===
|
*'''Dry/ Rough skin /''' '''Cracks'''
*Vesicular / [[Herpetic eruption|Herpetic]] / Exudating eruption which leads to Eczema
* Small, crusty, dry and scaly rashes ([[Graph ₳ Petr]])
|
* Oozing rashes: Clear, Watery /'''Gluey''' / Sticky secretions scab over the rash
* Unhealthy/ Sensitive skin that easily infects with any trauma ([[Hep, Hepar Sulphur|Hep]], [[Merc, Mercurius Solubilis|Merc]])
* Atopic Dermatitis + [[Hay fever]]/ [[Rhinitis|Allergic rhinitis]] / Asthma ('''[[Hist, Histaminum|Hist]])'''
|
* [[Abscess]] and opening of old breast wounds
* Eyelids Eczema: Cracked but moist rashes
* Eyelids edge is red and covered with [[Seborrheic dermatitis|dandruff]] / Crust
* Face/ Nose/ Chin/ Hands Palms/ Bends of Elbows/ Knees, Neck and behind the Ears
|-
|
=== [[Petr, Petroleum|Petr]] ===
|
* '''Dry and cracked skin'''
* Bleeding from the cracks.
* Lesions get thickened gradually and covered with crusts.
|
* Flare of Atopic Dermatitis with '''dry, cracked skin in winter''' (Highly characteristic)
* Marked Burning and Itching
|
|-
|
=== [[Sul , Sulphur|Sul]] ===
|
* First line of Atopic Dermatitis.
* Main complaint: I'''ntolerable skin itching'''.
* Excessively dry Skin + Scales
* Scratching causes burning
* Dermatitis due to local medications suppression
|
* '''Night  Itching is at its peak at''' or when the person’s body gets warm in bed.
* Spring season or damp weather Relapse
|
|-
|
=== [[Nat-m, Natrium muriaticum|Nat-m]] ===
|
* Dry or ooze eruptions fluid.
* Eruptions are dry with rawness of skin along the margin of scalp.
|
* Warmth and heat agg
* Taking salt agg
* '''Nasal allergy''' + Marked sneezing, runny nose along with dermatitis complaint.
|
* Bends of limbs (Elbows, Knees).
* '''Margins of scalp/ Hairline'''
|-
|
=== [[Rhus-t, Rhus toxicodendron|Rhus-t]] ===
|
* Contact  Dermatitis: Burning, itching and vesicular rashes.
* Atopic Dermatitis+ '''Eruptions covered with thick crusts that ooze fluid.'''
* '''Red''' '''Skin''' + Excessive itching
* '''Fluid-filled vesicular bumps''' 
|
* Scratching agg the itching
* Scaling of skin may also appear.
* Marked burning and intense itching
|
|-
|
=== [[Ars, Arsenicum Album|Ars]] ===
|
* '''Dry, rough scaly eruptions'''
* Intense Itching / Burning in eruptions.
|
* Night agg
* The affected skin is oversensitive to touch.
|
* In most cases, eczema is marked on the face.
|-
|
=== [[Mez, Mezereum|Mez]] ===
|
* Atopic Dermatitis +  '''Oozing fluid eruptions'''
* V'''ery sticky fluid'''
* Thick scabs form on the skin with pus under it indicating infection.
* Marked itching.
|
* Bathing with warm water Agg
* At times blood may ooze out on touching crusty eruptions.
|
|}


=== Sign / Symptoms ===
== Second class remedies ==
 
{| class="wikitable"
* Redness of skin
|+
* Swelling, itching
!
* Skin lesions with sometimes oozing and scarring.
!
 
!
=== Repertory ===
!
 
|-
* Raised skin lesions: Bry, [[Crot-h, Crotalus horridus|Crot-h]], Cupr-ac, [[Tarax, Taraxacum Officinale|Tarax]]
|[[Sil, Silicea|Sil]]
* Accompanies by internal maladies: Graph
|
* Desquamative: Merc, Nit-ac, Rhus-t, Sep, Sul
|
* Offensive: Psor, Sul
|
* Flat skin lesions: Bell, Lach
|-
* Skin lesions like clusters of grapes: Calc
|[[Dulc, Dulcamara|Dulc]]
* Rough eczema: Hep
|
* Hair skin eczema: Merc, Nat-m, Rhus-t
*Crusted  
* Gard eczema: Ant-c. Ran-b
 
=== First class remedies ===
 
==== [[Dulc, Dulcamara|Dulc]] ====
 
* Crusted  
** Moist herpetic rash
** Moist herpetic rash
** Yellow-brown with a red border
** Yellow-brown with a red border
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* Rash may spread all over the body ([[Dulc ₳ Psor]])
* Rash may spread all over the body ([[Dulc ₳ Psor]])
* Sensitive to touch (Scratching agg)
* Herpetic / Vesicular /Moist /Exudating rashes which leads to eczema
<blockquote>SKIN - ERUPTIONS - herpetic - Body; all over sweet. Psor. [[Ran-b, Ranunculus Bulbosus|Ran-b]]
SKIN - ERUPTIONS - crusty
SKIN - ERUPTIONS - herpetic - moist
SKIN - ERUPTIONS - vesicular SKIN - ERUPTIONS - vesicular - yellow
SKIN - ERUPTIONS - herpetic - glands; Covered with sweet. graph.
SKIN - ERUPTIONS - vesicular - burning</blockquote>
[[File:Psor eruption 1.png|alt=Scrotal eruption , Cracked skin|thumb|150x150px|[[Eczema remedies|'''Eczema''']]]]
==== [[Graph, Graphites|Graph]] ====
* It has vesicular / [[Herpetic eruption|Herpetic]] / Exudating eruption which leads to Eczema
* Small, crusty, dry and scaly rashes ([[Graph ₳ Petr]])
* Eyelids Eczema: Cracked but moist rashes
* The edge of the eyelids is red and covered with dandruff and crust
* Oozing rashes: clear, watery and sticky secretions that scab over the rash
* Unhealthy/sensitive skin that easily infects with any trauma ([[Hep, Hepar Sulphur|Hep]], [[Merc, Mercurius Solubilis|Merc]])
* Abscess and opening of old breast wounds
[[Med, Medorrhinum|Med]]
[[Petr, Petroleum|Petr]]
[[Calc-c, Calcerea carbonica|Calc]]: Mild eczema


* Herpetic / Vesicular /Moist /Exudating rashes which leads to eczema
|Sensitive to touch (Scratching agg)
|
* SKIN - ERUPTIONS - herpetic - Body; all over sweet. Psor. [[Ran-b, Ranunculus Bulbosus|Ran-b]]
* SKIN - ERUPTIONS - crusty
* SKIN - ERUPTIONS - herpetic - moist
* SKIN - ERUPTIONS - vesicular SKIN - ERUPTIONS - vesicular - yellow
* SKIN - ERUPTIONS - herpetic - glands; Covered with sweet. graph.
* SKIN - ERUPTIONS - vesicular - burning
|-
|Thuj
|
|
|
|-
|[[Med, Medorrhinum|Med]]
|
|
|
|-
|[[Calc-c, Calcerea carbonica|Calc]]
|Mild eczema
|
|
|-
|Nit-ac
|Hands and palms eczema
|
|
|}
* [[Tarent, Tarentula Hispanica|Tarent]] is the Remedy of choice for dry [[eczema]] that has not responded to Sul, Ars


== [[Banerji protocols|Banerji protocol]] ==
{| class="wikitable"
!
!
=== Eczema ===
!
=== Drug-induced / Contact  Dermatitis ===
|-
|'''First line'''
|
*[[Hep, Hepar Sulphur|Hep]] C200 one dose every two days
* [[Ars, Arsenicum Album|Ars]] C200 BD, Can be increased in itching.
* [[Coff, Coffea cruda|Coff]] C200, in sever itching prevent sleep
|
* [[Camph, Camphora Officinale|Camph]] C200 + [[Ant-c, Antimonium Crudum|Ant-c]] C6 one dose every 3 hours alternately till relief
|-
|'''Second line'''
|
*[[Graph, Graphites|Graph]] C200 one dose every third days
* [[Ars, Arsenicum Album|Ars]] C200 BD
|
* [[Rhus-v, Rhus verniciflua|Rhus-v]] C30 TDS, esp in Red rashes
|-
|'''Third line'''
|
*[[Psor, Psorinum|Psor]] C1000 one dose every 15 days in acute infectious ulceration
* [[NS, Tissue Salt Remedy|NS]] 6X BD
|
*[[Nux-v , Nux Vomica|Nux-v]] C30 + [[Rhus-v, Rhus verniciflua|Rhus-v]] C30 one dose every 3 hours alternately
* [[Ant-c, Antimonium Crudum|Ant-c]] C6 BD is rash
|-
|'''Constitutional Remedies'''
| colspan="2" |
*[[Psor, Psorinum|Psor]] C200 Or  [[Tub,Tuberculinum|Tub]] C200
|}
=== [[Miasm list|Miasms]] ===
=== [[Miasm list|Miasms]] ===


# [[HSV-1, Herpes Simplex Virus|'''HSV-1''']], [[SHBV, Herpes B Virus|'''SHBV''']]
* [[HSV-1, Herpes Simplex Virus|'''HSV-1''']], [[SHBV, Herpes B Virus|'''SHBV''']]
# [[GABHS, Group A beta hemolytic streptococcus|GABHS]]
* [[GABHS, Group A beta hemolytic streptococcus|GABHS]]
# [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXA]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXB]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|ECHO]],[[HHV-8, Human Herpes Virus 8|HHV-8]],  [[HSV-2, Herpes Simplex Virus|HSV-2]], [[HTLV-1, Human T lymphotropic virus type 1|HTLV-1]]
* [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXA]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|CXB]], [[CXA, CXB, ECH, Coxsackie viruses & Echoviruses|ECHO]],[[HHV-8, Human Herpes Virus 8|HHV-8]],  [[HSV-2, Herpes Simplex Virus|HSV-2]], [[HTLV-1, Human T lymphotropic virus type 1|HTLV-1]]
 
 
=== Related disease ===
[[Herpetic eruption|Herpetic eruptions]]

Latest revision as of 05:13, 5 February 2024

Related disease

Clinic

Types

  • Dermatitis and eczema are used interchangeably.
  • Dermatitis is inflammation of the skin typically characterized by itchiness
  • Sign / Symptoms:
    • Redness of skin and a rash
    • Swelling, itching
    • Skin lesions with sometimes oozing and scarring
    • May be small blisters, which may end in skin thickness.
  • Atopic dermatitis = Atopic eczema: Dry, itchy, red skin
  • Contact dermatitis
  • Stasis dermatitis
  • Dermatitis herpetiformis: Itching, Stinging , Burning sensation. Papules / Vesicles. Small red bumps are usually about 1 cm in size, red in color and may be found symmetrically grouped or distributed
  • Seborrheic dermatitis: Appear gradually, from dry or greasy scaling of the scalp (dandruff) to scaling of facial areas. Sometimes itching, but without hair loss. In newborns, the condition causes a thick and yellowish scalp rash, often accompanied by a diaper rash. In severe cases, symptoms may appear along the hairline, behind the ears, on the eyebrows, on the bridge of the nose, around the nose, on the chest, and on the upper back
  • Drug-induced dermatitis

Repertory

Accompanies by

Quality

Locality

First class remedies

Character Modalities / Concomitats Rubrics/ Location

Graph

  • Dry/ Rough skin / Cracks
  • Vesicular / Herpetic / Exudating eruption which leads to Eczema
  • Small, crusty, dry and scaly rashes (Graph ₳ Petr)
  • Oozing rashes: Clear, Watery /Gluey / Sticky secretions scab over the rash
  • Unhealthy/ Sensitive skin that easily infects with any trauma (Hep, Merc)
  • Atopic Dermatitis + Hay fever/ Allergic rhinitis / Asthma (Hist)
  • Abscess and opening of old breast wounds
  • Eyelids Eczema: Cracked but moist rashes
  • Eyelids edge is red and covered with dandruff / Crust
  • Face/ Nose/ Chin/ Hands Palms/ Bends of Elbows/ Knees, Neck and behind the Ears

Petr

  • Dry and cracked skin
  • Bleeding from the cracks.
  • Lesions get thickened gradually and covered with crusts.
  • Flare of Atopic Dermatitis with dry, cracked skin in winter (Highly characteristic)
  • Marked Burning and Itching

Sul

  • First line of Atopic Dermatitis.
  • Main complaint: Intolerable skin itching.
  • Excessively dry Skin + Scales
  • Scratching causes burning
  • Dermatitis due to local medications suppression
  • Night Itching is at its peak at or when the person’s body gets warm in bed.
  • Spring season or damp weather Relapse

Nat-m

  • Dry or ooze eruptions fluid.
  • Eruptions are dry with rawness of skin along the margin of scalp.
  • Warmth and heat agg
  • Taking salt agg
  • Nasal allergy + Marked sneezing, runny nose along with dermatitis complaint.
  • Bends of limbs (Elbows, Knees).
  • Margins of scalp/ Hairline

Rhus-t

  • Contact Dermatitis: Burning, itching and vesicular rashes.
  • Atopic Dermatitis+ Eruptions covered with thick crusts that ooze fluid.
  • Red Skin + Excessive itching
  • Fluid-filled vesicular bumps
  • Scratching agg the itching
  • Scaling of skin may also appear.
  • Marked burning and intense itching

Ars

  • Dry, rough scaly eruptions
  • Intense Itching / Burning in eruptions.
  • Night agg
  • The affected skin is oversensitive to touch.
  • In most cases, eczema is marked on the face.

Mez

  • Atopic Dermatitis + Oozing fluid eruptions
  • Very sticky fluid
  • Thick scabs form on the skin with pus under it indicating infection.
  • Marked itching.
  • Bathing with warm water Agg
  • At times blood may ooze out on touching crusty eruptions.

Second class remedies

Sil
Dulc
  • Crusted
    • Moist herpetic rash
    • Yellow-brown with a red border
    • Dry, coarse scabby
    • Bleeds when scratched
  • Herpetic / Vesicular /Moist /Exudating rashes which leads to eczema
Sensitive to touch (Scratching agg)
  • SKIN - ERUPTIONS - herpetic - Body; all over sweet. Psor. Ran-b
  • SKIN - ERUPTIONS - crusty
  • SKIN - ERUPTIONS - herpetic - moist
  • SKIN - ERUPTIONS - vesicular SKIN - ERUPTIONS - vesicular - yellow
  • SKIN - ERUPTIONS - herpetic - glands; Covered with sweet. graph.
  • SKIN - ERUPTIONS - vesicular - burning
Thuj
Med
Calc Mild eczema
Nit-ac Hands and palms eczema
  • Tarent is the Remedy of choice for dry eczema that has not responded to Sul, Ars

Banerji protocol

Eczema

Drug-induced / Contact Dermatitis

First line
  • Hep C200 one dose every two days
  • Ars C200 BD, Can be increased in itching.
  • Coff C200, in sever itching prevent sleep
  • Camph C200 + Ant-c C6 one dose every 3 hours alternately till relief
Second line
  • Graph C200 one dose every third days
  • Ars C200 BD
  • Rhus-v C30 TDS, esp in Red rashes
Third line
  • Psor C1000 one dose every 15 days in acute infectious ulceration
  • NS 6X BD
Constitutional Remedies

Miasms