Eczema: Difference between revisions

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===Clinic===
===Related disease===


* Many authors use the terms dermatitis and eczema synonymously
* [[Herpetic eruption|Herpetic eruptions]]
* Atopic dermatitis is also known as atopic eczema
* [[Seborrheic dermatitis|Dandruff]]
* [[Psoriasis]]
* [[Alopecia]]
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!
=== Clinic ===
!
=== Types ===
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*Dermatitis and eczema are used interchangeably.
* Dermatitis is inflammation of the skin typically characterized by itchiness
* Dermatitis is inflammation of the skin typically characterized by itchiness
* Sign / Symptoms:
* Sign / Symptoms:
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** Skin lesions with sometimes oozing and scarring
** Skin lesions with sometimes oozing and scarring
** May be small blisters, which may end in skin thickness.
** May be small blisters, which may end in skin thickness.
 
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*Atopic dermatitis = Atopic eczema: Dry, itchy, red skin
=== Types ===
 
* Atopic dermatitis: 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
* [[Dandruff|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
* Drug-induced dermatitis
 
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== Repertory ==
== Repertory ==
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=== Accompanies by ===
=== Accompanies by ===
!Quality
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!Locality
=== Quality ===
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=== Locality ===
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* Scalp eczema: [[Mez, Mezereum|Mez]], [[Borx, Borax|Borx]], Astacus fluviatilis
* Scalp eczema: [[Mez, Mezereum|Mez]], [[Borx, Borax|Borx]], Astacus fluviatilis
|}
|}


== First class remedies ==
== First class remedies ==
=== '''2. Petroleum – For Dry, Cracked Skin''' ===
=== '''3. Sulphur – To Manage Skin Itching''' ===
=== '''4. Natrum Mur – For Rash / Eruptions In Bends Of Limbs And Scalp Margin''' ===
=== '''5. Rhus Tox – For Eruptions With Thick Crusts That Ooze Fluid''' ===
=== '''6. Arsenic Album – For Dry Scaly Eruptions''' ===
=== '''7. Mezereum – For Eruptions That Discharge Sticky Fluid''' ===
=== '''8.''' ===
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=== [[Graph, Graphites|Graph]] ===
=== [[Graph, Graphites|Graph]] ===
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*'''Dry/ Rough skin'''.
*'''Dry/ Rough skin /''' '''Cracks'''
*'''Cracks'''  
*Vesicular / [[Herpetic eruption|Herpetic]] / Exudating eruption which leads to Eczema
*Vesicular / [[Herpetic eruption|Herpetic]] / Exudating eruption which leads to Eczema
* Small, crusty, dry and scaly rashes ([[Graph ₳ Petr]])
* Small, crusty, dry and scaly rashes ([[Graph ₳ Petr]])
*
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* Oozing rashes: Clear,Watery /'''Gluey''' / Sticky secretions that scab over the rash
* 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]])
* 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]])'''
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* [[Abscess]] and opening of old breast wounds
* [[Abscess]] and opening of old breast wounds
* Eyelids Eczema: Cracked but moist rashes
* Eyelids Eczema: Cracked but moist rashes
* Eyelids edge is red and covered with [[dandruff]] and crust
* Eyelids edge is red and covered with [[Seborrheic dermatitis|dandruff]] / Crust
* Face, nose, chin, Hands and palms
* Face/ Nose/ Chin/ Hands Palms/ Bends of Elbows/ Knees, Neck and behind the Ears
* Mostly on bends of Elbows/ Knees, Neck and behind the Ear.
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=== [[Petr, Petroleum|Petr]] ===
=== [[Petr, Petroleum|Petr]] ===
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* '''Skin gets dry and cracked.'''
* '''Dry and cracked skin'''
* Bleeding occurs from the cracks.  
* Bleeding from the cracks.
* Lesions get thickened gradually and covered with crusts.
* Lesions get thickened gradually and covered with crusts.
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* Flare of Atopic Dermatitis with '''dry, cracked skin in winter''' (Highly characteristic)
* Flare of Atopic Dermatitis with '''dry, cracked skin in winter''' (Highly characteristic)
* Marked burning and itching also accompany the cracks.
* Marked Burning and Itching
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=== [[Sul , Sulphur|Sul]] ===
=== [[Sul , Sulphur|Sul]] ===
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* First line most frequently used in Atopic Dermatitis.
* First line of Atopic Dermatitis.
* Main complaint for which it is used is '''intolerable skin itching'''.
* Main complaint: I'''ntolerable skin itching'''.
* The skin is excessively dry with scales and intolerable itching.
* Excessively dry Skin + Scales
* Scratching is followed by a burning  
* Scratching causes burning
* Dermatitis that is being suppressed by use of local medications
* Dermatitis due to local medications suppression
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* In majority of cases, '''itching is at its peak at night''' or when the person’s body gets warm in bed.
* '''Night  Itching is at its peak at''' or when the person’s body gets warm in bed.
* Relapse of dermatitis in the spring season or in damp weather  
* Spring season or damp weather Relapse
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* Bends of limbs (Elbows, Knees).
* Bends of limbs (Elbows, Knees).
* Margins of scalp/ Hairline
* '''Margins of scalp/ Hairline'''
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* Contact  Dermatitis: Burning, itching and vesicular rashes.
* Contact  Dermatitis: Burning, itching and vesicular rashes.
* Atopic Dermatitis+ E'''ruptions covered with thick crusts that ooze fluid.'''  
* Atopic Dermatitis+ '''Eruptions covered with thick crusts that ooze fluid.'''
* '''Red''' '''Skin''' + Excessive itching
* '''Red''' '''Skin''' + Excessive itching
* '''Fluid-filled vesicular bumps'''   
* '''Fluid-filled vesicular bumps'''   
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* Scratching makes the itching worse.
* Scratching agg the itching
* Scaling of skin may also appear.
* Scaling of skin may also appear.
* Marked burning and intense itching
* Marked burning and intense itching
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=== [[Ars, Arsenicum Album|Ars]] ===
=== [[Ars, Arsenicum Album|Ars]] ===
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* D'''ry, rough scaly eruptions'''
* '''Dry, rough scaly eruptions'''
* Intense Itching / Burning in eruptions.  
* Intense Itching / Burning in eruptions.  
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* It is worse at night in most cases requiring it.
* Night agg
* The affected skin is oversensitive to touch.
* The affected skin is oversensitive to touch.
|In most cases, eczema is marked on the face.
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* In most cases, eczema is marked on the face.
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=== [[Mez, Mezereum|Mez]] ===
=== [[Mez, Mezereum|Mez]] ===
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* Atopic Dermatitis with '''eruptions oozing fluid.'''  
* Atopic Dermatitis +  '''Oozing fluid eruptions'''
* The '''fluid is very sticky'''.
* V'''ery sticky fluid'''  
* Thick scabs form on the skin with pus under it indicating infection.
* Thick scabs form on the skin with pus under it indicating infection.
* Marked itching.  
* Marked itching.  
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* Agg from bathing with warm water.
* Bathing with warm water Agg
* At times blood may ooze out on touching crusty eruptions.  
* At times blood may ooze out on touching crusty eruptions.  
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== Second class remedies ==
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|[[Sil, Silicea|Sil]]
|[[Sil, Silicea|Sil]]
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|Nit-ac
|Nit-ac
|Hands and palms eczema
|Hands and palms eczema
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|'''[[Galph, Galphimia Glauca|Galph]]'''and
'''[[Hist, Histaminum|Hist]]'''
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* Atopic Dermatitis where [[Hay fever]]/ [[Rhinitis|Allergic rhinitis]] is associated with it.
* It effectively treat allergy complaints like eczemas, hay fever and asthma.
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=== Second class remedies ===
* [[Tarent, Tarentula Hispanica|Tarent]] is the Remedy of choice for dry [[eczema]] that has not responded to Sul, Ars
* [[Tarent, Tarentula Hispanica|Tarent]] is the Remedy of choice for dry [[eczema]] that has not responded to Sul, Ars


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* [[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]]
* [[Dandruff]]
* [[Psoriasis]]
* [[Alopecia]]

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

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