Eczema

Terminology

• Many authors use the terms dermatitis and eczema synonymously
• Others use the term eczema to specifically mean atopic dermatitis
• Atopic dermatitis is also known as atopic eczema
  • Dermatitis is inflammation of the skin, typically characterized by itchiness, redness and a rash.
  • There may be small blisters, which may end in skin thickness.
  • Dermatitis is often called eczema, and the difference between those terms is not standardized.

Types

• Atopic dermatitis: 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
• 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
• Drug-induced dermatitis

Sign / Symptoms

• Redness of skin
• Swelling, itching
• Skin lesions with sometimes oozing and scarring

Repertory

• Accompanies by internal maladies: Graph
• Clusters of grapes, like: Calc
• Desquamative: Merc, Nit-ac, Rhus-t, Sep, Sul
• Flat skin lesions: Bell, Lach
• Gard eczema: Ant-c. Ran-b
• Hair skin eczema: Merc, Nat-m, Rhus-t
• Offensive: Psor, Sul
• Raised skin lesions: Bry, Crot-h, Cupr-ac, Tarax
• Rough eczema: Hep
• Scalp eczema: Mez, Borx, Astacus fluviatilis

First class remedies

Dulc

• Crusted
  • Moist herpetic rash
  • Yellow-brown with a red border
  • Dry, coarse scabby
  • Bleeds when scratched

• Rash may spread all over the body (Dulc ₳ Psor)
• Sensitive to touch (Scratching agg)

• Herpetic / Vesicular /Moist /Exudating rashes which leads to eczema

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

File:Psor eruption 1.png

Eczema

Graph

• Vesicular / 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, Merc)
• Abscess and opening of old breast wounds
• Hands and palms

Calc

• Mild eczema

Nit-ac:

• Hands and palms eczema

Rhus-t

• Contact Dermatitis: Burning, itching and vesicular rashes.

Second class remedies

• 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 6XBD	Nux-v C30 + Rhus-v C30 one dose every 3 hours alternately Ant-c C6 BD is rash
Constitutional Remedies	Psor C200 Or Tub C200

Miasms

• HSV-1, SHBV
• GABHS
• CXA, CXB, ECHO,HHV-8, HSV-2, HTLV-1

Related disease

• Herpetic eruptions