Eczema

Clinic

• Many authors use the terms dermatitis and eczema synonymously
• Atopic dermatitis is also known as atopic eczema
• 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.

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

Repertory

Accompanies by	Quality	Locality
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 Offensive: Psor, Sul Raised skin lesions: Bry, Crot-h, Cupr-ac, Tarax Rough eczema: Hep	Hair skin eczema: Merc, Nat-m, Rhus-t Scalp eczema: Mez, Borx, Astacus fluviatilis

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 that scab over the rash Unhealthy/ Sensitive skin that easily infects with any trauma (Hep, Merc)	Abscess and opening of old breast wounds Eyelids Eczema: Cracked but moist rashes Eyelids edge is red and covered with dandruff and crust Face, nose, chin, Hands and palms Mostly on bends of Elbows/ Knees, Neck and behind the Ear.
Petr	Skin gets dry and cracked. Bleeding occurs 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 also accompany the cracks.
Sul	First line most frequently used in Atopic Dermatitis. Main complaint for which it is used is intolerable skin itching. The skin is excessively dry with scales and intolerable itching. Scratching is followed by a burning Dermatitis that is being suppressed by use of local medications	In majority of cases, itching is at its peak at night or when the person’s body gets warm in bed. Relapse of dermatitis in the spring season or in damp weather
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 makes the itching worse. Scaling of skin may also appear. Marked burning and intense itching
Ars	Dry, rough scaly eruptions Intense Itching / Burning in eruptions.	It is worse at night in most cases requiring it. The affected skin is oversensitive to touch.	In most cases, eczema is marked on the face.
Mez	Atopic Dermatitis with eruptions oozing fluid. The fluid is very sticky. Thick scabs form on the skin with pus under it indicating infection. Marked itching.	Agg from bathing with warm water. At times blood may ooze out on touching crusty eruptions.
Galphand Hist	Atopic Dermatitis where Hay fever/ Allergic rhinitis is associated with it. It effectively treat allergy complaints like eczemas, hay fever and asthma.

Second class remedies

Sil
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) 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	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
• Dandruff
• Psoriasis
• Alopecia