Can Vitiligo Go Away? A Case Study of Vitiligo: Symptoms, Causes & Homeopathy Treatments

A seven year old child came to the clinic with white patches on his face without any symptoms of itching or burning. The patches were increasing and the parents were worried as it was affecting the appearance of the child. On examination it was diagnosed as Vitiligo.

What is Vitiligo?

Vitiligo or Leucodermais an auto immune disorder in which skin loses its pigmentation in patches due to loss of melanocytes (cells responsible for colour of our skin, hair)in some areas. It can be widespread affecting many parts of the body or may be localized to small area of skin. Depending on the extent of lesion, distribution and the number of white patches it is categorized as

Generalized Vitiligo: in which depigmented patches occur diffusedly on many parts of the body. The patches may be symmetrical and mostly occur on the limbs and face. It is further subdivided into

  • Acrofocal(vitiligo): In which depigmented patches are located on face mostly and hands and legs. Most often the patches begin at the tips of the fingers and around mouth.
  • Vulgaris (vitiligo): in which the white patches are distributed diffusedly all over the body
  • Universalis (vitiligo): in whichthere is complete loss of melanin hence affecting the skin, mucous membrane and hair
  • Mixed (vitiligo)- where affected person may have acrofocal and vulgaris patches in combination.

Localized Vitiligo: in which melanin is lost in a particular area of skin.  It may be

  • Focal (vitiligo)- in which there are small spots of depigmentation in small area of skin
  • Segmental (vitiligo) – it is asymmetrical with white patches is limited to only in one part of the body
  • Mucosal (vitiligo) affecting the mucous membranes like lips.

Etiology and Pathogenesis– It is multifactorial, polygeneric disorder with complex pathogenesis that is not yet well understood. Of Various theories of disease pathogenesis the most accepted is that genetic and non genetic factors interact to influence melanocytes function and survival, eventually leading to autoimmune destruction of melanocytes

Genetics of Vitiligo– Large scale epidemiological surveys have shown that most cases of Vitiligo occur sporadically. Almost all studies of Vitiligo genetics have focused on Generalized Vitiligo. Several genes are involved in immune function including Loci in the MHC, CTLA4, PTPN22, IL10, have susceptibility to Generalized Vitiligo on the basis of genetic linkage or association studies. Segmented Vitiligo appears to be genetically distinct formation.

Auto immune Hypothesis: Humoral immunity was first implicated on finding circulatory anti melanocytes auto anti bodies that target the various melanocytes antigens including tyrosinase and it’s related proteins and also have the capability to kill melanocytes in vitro and in vivo. Currently this auto –antibodies are thought to reflect secondary humoral responses to melanocytes destruction rather than a primary factor of Generalized Vitiligo.

Biochemical Hypothesis: There is some evidence that Vitiligo is a disease of the entire epidermis, possibly involving the chemical abnormalities of both melanocytes and keratinocytes. Ultra structural abnormalities of keratinocytes from potential Vitiligo skin have been related to impaired mitochondrial activity and are thought to affect the production of specific melanocytes growth factors and cytokines that regulate melanocytes survival.

An essential biochemical finding in elevated levels of H2O2 in affected regions of epidermis. That may be caused in part by reduced enzymatic anti oxidant capacity of keratinocytes and melanocytes.

Risk factors:

Age– Though vitiligo can affect persons of any age but incidence of vitiligo is more in young adults and those below the age of forty years.

Gender– Both male and female can be equally affected

Family history– a positive history of vitiligo or any other auto immune condition like rheumatoid arthritis, psoriasis increases the risk

Trauma– like sunburn, burns due to chemicals, injuries, cuts etc.

Stress

Presence of other auto immune disorders

Clinical Features:The principle clinical manifestation of Vitiligo is the appearance of acquired milk white macules with fairly homogenous depigmentation and well defined borders.  Though the patches can occur anywhere in body but commonly hands, legs, face, groin, area around lips, oral cavity are commonly affected. The patches are non-contagious and usually asymptomatic i.e. they do not cause any itching or burning sensation.

How do you stop Vitiligo from spreading?

Homeopathy Treatment For Vitiligo : Vitiligo being auto immune disorder there is no complete cure in conventional system. Cosmetics, photo therapy and other treatments can help only to some extent and may help to camouflage the affected area but do not stop the destruction process of melanocytes. Homeopathy on the other hand can help to control the auto immune process and stimulate production of melanin. Its medications are selected based on individualizing process by a careful and thorough case taking.

Case study: The child when brought to the clinic was examined by our doctor. A detailed case taking was taken with help of the parents. The child was the second live birth for the parents. Before the child was born mother had 2 miscarriages. The child was born by C section and from the time of birth the child appeared to be having cold. He was prone to frequent cold and cough. He was more attached to his parents and seldom went to any strangers. He wanted to be always carried around by his parents and whenever sick he used to be very irritated and cranky.  Based on his history and other symptoms a dose of Antimonium tart 200 was given and he was on regular follow up. In three months’ time pigmentation began in the white patches.

Before Treatment:

 

Psoriasis Treatments, Causes, Symptoms, Types & How To Get Rid of Psoriasis

Psoriasis is derived from Greek word Psora meaning itch or rash.In ancient times till few decades back it was known to be a type of Leprosy but with advancement in medicine it has been identified as a separate entity and is now considered to be chronic inflammatory dermatosis.

It is a common skin disease characterized by thick white or red silvery patches on the skin.It is agenetically inherited auto immune disorder which means it is developed by overactivity of our immune system.Primarily it affects the skin of Elbow, Knee, scalp but later it may affect other parts of the body such as nail& joints. It can affect person of any age and gender. As per WHO prevalence of the disease ranges between 0.04%-2.8%in Indian population.

Aetiology:

Psoriasis is a multifactorial disorder. The major causesare:

  • Defects in immune system- being auto immune in nature defects in immune system is the primary reason for Psoriasis. Chronic, low grade inflammation in the body can also trigger abnormal immune reaction leading to Psoriasis
  • Genetic disposition- a positive family history of psoriasis or any other auto immune disorder increases the risk of Psoriasis
  • Environmental factor- Psoriasis is seen more in cold season or winters as skin becomes drier. Other factors like pollution, smoking are also considered as risk factors for Psoriasis.

Though the above are the primary factors for cause of Psoriasis but triggering factors are many. The common trigger factors are:

  • Stress is the primary trigger factor. Whenever we face stress body releases stress hormones which in turn trigger immune system and in persons disposed towards psoriasis it causes the immune system to over react leading to flare ups
  • Allergies are caused due to hyper sensitive reaction of immune system. Though the mechanism for allergies and psoriasis is different probably the stress associated with allergic condition which can trigger psoriatic flare ups
  • Alcohol- certain studies have shown that consuming alcohol increases the risk of Psoriasis
  • Smoking- The Nicotine in tobacco is believed to alter the immune system which can lead to skin inflammation
  • Infections – as any infection trigger immune response in certain individuals it can lead to abnormal reaction. In many individuals’ chronic fungal infections lead towards Psoriasis. Similarly, Guttate Psoriasis is due to bacterial infection mainly streptococcus
  • Weather- As stated previously there is flare up pf psoriasis where as exposure to ultra violet radiation of sun in early morning has been good for Psoriasis.
  • Cuts & bruises- It has been observed that injuries like cuts and bruises trigger psoriatic flare up most probably due to stress along with the enzymes released like cytokines for healing trigger it.
  • Medications- Certain medications like anti-hypertensives, NSAIDs, Lithium, certain anti biotics like tetracyclines, inter ferons, anti-malarial drugs etc. can cause flare up of Psoriasis.
  • Hormones- Skin is part of neuro endocrine system so as such hormonal changes affect the skin. It is believed that the estrogen has an affect on immune response. Also the level of androgens and stress hormones have been associated with Psoriasis.
  • Obesity- studies have shown that obesity is associated with Psoriasis. Most probably the under lying causes for obesity is the reason for association.

Pathophysiology:

Psoriasis was originally considered as a Hyperproliferation of epidermal cells. However, immunomodulating therapies conceptualized Psoriasis as a genetically programmed inflammatory skin disease. Normal life cycle of skin cells is 28days but in psoriasis the disturbance in immune system affects the life cycle of skin cells by which they multiply much faster than normal.When these cells reach the surface and die, raised, red plaques covered with white scales appear. Psoriasis begins as a small scaling plaque initially but when multiple papules coalesce they form scaling plaques .These plaques tends to occur in scalp, elbow and knees.

Signs & Symptoms:

  • Red patches of skin covered with white silvery scales
  • Itching, Burning soreness
  • Dry, Thick skin
  • Itchy plaques with small scaling spots
  • Small bleeding points when the scales peeled away –AUSPITZ SIGN
  • Psychologically patient develops symptoms of Anxiety ,stress, Depression, Low self esteem

Types of Psoriasis:

There are 5 types in Psoriasis

1.Plaque psoriasis:This is the most common type.It is characterized by thick,red patches of skin often with silver or white scales.Patches are usually 1-10cm in wide and commonly appears in Elbow,Knees,Lower back & scalp.80% people with psoriasis have PLAQUE PSORIASIS.

2.Guttate Psoriasis:It is the 2nd most common type. It appears as small red spots on the skin.10%people with psoriasis have this type. It’s cause is bacterial which is most commonly associated with common cold hence it is usually seen during childhood& young adulthood. The spots appear as small separate drops shaped. They often appear on torso& limbs.

3.Inverse Psoriasis:It often appears in skin folds such as under breasts, armpits and groin region.The spots are red, smooth& shiny.The sweat & moisture from the skin folds aggravates shedding of skin scales.

4.Pustular Psoriasis: This is a severe form of Psoriasis. It develops fast in the form of white pustular eruptions around the red skin. It mostly affects isolated parts hands & feet. While the pus is non-infectious it causes Flu like symptoms such as Fever,Chills,Rapidpulse,Muscle weakness,Loss of Appetite.

5.Erythrodermic Psoriasis:It is a rare type which looks like severe burns.The condition is serious and can be indeed a medical emergency. This type of Psoriasis covered large portion of the body forms wide spread red, scaly spots.

Homoeopathic Management:

Homeopathy is an effective mode oftreatment for Psoriasis.It is a system of medicine which is based on individualization of the patient.Homeopathy believes in treating “MAN IN DISEASE, NOT THE DISEASE IN MAN “.The homeopathic remedies do not suppress the skin condition, rather the medicine intends to correct the cause of psoriasis by strengtheningthe immune system. Through constitutional treatment in homeopathy Psoriasis flare ups , complications and reoccurrence of the patches can be stopped, providing management and cure for Psoriasis.

Homeopathy Treatment For Psoriasis & Doctors In Hyderabad:

According to our master Hahnemann ‘s 1st& 4th Aphorisms “The Physicians mission is not only to give relief to the patient but also to restore his health. Physician should know about the things which derange his health and how to remove them from him”, so every physician should know about Diet & Regimen for the patients. Diet also important for treating Psoriasis as mentioned below:

Foods to Eat:

  • Flaxseed, Walnut
  • Green vegetables, fruits
  • Papaya, cherry,salmon fish
  • One Raw carrot daily

 Foods to avoid:

  • Wheat, Barley, White sugar
  • Sour foods- Tomato, Tamarind
  • Chocolate, ice creams, Meat, Bread,
  • Dairy products,
  • Fried & Fast food items
  • Avoid Tobacco,smoke & Alcohol

For external application OLIVE OIL & COCONUT OIL is best choice

A Case study:

Mr. Raj*(PT id-T2-1507446580), 22-year-old male patient came with complaints of thick, white round patches around red skin over both back of elbow,knees & trunk of the body. He complained of severe itching over the patches which aggravated in night and cold weather. The itching was so severe that he has to scratch until it bleeds causing severe burning sensation which was relieved by taking warm water bathing. He had previously taken allopathic treatment for one year but there was not much relief. He could not reveal much about his family history. On detailed case taking and observation he was found to be very anxious and was fearful that his disease is incurable. As he was lean, dark complexioned and anxious a single dose of Arsenic album 200 was given. His anxiety decreased though there was not much change in his skin condition. The medicine was continued for 2 months and he was progressing well but suddenly there was an acute flare up. On review the patient confessed that recently he broke up with his girlfriend. Due to acute flare up, his sensitive nature and grief over lost love a single dose of Natrum Mur 200 was given. The itching reduced and skin started improving and the patches began to disappear. At end of 3 months his skin was almost normal. Inter currently nosode Psorinum 200 was given to prevent reoccurrence. It is now two years since he stopped the treatment and there has been no relapse.

BEFORE THE TREATMENT:

DURING THE TREATMENT:

AFTER THE TREATMENT:

What is Best Treatment for Plantar Fasciitis Commonly known as Heel Pain?

It is a fast-paced world now -a-days and we do not want any disturbance in health to slow it down but many conditions can affect us. One of the common conditions which affects many is Plantar fasciitis, commonly known as Heel Pain, the painful condition which does not let the person put his foot on the ground.

Plantar fasciitis typically affects the middle-aged persons but recently an upward trend in the number of teenagers also being affected is being noticed.

What could be the probable causes for this heel pain?

  • Plantar fasciitis: Our feet are under relentless pressure. They are one of the important weight bearing joints and for that reason the protective connective tissue present in the sole known as fascia is thick and tough. The plantar fascia is like a tight sheet connecting the bones of the foot and acts as a shock pad and also helps to maintain the shape of the foot. But activities like prolonged standing, long walks or jogging, wearing ill fitting shoes, increasing body weight or anatomical abnormalities like flat foot can lead to wear and tear of this fascia causing inflammation. Generally plantar fasciitis pain is located at point of insertion of the fascia and the middle portion of the foot.

The pain in the initial stage is more severe at the beginning of movement (first step) with relief after taking few steps but as it becomes chronic the pain may become constant

  • Achilles’ tendonitis: Achille’s tendon is the largest and the strongest tendon of the body connecting the calf muscles to the heel bone (calcaneum) and helps in the movement of heel while walking, jumping, and jogging. But how ever strong the tendon is it is also prone to injuries, inflammations and degeneration causing degenerative changes.
  • Bursitis: Bursas are small fluid sac present near joints and tendons to prevent friction, inflammation of this sacs due to wearing hard heeled foot wear, prolonged use of high heels, or increased pressure on foot. The pain at the heel can be severe and be felt deep inside the heel.
  • Spur: is an extra growth on the under surface of heel bone caused due to calcium deposition which along with plantar fasciitis can give rise to severe pain in heel region.

Besides the above there are many more conditions which can cause pain in the heel region like gout, Paget’s disease, osteomyelitis, cysts, tumors, arthritis, etc. can lead to heel pain.

How Homeopathy can help:

Homeopathy remedy is selected based on the symptoms which include not only the physical but also mental and emotional symptoms. Thus selected remedy is known as Constitutional Homeopathy Medicine. The medicine helps in reducing the inflammation and pain, avoiding the need for anti-inflammatory medications. Given below are few important homeopathy medicines for heel pain:

  • Ammonium Mur– Easily adapted to those who are sluggish and on heavier side. Pain in heel, tendons feels shortened. Ulcerative pain in the heel.
  • Calcarea Flour– A powerful remedy for hard, stony glands, varicose and enlarged veins and malnutrition of bones. Useful for bone exotosis like calcaneal spur and gouty enlargements.
  • Colocynthis– Affinity more towards left side. Lightening type of pain ameliorated by hard pressure.
  • Ledum Pal– Pain in heel extending upwards. Pains are sticking, tearing, throbbing, aggravation by motion, night, by warmth of bed, ameliorated by application of icy cold water.
  • Pulsatilla– Shifting type of pains, legs feel heavy. Boring pain in heel more towards evening
  • Rananculus Bulb– Pains stitching, stabbing, shooting type. Pain due to corns and calluses. Worse due to atmospheric changes, wet, stormy weather and in evening
  • Valerina– Oversensitive to pain. Heel pains while sitting and better by walking. Constant jerking of extremeties.