A Case of Alopecia Areata

Introduction: This is one of the Autoimmune disorder or commnest disease which are seen in mostly in children and young adults. The patients suddenly notice single or multiple areas on the scalp with loss of hair. The lesion to an area of the scalp only or may involve the whole scalp, eyebrows, eyelashes, beard and any other part of the body. The lesion may continue to increase in size for a few weeks or few new patches may appear .It is called Alopecia Areata.

Cause: (1) Medication, (2) Genetic, (3) Chronic Stress, (4) Pregnancy/Hormones, (5) Difficiency of Vitamin A,E,C, (6) Pollution, (7) Allergic reaction.

Site: (1) Scalp, (2) Less Frequently Beard, (3) Eyebrows & Eye Lashes, (4) Some Generalized.

Clinical Feature :

• Rapid and complete loss of hair in one or several patches.

• Site – Scalp, bearded area, eyebrows, eye lashes and less commonly other areas of body.

• Size – Patches of 1-5 cm in diameter

• “Exclamation point” hair- at the periphery of hair loss, there are broken hairs, whose distal ends are broader than the proximal end.

Case: Date-3/11/2016, Name : Mr. Sumit Tondon, Age : 38 year, Sex : Male, Occupation : Teacher in Government School, Address : Abdullapur Shahzadpur Akbarpur.

Presenting Complaint : Hair falling on spot in the head for 5 months.

History of Presenting Complaints : Hair falling on spot in the Head from 5 months. When touched hair with hand become hand is full with hair. Itching of scalp,dandruff is also present. Some times falling of hair in bunches. And the hairs of that affected part is permantly lost.

Past History : Typhoid fever at the age of 16 year.

Family History : Father- Hypertension, Mother- Rheumatic Arthritis.

Final Selection of Medicine After Consulting with Materia Medica : PHOSPHORUS

 

Prescription :

1st Prescription Date 3/11/2016
1- Phosphorus 200 1 Dose Every Week
2- Placebo 30 BD for 2 Weeks

1st Follow up Date 18/11/2016
 There was no visible change.
 So, same remedy was continued along with placebo.
Rx
Phosphorus 200 1 dose every week
Placebo 30 BD for 2 weeks

2nd Follow up Date 3/12/2016
 Consulted after two weeks Itching was much better .
 Hair falling is decreases.
 So, same remedy was continued along with placebo
Rx
Phosphorus 200 1 dose every week
Placebo 30 BD for 2 weeks

3rd Follow up Date 18/12/2016
 Consulted after two weeks, there was much improvement of the lesions.
 Itching was better .
 More small new hair appear on the lesions.
 Dandruff was less .
 So, same remedy was continued along with placebo
Rx
Phosphorus 200 1 Dose Every Week
Placebo 30 BD for 2 Weeks

4th Follow up Date 2/1/2017
 Consulted after two weeks Affected part cover with new hair.
 Dandruff was not present.
 So, continued along with placebo
Rx
Placebo 30 BD for 4 Weeks

 

DR.(Lect.) MANISH AGRAHARI
(Lecturer in Sai D.H.P. College)
Ram Homoeo Clinic
Dostpur Road Shahzadpur Akbarpur
Ambedkar Nagar (U.P.)
Mob.: 9670310039