Homœopathic Links 2022; 35(03): 175-180
DOI: 10.1055/s-0042-1743484
Case Report

Hailey-Hailey Disease Treated with Individualised Homoeopathy—An Evidence-Based Case Report

1   National Homoeopathy Research Institute in Mental Health, Under Central Council for Research in Homoeopathy, Ministry of AYUSH, Kottayam, Kerala, India
,
Nirmala Pratap
1   National Homoeopathy Research Institute in Mental Health, Under Central Council for Research in Homoeopathy, Ministry of AYUSH, Kottayam, Kerala, India
› Author Affiliations
Funding Nil.

Abstract

Hailey-Hailey disease (HHD) is a rare autosomal dominant skin disorder presented as blistering dermatosis with recurrent erythematous plaques, leading to erosions, fissures and vegetations seen in the skin folds. Prevalence of this disease occurs in 1 to 4 per 100,000 affected between third and fourth decade, mostly either under-reported or misdiagnosed. Under standard conventional treatment, recurrence and remissions are typical. Therefore, it affects the quality of life compared with other skin disorders. However, with the individualised homoeopathic medicine, Psorinum, this rare case was treated without topicals; no recurrence of the complaints and adverse effects were observed in 1 year of follow-up. Furthermore, changes in the dermatology life quality of life questionnaire score from 20 (at baseline) to zero have been noticed; the modified Naranjo criteria for homeopathy total score was +9 out of +13, providing evidence attributed by the intervention. This case report reinforces that individualised homoeopathic intervention is beneficial in rare skin disorders like HHD, and pooling such data will develop future research concepts in this area.

Patient Perspective

I visited the institute with severe itching all over the body, peeling off the skin, along with constipation and sleeplessness due to unbearable itching, and consulted, consumed, much conventional medicine without any significant relief. However, after taking the treatment, I observed and felt all complaints were relieved markedly with less expenditure and no side effects.


Declaration of Patient Consent

The authors certify that they have obtained patient consent and that the patient has given his consent for his photographs and other clinical information to be reported in the journal. In addition, the patient was made to understand that his name and initials will not be published, and efforts will be made to conceal his identity.




Publication History

Article published online:
30 September 2022

© 2022. Thieme. All rights reserved.

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Burge SM. Hailey-Hailey disease: the clinical features, response to treatment and prognosis. Br J Dermatol 1992; 126 (03) 275-282
  • 2 Ben Lagha I, Ashack K, Khachemoune A. Hailey-Hailey disease: an update review with a focus on treatment data. Am J Clin Dermatol 2020; 21 (01) 49-68
  • 3 Patel VM, Rubins S, Schwartz RA, Septe M, Rubins A. Hailey-Hailey disease: a diagnostic challenge. Cutis 2019; 103 (03) 157-159
  • 4 Hohl D. Darier disease and Hailey-Hailey disease. In: Bolognia J, Jorizzo J, Schaffer J. eds. Dermatology. 3rd edition. Philadelphia, PA: Saunders; 2012: 887-897
  • 5 Benmously-Mlika R, Bchetnia M, Deghais S. et al. Hailey-Hailey disease in Tunisia. Int J Dermatol 2010; 49 (04) 396-401
  • 6 Cheng TS. A review on Hailey-Hailey disease. Hong Kong J Dermat Venereol 2007; 15: 10-16
  • 7 Engin B, Kutlubay Z, Çelik U, Serdaroğlu S, Tüzün Y. Hailey-Hailey disease: a fold (intertriginous) dermatosis. Clin Dermatol 2015; 33 (04) 452-455
  • 8 Burge SM. Hailey-Hailey disease: the clinical features, response to treatment and prognosis. Br J Dermatol 1992; 126 (03) 275-282
  • 9 Chiaravalloti A, Payette M. Hailey-Hailey disease and review of management. J Drugs Dermatol 2014; 13 (10) 1254-1257
  • 10 Smolyannikova VA, Alexandrova AK. Multiple seborrheic keratosis in a patient with familial benign pemphigus. Our Dermatol Online 2017; 8 (03) 289-292
  • 11 Gisondi P, Sampogna F, Annessi G, Girolomoni G, Abeni D. Severe impairment of quality of life in Hailey-Hailey disease. Acta Derm Venereol 2005; 85 (02) 132-135
  • 12 van Haselen RA. Homeopathic clinical case reports: development of a supplement (HOM-CASE) to the CARE clinical case reporting guideline. Complement Ther Med 2016; 25: 78-85
  • 13 Close S. The Genius of Homoeopathy, Lecture and Essays on Homoeopathic Philosophy, reprint edition chapter XIII- Homoeopathic Posology. New Delhi: B. Jain Publishers Pvt.Ltd; 2001: 183-212
  • 14 Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI)–a simple practical measure for routine clinical use. Clin Exp Dermatol 1994; 19 (03) 210-216
  • 15 Kent JT. Lectures on Homoeopathic Philosophy, Reprint edition: Lecture XXXV Prognosis after observing the action of the remedy. New Delhi: B. Jain Publishers Pvt. Ltd; 1999: 224-234
  • 16 Dastagiri P, Savera KK. Clinical description of a rare dermatological disease, acne Keloidalis Nuchae, and successful homoeopathic management: a case report. Int J Hum Sci 2021; 5 (02) 217-223