Download PDF
Homœopathic Links 2023; 36(01): 034-041
DOI: 10.1055/s-0043-1761425
Case Report

Tinea Faciei Successfully Treated with Individualised Homoeopathic Medicine: A Case Report

Hanuman Ram 
1   Department of Homoeopathic Materia Medica, Madhav Homoeopathic Medical College & Hospital, Sirohi, Rajasthan, India
,
Uttam Singh
2   Clinical Research Unit (H), Aizawl under Central Council for Research in Homoeopathy, Ministry of AYUSH, Govt. of India, India
› Author Affiliations Funding Nil.
› Further Information
    Permissions and Reprints

Abstract

Tinea faciei (TF) is a clinical form of superficial dermatophyte infection that is frequently misdiagnosed due to its variable appearance on the smooth regions of the face and affects both sexes and all age groups. Treatment in the conventional system of medicine uses local and systematic antifungals. Homoeopathic materia medica and repertory have highlighted beneficial medicines for TF. Here, we report one case of a 22-year-old female patient complaining of multiple erythematous, circumscribed lesions with elevated margins and mild scaling on the right side of the face and upper neck region. There was marked itching and burning in the lesions. The patient was diagnosed with TF (ringworm of the face). Sepia officinalis was prescribed after a detailed case taking, repertorisation and final consultation with materia medica based on the totality of symptoms. Within 3 months of administration of individualised homoeopathic medicine Sepia officinalis, multiple erythematous, circumscribed lesions with elevated margins and scaling completely disappeared. During another 6 months of subsequent follow-ups, no symptoms were observed. The present case report addresses the importance of individualised homoeopathic approach in TF infections. The improvement in the case was assessed clinically by a pre-determined 4-point scale and through photographic evidence at baseline, during and after treatment. The modified Naranjo criteria score after treatment was seven (7), establishing a positive causal attribution of the individualised homoeopathic medicine Sepia officinalis for this case. Homoeopathic treatment adhering to its ground principles of individualisation has shown promising and favourable results in this case.

Keywords

tinea faciei - individualised homoeopathy - modified Naranjo criteria - Sepia officinalis

Authors' Contributions

HR contributed to concept, literature search and preparation of manuscript. US helped in literature search and preparation of manuscript.




Publication History

Article published online:
05 April 2023

© 2023. Thieme. All rights reserved.

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

 

  • References

  • 1 Rabell G, Taplin D. Dermatophytes: Their Recognition and Identification. Florida: University of Miami Press; 1974
    Google Scholar
  • 2 Marks R, Motley R. Common Skin Diseases. 18th ed.. London: CRC Press; 2019
    CrossrefGoogle Scholar
  • 3 Islam TA, Majid F, Ahmed M, Afrin S, Jhumky T, Ferdouse F. Prevalence of dermatophytic infection and detection of dermatophytes by microscopic and culture methods. J Enam Med Coll 2018; 8 (01) 11-15
    CrossrefPubMedGoogle Scholar
  • 4 Ali-Shtayeh MS, Yaish S, Jamous RM, Arda H, Husein EI. Updating the epidemiology of dermatophyte infections in Palestine with special reference to concomitant dermatophytosis. J Mycol Med 2015; 25 (02) 116-122
    CrossrefPubMedGoogle Scholar
  • 5 Pragya K, Rameshwari T, Harish K, Kalsi AS. Clinical manifestations and diagnostic challenges of tinea faciei. Int J Curr Microbiol Applied. 2017; 6: 1286-1294
    CrossrefPubMedGoogle Scholar
  • 6 Lin RL, Szepietowski JC, Schwartz RA. Tinea faciei, an often deceptive facial eruption. Int J Dermatol 2004; 43 (06) 437-440
    CrossrefPubMedGoogle Scholar
  • 7 Verma S, Madhu R. The great Indian epidemic of superficial dermatophytosis: an appraisal. Indian J Dermatol 2017; 62 (03) 227-236
    PubMedGoogle Scholar
  • 8 Dogra S, Narang T. Emerging atypical and unusual presentations of dermatophytosis in India. ClinDermatol Rev 2017; 1 (Suppl S1): 12-18
    PubMedGoogle Scholar
  • 9 Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses 2008; 51 (Suppl. 04) 2-15
    CrossrefPubMedGoogle Scholar
  • 10 Leung AK, Lam JM, Leong KF, Hon KL. Tinea corporis: an updated review. Drugs Context 2020; 9: 202
    CrossrefPubMedGoogle Scholar
  • 11 Goldstein AO, Goldstein BG. Dermatophyte (tinea) Infections. Waltham, MA: UpToDate; 2022
    Google Scholar
  • 12 Starova A, Stefanova MB, Skerlev M. Tinea Faciei-hypo diagnosed facial dermatoses. Maced J Med Sci 2010; 3 (01) 27-31
    CrossrefPubMedGoogle Scholar
  • 13 Smell.AE. Manual of Homoeopathic Practice, for the Use of Families and Private Individuals. 13th enlarged edition. New York: William Radde; 1868: 357-358
    Google Scholar
  • 14 The ICD-10 Classification of Tinea Faciei. Diagnostic criteria for research [Internet]. Who.int. 2021. Accessed December 27, 2022, at: https://www.icd10data.com/ICD10CM/Codes/A00-B99/B35-B49/B35-/B35.8
    PubMedGoogle Scholar
  • 15 Banerjee M, Ghosh AK, Basak S, Das KD, Gangopadhyay DN. Comparative evaluation of effectivity and safety of topical amorolfine and clotrimazole in the treatment of tinea corporis. Indian J Dermatol 2011; 56 (06) 657-662
    CrossrefPubMedGoogle Scholar
  • 16 Hahnemann S, Boericke W, Krauss J. Organon of Medicine. 6th ed.. New Delhi: B. Jain Publishers (Pvt.) Ltd.; 2003
    Google Scholar
  • 17 Archibel. RADAR 10 (Internet). Archibel Homoeopathic Software. Isnes, Belgium: Archibel 2018. Accessed December 27, 2022, at: http://www.archibel.com/
    PubMed
  • 18 Speight P. A Comparison of the Chronic Miasms, Psora, Pseudopsora, Syphilis, Sycosis. Reprint Edition.. New Delhi: B. Jain Publishers (P) Ltd.; 1998: 1-87
    Google Scholar
  • 19 Kent JT. Lectures on Homoeopathic Materia Medica. Second rearranged Edition.. New Delhi: B Jain Publishers (P) Ltd.; 2009: 951-976
    Google Scholar
  • 20 Dhawale ML. Principles and Practice of Homoeopathy. 7th reprint ed.. New Delhi: B Jain Publishers (P) Ltd; 2016
    Google Scholar
  • 21 Lamba CD, Gupta VK, van Haselen R. et al. Evaluation of the modified Naranjo criteria for assessing causal attribution of clinical outcome to homeopathic intervention as presented in case reports. Homeopathy 2020; 109 (04) 191-197
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Phatak SR. Materia Medica of Homoeopathic medicines. Reprinted.. New Delhi: B. Jain Publishers; 2007: 701
    Google Scholar
  • 23 Banerjee SK. Miasmatic Prescribing, Its Philosophy, Diagnostic Classifications, Clinical Tips, Miasmatic Repertory, Miasmatic Weightage of Medicines and Case Illustrations. Second enlarged edition. New Delhi: B. Jain Publishers (P) Ltd.; 2010: 3-6
    Google Scholar
  • 24 Boericke W. Pocket Manual of Homoeopathic Materia Medica& Repertory. Low price edition. New Delhi: B. Jain Publishers (P) Ltd.; 2002: 588
    Google Scholar
  • 25 Allen HC. Keynotes and Characteristics with Comparison of Some of the Leading Remedies of the Materia Medica with Bowel Nosodes. Low price edition. New Delhi: B. Jain Publishers (P) Ltd; 2002. -262
    Google Scholar
  • 26 Burnett JC. Ringworm: Its Constitutional Nature and Cure. Philadelphia: Boericke & Tafel; 1892: 10-18
    Google Scholar
  • 27 Gupta R, Manchanda RK. Textbook of Dermatology for Homoeopaths. First edition. New Delhi: B. Jain Publishers (P) Ltd.; 2005: 81
    Google Scholar
  • 28 Pathania S, Rudramurthy SM, Narang T, Saikia UN, Dogra S. A prospective study of the epidemiological and clinical patterns of recurrent dermatophytosis at a tertiary care hospital in India. Indian J Dermatol Venereol Leprol 2018; 84 (06) 678-684
    CrossrefPubMedGoogle Scholar
  • 29 Dogra S, Uprety S. The menace of chronic and recurrent dermatophytosis in India: is the problem deeper than we perceive?. Indian Dermatol Online J 2016; 7 (02) 73-76
    CrossrefPubMedGoogle Scholar
  • 30 Hahnemann S. Organon of Medicine. 5th edition translated by Dudgeon, R.E. and 6th edition by Boericke, W. New Delhi: B. Jain Publisher (P) Ltd; 2002: 122-127
    Google Scholar
  • 31 Dixit AK, Giri N. Tinea corporis: an evidence-based case report treated with homoeopathic medicine sepia. Homoeopathic Links 2020; 33: 33-40
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Dewan D. A case of Tinea corporis treated with homoeopathy. Homoeopathic Links 2022; 35 (01) 84-85
    Article in Thieme ConnectPubMedGoogle Scholar
  • 33 Hazra P, Mukherjee SK, Ganguly S. et al. A comparative study of 50-millesimal potencies and centesimal potencies in the treatment of Tinea corporis: an open, randomised. Pilot Trial. Homoeopathic Links. 2021; 34 (04) 267-277
    PubMedGoogle Scholar
  • 34 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
    CrossrefPubMedGoogle Scholar