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

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.


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.

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
  • 2 Marks R, Motley R. Common Skin Diseases. 18th ed.. London: CRC Press; 2019
  • 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
  • 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
  • 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
  • 6 Lin RL, Szepietowski JC, Schwartz RA. Tinea faciei, an often deceptive facial eruption. Int J Dermatol 2004; 43 (06) 437-440
  • 7 Verma S, Madhu R. The great Indian epidemic of superficial dermatophytosis: an appraisal. Indian J Dermatol 2017; 62 (03) 227-236
  • 8 Dogra S, Narang T. Emerging atypical and unusual presentations of dermatophytosis in India. ClinDermatol Rev 2017; 1 (Suppl S1): 12-18
  • 9 Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses 2008; 51 (Suppl. 04) 2-15
  • 10 Leung AK, Lam JM, Leong KF, Hon KL. Tinea corporis: an updated review. Drugs Context 2020; 9: 202
  • 11 Goldstein AO, Goldstein BG. Dermatophyte (tinea) Infections. Waltham, MA: UpToDate; 2022
  • 12 Starova A, Stefanova MB, Skerlev M. Tinea Faciei-hypo diagnosed facial dermatoses. Maced J Med Sci 2010; 3 (01) 27-31
  • 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
  • 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
  • 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
  • 16 Hahnemann S, Boericke W, Krauss J. Organon of Medicine. 6th ed.. New Delhi: B. Jain Publishers (Pvt.) Ltd.; 2003
  • 17 Archibel. RADAR 10 (Internet). Archibel Homoeopathic Software. Isnes, Belgium: Archibel 2018. Accessed December 27, 2022, at: http://www.archibel.com/
  • 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
  • 19 Kent JT. Lectures on Homoeopathic Materia Medica. Second rearranged Edition.. New Delhi: B Jain Publishers (P) Ltd.; 2009: 951-976
  • 20 Dhawale ML. Principles and Practice of Homoeopathy. 7th reprint ed.. New Delhi: B Jain Publishers (P) Ltd; 2016
  • 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
  • 22 Phatak SR. Materia Medica of Homoeopathic medicines. Reprinted.. New Delhi: B. Jain Publishers; 2007: 701
  • 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
  • 24 Boericke W. Pocket Manual of Homoeopathic Materia Medica& Repertory. Low price edition. New Delhi: B. Jain Publishers (P) Ltd.; 2002: 588
  • 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
  • 26 Burnett JC. Ringworm: Its Constitutional Nature and Cure. Philadelphia: Boericke & Tafel; 1892: 10-18
  • 27 Gupta R, Manchanda RK. Textbook of Dermatology for Homoeopaths. First edition. New Delhi: B. Jain Publishers (P) Ltd.; 2005: 81
  • 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
  • 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
  • 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
  • 31 Dixit AK, Giri N. Tinea corporis: an evidence-based case report treated with homoeopathic medicine sepia. Homoeopathic Links 2020; 33: 33-40
  • 32 Dewan D. A case of Tinea corporis treated with homoeopathy. Homoeopathic Links 2022; 35 (01) 84-85
  • 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
  • 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