PDF herunterladen
Homœopathic Links 2022; 35(03): 181-190
DOI: 10.1055/s-0042-1755397
Case Report

Homoeopathy in Obstinate Non-Segmental Vitiligo: An Evidence-Based Report of Two Cases

Rajib Purkait 
1   Clinical Research Unit for Homoeopathy, Siliguri, under Central Council for Research in Homoeopathy, Ministry of AYUSH, Govt. of India, Siliguri, West Bengal, India
,
Dhiraj Debnath 
1   Clinical Research Unit for Homoeopathy, Siliguri, under Central Council for Research in Homoeopathy, Ministry of AYUSH, Govt. of India, Siliguri, West Bengal, India
,
Baidurjya Bhattacharjee 
1   Clinical Research Unit for Homoeopathy, Siliguri, under Central Council for Research in Homoeopathy, Ministry of AYUSH, Govt. of India, Siliguri, West Bengal, India
,
Gurudev Choubey 
1   Clinical Research Unit for Homoeopathy, Siliguri, under Central Council for Research in Homoeopathy, Ministry of AYUSH, Govt. of India, Siliguri, West Bengal, India
› Institutsangaben
› Weitere Informationen
    Lizenzen und Reprints

Abstract

Background Vitiligo is an acquired de-pigmented dermatological disorder of great cosmetic importance, which negatively affects the quality of life (QoL). Available treatment options are mostly invasive, requiring maintenance therapy to prevent relapses and having many side effects.

Cases Here we present two similar cases of obstinate non-segmental vitiligo, reported with non-itchy de-pigmented macules around both eyes. The subjective assessment of the patient as well as the QoL was evaluated by using the outcome related to impact on daily living (ORIDL) and vitiligo-specific quality of life (VitiQoL) respectively. Photographs were taken as objective evidence. Finally, Modified Naranjo Criteria for Homeopathy (MONARCH) was used to evaluate the possible causal relationship between the homoeopathic intervention and clinical improvement.

Conclusions The cases were markedly improved on the ORIDL scale (+3) as per the patient's perspective. QoL was also improved as revealed on the VitiQoL score. Photographs were evident with the improvement. MONARCH score (‘ + 9’ in both cases) established the likelihood of improvement was attributable to homoeopathy. In both cases, indicated similimum has produced significant evidence in the treatment of vitiligo.

Keywords

homoeopathy - non-segmental vitiligo - calcarea phosphorica - sepia officinalis - case report

Financial Support and Sponsorship

Nil.




Publikationsverlauf

Artikel online veröffentlicht:
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 Matz H, Tur E. Vitiligo - exogenous factors. Exogenous Dermatology 2004; 3 (05) 246-256
    CrossrefPubMedSuche in Google Scholar
  • 2 Ezzedine K, Eleftheriadou V, Whitton M, van Geel N. Vitiligo. Lancet 2015; 386 (9988): 74-84
    CrossrefPubMedSuche in Google Scholar
  • 3 Uv M. Revised classification⁄nomenclature of vitiligo and related issues: the Vitiligo Global Issues Consensus Conference. 2010; 23 (02)
    CrossrefPubMedSuche in Google Scholar
  • 4 Behl PN, Bhatia RK. 400 cases of vitiligo. A clinico-therapeutic analysis. Indian J Dermatol 1972; 17 (02) 51-56
    PubMedSuche in Google Scholar
  • 5 Singh M, Singh G, Kanwar AJ, Belhaj MS. Clinical pattern of vitiligo in Libya. Int J Dermatol 1985; 24 (04) 233-235
    CrossrefPubMedSuche in Google Scholar
  • 6 Alikhan A, Felsten LM, Daly M, Petronic-Rosic V. Vitiligo: a comprehensive overview Part I. Introduction, epidemiology, quality of life, diagnosis, differential diagnosis, associations, histopathology, etiology, and work-up. J Am Acad Dermatol 2011; 65 (03) 473-491
    PubMedSuche in Google Scholar
  • 7 Aghaei S, Sodaifi M, Jafari P, Mazharinia N, Finlay AY. DLQI scores in vitiligo: reliability and validity of the Persian version. BMC Dermatol 2004; 4: 8
    CrossrefPubMedSuche in Google Scholar
  • 8 Osman AM, Elkordufani Y, Abdullah MA. The psychological impact of vitiligo in adult Sudanese patients. Afr J Psychiatry (Johannesbg) 2009; 12 (04) 284-286
    PubMedSuche in Google Scholar
  • 9 AlGhamdi K, Kumar A, Moussa N. The role of vitamin D in melanogenesis with an emphasis on vitiligo. Indian J Dermatol Venereol Leprol 2013; 79 (06) 750-758
    CrossrefPubMedSuche in Google Scholar
  • 10 Szczurko O, Boon HS. A systematic review of natural health product treatment for vitiligo. BMC Dermatol 2008; 8: 2
    CrossrefPubMedSuche in Google Scholar
  • 11 Forschner T, Buchholtz S, Stockfleth E. Current state of vitiligo therapy–evidence-based analysis of the literature. J Dtsch Dermatol Ges 2007; 5 (06) 467-475
    CrossrefPubMedSuche in Google Scholar
  • 12 Pingel S. Homöopathie. Grundlagen und Prinzipien ihrer Anwendung in der Dermatologie. [Homeopathy. Basic aspects and principles of use in dermatology] Hautarzt 1992; 43 (08) 475-482
    PubMedSuche in Google Scholar
  • 13 Kumar SR. CASE RECORD: A case of vitiligo treated with phosphorus. Indian Journal of Research in Homoeopathy 2008; 2 (01) 49-57
    CrossrefPubMedSuche in Google Scholar
  • 14 Jha D, Debata L. A case of vitiligo treated by sulphur. Indian Journal of Research in Homoeopathy 2009; 3 (03) 34-40
    CrossrefPubMedSuche in Google Scholar
  • 15 Agarwal MCH, Singh PK. Role of LM potency of homoeopathic similimum in case of vitiligo: a case report. Int J Homeopathy Sci 2020; 4 (03) 302-305
    CrossrefPubMedSuche in Google Scholar
  • 16 Ganguly S, Saha S, Koley M, Mondal R. Homeopathic treatment of vitiligo: an open observational pilot study. International Journal of High Dilution Research 2013; 12 (45) 168-177
    CrossrefPubMedSuche in Google Scholar
  • 17 Mahesh S, Mallappa M, Tsintzas D, Vithoulkas G. Homeopathic treatment of vitiligo: a report of fourteen cases. Am J Case Rep 2017; 18: 1276-1283
    CrossrefPubMedSuche in Google Scholar
  • 18 Chakraborty P, Kaushik S, Debata L. et al. A multicentric observational study to evaluate the role of homoeopathic therapy in vitiligo. Indian Journal of Research in Homoeopathy 2015; 9 (03) 167
    CrossrefPubMedSuche in Google Scholar
  • 19 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
    Suche in Google Scholar
  • 20 Allen HC. Keynotes and Characteristics with Comparison of Some of the Leading Remedies of the Materia Medica with Bowel Nosodes. 15th imprint. New Delhi: B Jain Publishers (P) Ltd; 2016
    Suche in Google Scholar
  • 21 Boericke W. Boericke's New Manual of Homeopathic Materia Medica with Repertory. 37th edition. New Delhi: B Jain Publishers (P) Ltd; 2016
    Suche in Google Scholar
  • 22 Reilly D, Mercer SW, Bikker APHT, Harrison T. Outcome related to impact on daily living: preliminary validation of the ORIDL instrument. BMC Health Serv Res 2007; 7 (01) 139
    CrossrefPubMedSuche in Google Scholar
  • 23 Lilly E, Lu PD, Borovicka JH. et al. Development and validation of a vitiligo-specific quality-of-life instrument (VitiQoL). J Am Acad Dermatol 2013; 69 (01) e11-e18
    CrossrefPubMedSuche in Google Scholar
  • 24 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
    Suche in Google Scholar
  • 25 Pahwa P, Mehta M, Khaitan BK, Sharma VK, Ramam M. The psychosocial impact of vitiligo in Indian patients. Indian J Dermatol Venereol Leprol 2013; 79 (05) 679-685
    CrossrefPubMedSuche in Google Scholar
  • 26 Whitton ME, Pinart M, Leonardi-Bee J. et al. Interventions for vitiligo (Review). Cochrane Database of Systematic Review . 2015 ;(2). Accessed July 18, 2022 http://www.thecochranelibrary.com
    PubMedSuche in Google Scholar
  • 27 Hahnemann S. Organon of Medicine. 5th and 6th edition. Dudgeon RE, Boericke W. eds.). New Delhi: B. Jain Publishers Pvt. Ltd; 2013
    Suche in Google Scholar