A 43-year-old businessman with eczema affecting both eyelids, the neck, and left eye canthus experienced severe itching, burning, dryness, redness, and post-inflammatory hyperpigmentation. Over 13 months of documented follow-up, the lesions gradually improved, with approximately 90% improvement recorded by December 2025. By February 2026, the documented lesions had cleared and the residual pigmentation was fading.
Table of Contents
- 01. Hero Introduction
- 02. Patient Case Details
- 03. Understanding Eczema
- 04. What Is Eczema?
- 05. Common Triggers and Aggravating Factors
- 06. His Main Complaints
- 07. Where the Eczema Appeared
- 08. Symptoms He Experienced
- 09. His Medical Background
- 10. Previous Treatment
- 11. Associated Medical Condition
- 12. Understanding His General Health
- 13. Physical Characteristics
- 14. Emotional and Personal Characteristics
- 15. Case Assessment and Treatment Planning
- 16. What Was Considered During the Evaluation
- 17. Treatment and Follow-Up Plan
- 18. Follow-Up and Progress
- 19. 1 January 2025 | First Consultation
- 20. 9 February 2025 | After 1.5 Months
- 21. 6 April 2025 | After 4 Months
- 22. 27 August 2025 | After 8 Months
- 23. 7 December 2025 | After 11 Months
- 24. 5 February 2026 | After 13 Months
- 25. How the Condition Changed
- 26. Initial Phase
- 27. Progressive Improvement
- 28. Changes in Pigmentation
- 29. Ready to Know Your Recovery Chances?
- 30. Eczema, Itching and Skin Changes
- 31. Itching and Burning
- 32. Dryness and Redness
- 33. Post-Inflammatory Hyperpigmentation
- 34. Outcome
- 35. Symptom Changes
- 36. Skin Changes
- 37. Overall Progress
- 38. Doctor's Perspective
- 39. Understanding the Treatment Journey
- 40. Prognosis Video
- 41. Conclusion
Hero Introduction
For Mr. D.M., a 43-year-old businessman from Malad, eczema developed during a period of recent business-related stress. Dry patches appeared over both eyelids and the right side of his neck, along with involvement of the canthus of the left eye. Severe itching, burning, redness, and dryness made the condition particularly uncomfortable, while the patches were also spreading rapidly.
He had previously taken conventional treatment without relief. He therefore began treatment at Life Force Homeopathy, Borivali, on 1 January 2025.
Over the following 13 months, the active eczema lesions gradually improved. Approximately 90% improvement was documented by December 2025, followed by clearing of the documented lesions and fading of post-inflammatory hyperpigmentation by February 2026.
Patient Case Details
| Parameter | Details |
| Patient | Mr. D.M. |
| Patient ID | 24007 |
| Age | 43 years |
| Gender | Male |
| Profession | Businessman |
| Location | Malad, India |
| Treatment Centre | Life Force Homeopathy, Borivali |
| First Consultation | 1 January 2025 |
| Condition | Eczema |
| Duration | 4 months |
| Main Complaints | Eczema patches over both eyelids, neck and left eye canthus with itching, burning, dryness, redness and post-inflammatory hyperpigmentation |
Understanding Eczema
What Is Eczema?
Atopic dermatitis, commonly known as eczema, is a non-contagious inflammatory skin condition associated with dryness, itching, redness, scaling, and irritation.
Other manifestations may include bumps, thickened skin, swelling, flaky or crusted areas, and changes in skin colour.
Common Triggers and Aggravating Factors
The case information identifies several factors that may aggravate eczema, including dry weather, fabrics or clothing materials, makeup and skincare products, smoke and pollutants, soaps and detergents, stress, and contact with substances to which a person may be sensitive.
In this patient's case, excessive sweating on the face and dry winter weather were specifically reported as aggravating factors.
His Main Complaints
Where the Eczema Appeared
At his first consultation, dry eczema patches were present over:
- Both eyelids
- Right side of the neck
- Canthus of the left eye
The patient reported that the patches were spreading rapidly.
Symptoms He Experienced
His main complaints included:
- Severe itching
- Burning pain
- Dryness of skin
- Redness
- Darkening of the skin after eczema
He had previously taken conventional treatment but reported no relief.
His Medical Background
Previous Treatment
Before his first consultation at Life Force Homeopathy, the patient had taken conventional treatment for the eczema without satisfactory relief.
During the documented treatment period, he was not taking any other conventional medication.
Associated Medical Condition
The patient had a history of Ulcerative Colitis since 2007.
He had previously received treatment from Life Force Homeopathy between 2014 and 2016 and had remained stable since 2017. He was not taking any medication for this condition at the time of the eczema consultation.
Understanding His General Health
Physical Characteristics
The case evaluation considered his general health, appetite, food preferences, sleep, thermal response, and tendency towards recurrence.
He had a craving for sweets and an aversion to sour foods. His thermal response and other general characteristics were also considered during the assessment.
Emotional and Personal Characteristics
The patient was described as clever, intelligent, mild, and reserved by nature.
Anxiety about the future was also noted during the case evaluation.
These details were considered alongside the physical presentation of the eczema.
Case Assessment and Treatment Planning
What Was Considered During the Evaluation
Dr. Rajesh Shah conducted a comprehensive evaluation that included the location of the eczema patches, severe itching, burning pain, dryness, redness, post-inflammatory pigmentation, aggravating factors, and the patient's general and emotional characteristics.
The assessment included:
- Eczema over both eyelids, neck, and left eye canthus
- Severe itching
- Burning pain
- Dryness of skin
- Redness
- Post-inflammatory darkening
- Craving for sweets
- Aversion to sour foods
- Mild and reserved nature
- Anxiety about the future
Treatment and Follow-Up Plan
The treatment approach focused on constitutional homeopathic care based on the overall case assessment.
The aim was to monitor the active eczema as well as associated itching, dryness, burning, redness, and residual pigmentation.
Dietary guidance was also provided, particularly regarding known triggers such as milk and sour foods. Regular follow-ups were advised every 6–8 weeks.
For patients researching Homeopathic medicine for eczema, it is important to note that this case involved a patient-specific assessment rather than a standard prescription for the diagnosis alone.
Follow-Up and Progress
1 January 2025 | First Consultation
The patient had been experiencing dry eczema patches over both eyelids and the right side of the neck for approximately four months, with involvement of the canthus of the left eye.
The lesions were spreading rapidly and were associated with severe itching, burning, dryness, redness, and darkening of the skin after eczema.
He had previously taken conventional treatment without relief.
9 February 2025 | After 1.5 Months
At the first follow-up, an increase in lesions over the canthi of both eyes was reported.
The lesion over the neck remained unchanged.
Treatment was continued with adjustments.
6 April 2025 | After 4 Months
Approximately 30% improvement was reported in the lesions over both eyes and the neck.
Itching and redness had reduced.
Because dryness remained present, the patient was advised to moisturize the skin frequently.
27 August 2025 | After 8 Months
The lesions had improved significantly.
Only occasional itching and slight post-eczema hyperpigmentation remained. He was not taking any other medication.
This stage represented a clear change from the earlier presentation, when the lesions had been spreading rapidly.
7 December 2025 | After 11 Months
The patient was assessed at approximately 90% improvement.
The active eczema had cleared, with only mild hyperpigmentation remaining.
5 February 2026 | After 13 Months
At the latest follow-up, the documented lesions had cleared and the post-inflammatory hyperpigmentation marks were fading.
The case also highlighted the importance of continued treatment and follow-up even after significant improvement becomes visible.
How the Condition Changed
Initial Phase
During the first follow-up, lesions around the canthi of both eyes increased, while the neck lesion remained unchanged.
This was followed by a gradual reduction in itching, redness, and the extent of the lesions.
Progressive Improvement
By April 2025, approximately 30% improvement had been recorded. Further improvement was documented in August, when only occasional itching and slight hyperpigmentation remained.
By December, the active eczema had cleared and approximately 90% overall improvement was documented.
Changes in Pigmentation
Post-inflammatory hyperpigmentation remained after the active eczema had cleared.
By February 2026, the pigmentation marks were reported to be fading.
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Itching and Burning
Severe itching and burning were prominent complaints at the beginning of the case.
Both symptoms reduced during the subsequent follow-ups, eventually becoming only occasional by August 2025.
This case therefore also documents Homeopathic Treatment for Itching as part of the broader management of the patient's eczema symptoms.
Dryness and Redness
Dryness and redness were present at the beginning of treatment. By April 2025, both itching and redness had reduced, while frequent moisturization was advised for the remaining dryness.
The subsequent improvement was accompanied by reduced skin dryness and clearing of the active lesions.
Post-Inflammatory Hyperpigmentation
Darkening of the skin after eczema was present from the beginning.
Slight hyperpigmentation remained in August and mild hyperpigmentation was still present in December. By February 2026, the pigmentation marks were reported to be fading.
Outcome
Symptom Changes
Over approximately 13 months of follow-up, the patient experienced:
- Reduction in severe itching
- Reduction in burning sensation
- Reduced redness
- Improvement in skin dryness
- Significant improvement in the active eczema lesions
Skin Changes
The active eczema lesions documented over the eyelids, neck, and left eye canthus cleared during the follow-up period.
Post-inflammatory hyperpigmentation gradually faded after the active lesions had cleared.
Overall Progress
Approximately 90% improvement was documented by December 2025.
At the February 2026 follow-up, the documented lesions remained clear, with fading of the residual pigmentation. No recurrence was reported during the documented follow-up period.
Doctor's Perspective
Understanding the Treatment Journey
Eczema symptoms can change over the course of follow-up. In this case, the early phase included an increase in lesions around the eye canthi before subsequent improvement was documented.
The follow-up record tracked changes in active lesions, itching, redness, dryness, and residual pigmentation over 13 months.
Prognosis Video
Conclusion
Mr. D.M. presented with dry eczema patches affecting both eyelids, the right side of the neck, and the canthus of the left eye. The lesions had been present for approximately four months and were spreading rapidly, with severe itching, burning, dryness, redness, and post-inflammatory hyperpigmentation.
Previous conventional treatment had not provided satisfactory relief. Following the start of treatment in January 2025, the case was monitored through regular follow-ups.
The initial follow-up showed an increase in lesions around both eye canthi. By April, approximately 30% improvement was documented, followed by significant improvement by August. By December 2025, approximately 90% improvement was recorded, with clearing of the active eczema and only mild hyperpigmentation remaining.
At the February 2026 follow-up, the documented lesions had cleared and the residual pigmentation was fading.
This case represents the experience of one patient and highlights the importance of monitoring symptoms, possible aggravating factors, skin care, and progress through regular follow-up.
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