Breaking the Cycle of Steroid Dependency through a Homeopathic Journey in Chronic Psoriasis

A 38-year-old male patient (Patient ID: 50562), working as an assistant manager at Bharat Forge, presented with a chronic case of psoriasis since 2017. The chief complaints included thick, dry, and hyperpigmented patches covered with silvery-white scales affecting the scalp, elbows, dorsum of both hands, and inner ears. One distinct patch was noted on the left ankle. Symptoms were accompanied by persistent itching, dryness, and occasional burning, particularly during winter. There were no signs of bleeding, discharge, or cracks associated with the lesions. The patient reported using Clobetasol Propionate (Clobisol) cream regularly since 2019, which provided temporary relief but no long-term healing. His concern centered on achieving a more permanent resolution and avoiding dependence on topical steroids. 

Physical generals:

His diet was mixed and average, with cravings for spicy and sweet food, and an aversion to milk. Thirst was low, only about 1–1.5 liters/day. The patient rarely perspired and had satisfactory bowel movements. The patient was thermally chilly in disposition. 

Physical Examination:

Grade I pallor was noted on the nails, and the tongue was coated at the edges, suggestive of mild anemia or underlying digestive derangement.

Personal details: He was working as an assistant manager at Bharat Forge. He lived with his homemaker wife, school-going daughter, and young son.

Mental generals: The Patient''s life was stable and emotionally supportive. He was gentle, sober, and shy, and easily gets emotionally attached. He also experienced anticipatory anxiety and mild nervousness but had no major past traumas or unresolved grief.

Family History:  Only paternal hypertension and no autoimmune conditions were reported. 

Follow-ups:

On the first follow-up dated 11.08.2023, there was no significant improvement, with dryness and itching persisting. The patches on the scalp, elbows, and hands remained as before. No new lesions had appeared, and temporary relief was still being obtained from the application of the Clobetasol ointment. The treatment was continued with close monitoring. 

By the second follow-up on 30.09.2023, the patient reported slight improvement in patch thickness, dryness, and itching. Importantly, no new patches had developed, indicating a halt in the progression of the disease.

By 19.11.2023, further improvements were noted: itching and burning had reduced substantially, and older lesions were healing. This suggested a positive response to the individualized homeopathic treatment. During the January 2024 follow-up, significant improvement was seen in the lesions on the scalp, behind the ears, and palms. However, the patches on the elbows and legs remained status quo, with intermittent itching and dryness, likely exacerbated by cold weather.

The most recent follow-up on 19.12.2024 revealed a 60–70% reduction in itching across all affected areas, including the scalp, elbows, palms, ears, and legs. The patient expressed satisfaction, reporting no new eruptions and feeling physically well. Notably, there was no bleeding even after scratching—an indication of improved skin integrity and reduced inflammation.

Throughout treatment, the approach remained patient-centered, aiming to reduce dependence on topical steroids, address underlying triggers, and promote long-term treatment.

Conclusion:

This case demonstrates the effectiveness of homeopathic treatment in managing chronic psoriasis. The patient''s quality of life improved substantially with reduced symptoms and no recurrence of lesions.

• Case study written by Dr. Shreya Hedaoo, an associate doctor to Dr. Rajesh Shah,MD (Homo)