Postpartum Hormonal Fluctuations And Chronic Lichen Planus Got Successfully Treated with Homoeopathy

A 35-year-old female [Patient ID: 43483], a housewife, presented with a chronic skin condition persisting for approximately 2.5 years. She reported small, black, raised eruptions bilaterally on the legs and dorsum of the hands, along with marked hyperpigmentation over the forearms. Initially, the lesions were associated with intense itching, but currently, the condition is mild and stable, with no active itching. This improvement is due to earlier use of antihistamines and topical care (steroids), although she has not been on any current medication for the last 15 days. She used Tab. Betnesol (a corticosteroid), taken once/day in a tapering dose, used intermittently over a year. She stopped it around 15 days prior to her current evaluation. Similarly, Tab Xyzal (Levocetirizine) was taken once daily for a year and stopped around the same time. Previously, these medications helped manage itching but did not prevent recurrence or spread.
Associated complaints—1] Hair fall for the past year. She loses more than 100 strands/day, primarily from the roots. Her hair care includes oiling 3–4 times and washing 2–3 times per week. There is no recent use of hair coloring products (last used 4 years ago). No patchy baldness or localized hair loss is noted.
2] Another longstanding complaint is allergic rhinitis for the past 3–4 years, presenting as nighttime sneezing, nasal congestion, and occasional headaches. There is no watery discharge. The symptoms, particularly sneezing episodes lasting for 3–4 hours at night, were partially controlled with Tab Atarax 10 mg OD, used intermittently over a year.
Family History—Mother has hypothyroidism and a strong family history of autoimmune diseases, adding to the suspicion of an underlying autoimmune component. 
Her dermatological complaints worsened significantly during and after pregnancy, suggesting hormonal influences. She has three children (ages 14, 8, and 3 years), all born through full-term normal deliveries (FTND). She observed worsening of skin lesions, particularly during the postpartum period after her third delivery.
Physical Generals—Her appetite is average with no specific cravings or aversions. She consumes about 2.5 liters of water daily. Bowel habits and perspiration are absolutely normal with no complaints. She has regular menstrual cycles of 5 days every 30 days. Sleep is undisturbed and refreshing, and there are no distressing dreams or psychological disturbances.
Personal History—She lives with her husband, who is employed with the RTO and also works in scrap collection. They have three children. The patient maintains an emotionally positive outlook and reports no major mental stress, except concern regarding her persistent skin condition, which affects her self-image and causes mild distress.
Follow-Ups:
First follow up was taken on 21st Jan 2021,where patient had notable improvement; old lesions began drying up with occasional itching of eruptions,rather no new eruptions or spread of old one.
 On 28th June 2021- Eruptions spread on the feet with itching for 2–3 months, which might be due to environmental change or hormonal imbalance.
But later the condition was completely under control, which shows significant improvement by changing some diet and lifestyle patterns. 
On 10th August 2022—Condition worsened; older lesions increased in size, with bleeding on scratching. New eruptions noted on the scalp resembling dandruff with itching throughout the day.
Again on 01st March 2024- Patient reported 50% improvement with homeopathic treatment. Itching was significantly reduced (only 2–3 times/week). No conventional medicines were taken during this period.
21st May 2024: Continued progress noted. No new eruptions; older lesions on legs and lips showed signs of healing. Oral lichen planus also showed improvement.
On 4th July 2024: Lesions on lips and legs healing well, no itching present. Patient off all conventional treatment,and continued homoeopathy.
In the recent follow up on 24th June 2025: Patient reported 70–75% overall improvement. Old lesions were healing with fading pigmentation. No new eruptions, spread, or significant itching. Hyperpigmented spots remain, though they are progressively lightening.
Conclusion:

This shows that throughout the course of illness, the skin lesions demonstrated a chronic relapsing-remitting course. They were partially controlled with corticosteroids and antihistamines in earlier stages but relapsed frequently, particularly postpartum and during medication gaps. Over time, a switch to supportive care, including moisturizers and homeopathy, gave consistent clinical improvement.

- Case written by Dr. Shreya Hedaoo, Associate doctor to Dr. Rajesh Shah, MD [Homo]