A CASE OF ALLERGIC DERMATITIS
- gold allergy
A male aged thirty years old presented skin eruptions in the nape of the neck since 2years. The lesions are moderately edematous. Itching and burning were the sensations expressed by the patient.
< Cold bathing
< Non vegetarian food, egg, chicken and fish
But No aggravation by Mutton
< wearing gold chains
> From sweating
> Open air
> From exposing the area of lesion into direct sun heatInitially he had allopathic treatment.
(Those symptoms palliated with antihistamines and topical applications.)
He suggested that gold chain could be the basic causative for skin ailments.
Past history:History of skin allergy and allergic rhinitis treated with allopathic medicines. He had medication for gastritis.
Personal history:His father is a hypersensitive patient and his mother had eczema in the ankle. He was a smoker and now quitted it occasional alcoholic, non vegetarian
Physical generals:Good appetite
Sleep disturbed by itching
Perspiration on exertion but ameliorates the burning and itching
Mental generalsRestless from itching
First prescription(Photograph 1 taken)RxArsenicum album200 single dose with aqueous solution 5gtt/hr until feels better.
Follow up one
Patient was comfortable with sensations after few doses.RxPlacebo for 2 weeks
Follow up twoThe patient was better with all his complaints.The lesion disappeared.
(Photograph 2 taken)
Now the patient wearied gold chain comfortably.RxPlacebo for 2 weeks
Follow up three
No complaintsTreatment stopped
Here I used Arsenicum album, based on edematous skin eruption with Itching and burning > from exposing the area of lesion into direct sun heat, < wearing gold chains (metal), < Cold bathing, < Non-vegetarian food, egg, chicken and fish. I had a thought on Thuja occidentalis a complementary. However, it not required. The patient benefitted by first prescription itself.