A CASE OF GOLD ALLERGY (ALLERGIC DERMATITIS) CURED BY ARSENICUM ALBUM

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   A CASE OF ALLERGIC DERMATITIS 

- gold allergy

                                                       

Doctor sivakumaran

      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.)

Causation:

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

Regular bowels

Sleep disturbed by itching

Perspiration on exertion but ameliorates the burning and itching

Thirst ++

Mental generals

Restless from itching

Irritable

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 two

The 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

Conclusion

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.