Title : Homoeopathic treatment of lichen simplex chronicus (LSC): A case report
Abstract:
Introduction: Lichen Simplex Chronicus (LSC) also known as neurodermatitis, is a skin condition which is considered a localized lichenification along with severe itching that lasts long and is an extension of atopic eczema. Conventional management focuses on symptom control only without preventing recurrences, resulting in great patient dissatisfaction. Moving towards a promising solution this case study assesses neurodermatitis treatment with homoeopathy.
Aim: The aim of this case report is to evaluate the role of Homoeopathic medicine, Sepia succus 200C, in achieving remission and preventing recurrence in a patient with LSC.
Patients and Methods: A 60-year-old male patient presented with complaints of dry, papular lesions as shown in image (a) and (c) since 1.5 years suggesting LSC. Case was treated using an individualized approach using a homoeopathic remedy. Sepia succus 200C was prescribed after appropriate assessment of patient features and patient's clinical conditions. Patient showed gradual improvement in his condition after 4 months and then in 8 months no episodes of relapse were recorded. Modified Naranjo criteria (MONARCH) was used as an assessment tool to track clinical developments after the medicine was given.
Results: Patient was presented with gradual changes in lesions on the skin, as well as peeling accompanied by some signs, and at the end of 4 months, the complications resolved and his skin appeared clear with all symptoms gone as shown in image (b) and (d). The clinical evaluations performed during next 8 months did not display any symptoms for recurrence as well.
Conclusions: This case report demonstrates the efficacy of Homoeopathy in treating LSC, wherein Sepia succus was used as an individualized Homoeopathic remedy, yielding significant beneficial outcomes. Hence it is concluded that, Homoeopathy, as a holistic approach in this case study, indicates an efficient treatment method for LSC.

