International Journal of Homoeopathic Sciences

Background: Eczema, particularly atopic dermatitis, is a chronic inflammatory skin disorder with multifactorial etiology involving epidermal barrier dysfunction, immune dysregulation, altered skin microbiome, and environmental triggers. Conventional treatments often provide temporary relief but may not address the holistic needs of patients. Homoeopathy emphasizes individualized treatment based on the totality of symptoms.

Case presentation: A 19-year-old female presented with chronic eczema localized to the dorsum of both hands, characterized by dryness, scaling, discoloration, and intense itching with burning after scratching. Symptoms were aggravated at night, after washing, and in cold weather, and relieved by warmth. The patient also exhibited mental symptoms including restlessness, fastidiousness, fear of being alone, and fear of death. Detailed case-taking, repertorization using Classic Homopath 8.1 software, and consultation of Materia Medica led to the prescription of Arsenicum album 200.

Intervention and outcome: The patient was prescribed Arsenicum album 200 (3 doses over 3 days), followed by placebo. Significant improvement in itching and mental symptoms was observed within two weeks. Over subsequent follow-ups spanning two months, skin eruptions resolved with no recurrence of symptoms.

Conclusion: This case highlights the effectiveness of individualized homoeopathic treatment in eczema management. Arsenicum album, selected on the basis of mental generals, physical generals, and characteristic particulars, demonstrated substantial improvement in both physical and psychological aspects of the disease. Further clinical studies with larger sample sizes are recommended to validate these findings.