International Journal of Homoeopathic Sciences

Background: Vitiligo is a chronic acquired depigmentary disorder characterized by the selective loss of melanocytes, leading to well-defined hypopigmented patches. It affects about 0.5-2% of the global population, with significant psychosocial implications, particularly in children. Conventional treatment modalities, including corticosteroids, phototherapy, and immunosuppressants, may provide partial relief but are often associated with relapses and adverse effects. Homeopathy, based on individualized constitutional prescribing, offers a holistic approach to management.

Case presentation: A 12-year-old female presented with depigmented patches over both upper limbs (elbows and extensor surfaces of the hands) for the past 9 months. The condition developed following suppression of vesicular eruptions with local ointments. The patient had a history of recurrent constipation, worm infestation, and frequent childhood skin eruptions. Mentally, she was irritable, inquisitive, and conscious of her appearance. Physical generals included craving for sweets and fried food, intolerance to heat, disturbed sleep, and profuse offensive perspiration. Based on the totality of symptoms and Miasmatic background, Sulphur 200 was prescribed, followed by placebo.

Outcome: At one-month follow-up, the vitiligo patches remained stable without progression, and the patient showed improvement in irritability and general well-being. By the third month, signs of repigmentation appeared at the borders of the lesions, accompanied by better bowel movements and reduced heat intolerance. At six months, significant repigmentation was noted with near-normal skin tone, and the patient reported improved confidence, sleep, and overall vitality.

Conclusion: This case illustrates the beneficial role of individualized homeopathic treatment in vitiligo. Sulphur, selected on the basis of constitutional features and totality of symptoms, not only stimulated repigmentation but also improved the patient’s general health and psychological state, demonstrating the holistic scope of homeopathy in managing chronic skin conditions.