International Journal of Homoeopathic Sciences

Introduction: Psoriasis is a chronic immune-mediated inflammatory skin disorder characterized by erythematous, scaly plaques. Global prevalence ranges from 0% to 11.8%, with bimodal peaks in men aged 30-39 and 60-69 years, occurring about a decade earlier in women. Psoriasis affects quality of life, often leading to emotional distress and stigma.
Case Summary: A 60-year-old female presented with psoriatic lesions on the gluteal region and back of the legs, characterized by bilateral, circular, itchy, and scaly patches. After thorough case taking, analysis, and repertorization, Sepia 6C was prescribed, followed by Sepia 200C, along with Calcarea sulphurica 6X as a biochemic support. Complete improvement was achieved without any external application.
Results: Photographic and PASI (Psoriasis Area and Severity Index) assessments confirmed clinical recovery, with a PASI reduction from 11.9 (moderate) to 0. The Modified Naranjo Criteria (MONARCH) score of +1 suggested a strong causal relationship between the homeopathic intervention and the clinical outcome.
Conclusion: Psoriatic lesions healed completely with individualized homeopathic management, demonstrating internal constitutional correction without topical suppression.