CASE DETAILS:
10 YEAR OLD GIRL CAME ALONG WITH HER MOTHER FOR CONSULTATION AND TREATMENT FOR LONG STANDING ERUPTIONS WITH ITCHING AND SCALING SINCE 3-4 YEARS.PT WAS UNDER LONG TERM TREATMENT OF ALLOPATHIC MEDIINES,LOCAL APPLICATIONS AND ALSO TOOK STEROID INJECTIONS WITH MINIMAL TEMPORARY RELIEF.PT HAD ALSO TRIED AYURVEDIC MEDICATION AT NATIVE PLACE.
ORIGIN:ALL STARTED AFTER SHE HAD A FALL AND ABRASION DEVELOPED THERE ON LEFT KNEE WHICH STARTED INCREASING.3-4 NEW PATCHES CAME UP AND MERGED TOGETER.THEN ERUPTIONS ASCENDED TOTHIGS AND LEG -> HEELS -> WHOLE BODY INCLUDING SCALP,NAILS AND GENITALS
PROGRESS:INCREASED SINCE COMPLAINTS STARTED.
PAINFUL3+ - WOULD WALK ON TOES DUE TO EXCESSIVE SCALING AND BLEDING DUE TO SCRATCHING.
ITCHING3+ SCRATCHES TILL IT BLEEDS <NIGHT
<WINTER
>BATHING TEMPORAILY
WHEN SHE WENT TO NATIVE PLACE (BIHAR) SHE BECAME COMPLETELY ALRIGHT.
PHYSICAL GENERALS:
APPETITE:DECREASED SINCE 2-3 MONTHS
CRAVINGS:SWEETS ESP SUGAR3+,SOUR(TAMARIND)3+,RICE 2+
AVERSION:BITTER
THIRST:NORMAL
SLEEP:6-8 HOURS,REFRESHING
DREAMS:NOTHING SPECEFIC
PERSPIRATION:MORE ON UPPER LIP AND PALMS
URINE:INCREASED URINE FREQUENCY AT NIGHT BETWEEN 9 AND 10PM .
GOES EVERY 5 MIN.
STOOL:NOTHING SPECEFIC
THERMALS:CANNOT TOLERATE WINTER
AMBI -> CHILLY
P/H:PNEMONIA+TYPHOID 8-9 MONTHS BACK
VIRAL HEPATITIS 2 YEARS BACK
MENTALS:
MATURED,UNDERSTANDING,DOESNOT DEMAND ANYTHING,HELPS MOTHER IN HOUSE HOLD WORK,OBIDIENT AND MILD
DOESNOT OPEN UP EASILY IN FRONT OF TEACHERS FOR FEAR OF GETTING SCOLDED.
COMES HOME AND COMPLAINS TO MOTHER ABOUT CHILDREN WHO HAVE TEASED HER BUT IN FRONT OF THEM DOES NOT SAY ANYTHING TO THEM
WEEPS EASILY .
SHE DOESNOT LIKE ANYBODY COMMENTING ON HER SKIN,SHE GETS ANGRY.
REPERTORIAL TOTALITY:
BEFORE TREATMENT :
AFTER TREATMENT :