Case Study: Discoid Lupus Erythematous

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ฅ๐ฎ๐ฉ๐ฎ๐ฌ? (Systemic Lupus Erythematosus):

A chronic autoimmune disease where the body’s immune system mistakenly attacks healthy tissues and organs, leading to inflammation and damage. SLE can affect various parts of the body, including the skin, joints, kidneys, heart, lungs, brain, and other organs.

  1. Chest pain.
  2. Fatigue.
  3. Fever.
  4. Joint painย or swelling.
  5. Rashesย or other skin symptoms.
  6. Sensitivity to light (photosensitivity).

Types of Cutaneous Lupus Erythematosus: 3 types of CLE.

  1. Discoid lupus: Causes circular patches of thick, inflamed skin on your ears, cheeks or nose.
  2. Sub acute cutaneous lupus: Ring-shaped or scaly rashes appear, usually on your back, chest or neck.
  3. Acute cutaneous lupus: Known for a โ€œbutterfly rashโ€ that looks like sunburn across your cheeks and nose.

๐‚๐š๐ฎ๐ฌ๐ž๐ฌ ๐‚๐ก๐ซ๐จ๐ง๐ข๐œ ๐‚๐ฎ๐ญ๐š๐ง๐ž๐จ๐ฎ๐ฌ ๐‹๐ฎ๐ฉ๐ฎ๐ฌ:

Experts donโ€™t know what causes the discoid lupus.

DLE Symptoms:

  1. Discoid lupus causes round, coin-shaped lesions (sores).
  2. The most commonly place is scalp and face.
  3. Lesions typically do not hurt or itch but burning is common.
  4. They may be scaly, thick or red.
  5. When the lesions go away, they may leave scars or skin discoloration.

๐‚๐จ๐ฆ๐ฉ๐ฅ๐ข๐œ๐š๐ญ๐ข๐จ๐ง๐ฌ:

  1. Rash of scalp may causeย hair loss.
  2. Long term rash may cause skin cancer.
  3. Sores inside mouth: Increase risk squamous cell carcinoma.

๐‘๐จ๐ฅ๐ž ๐จ๐Ÿ ๐‡๐จ๐ฆ๐ž๐จ๐ฉ๐š๐ญ๐ก๐ฒ:

Itโ€™s an autoimmune disease, as we know every autoimmune disease is self destructive so the miasm is SYPHILITIC.

๐๐ซ๐จ๐›๐š๐›๐ฅ๐ž ๐‚๐š๐ฎ๐ฌ๐ž: According to Louise Hey

A giving up. Better to die than stand up for one self. Anger and Punishment.


CASE OF A FEMALE (70YRS OLD)

๐‚๐ก๐š๐ซ๐š๐œ๐ญ๐ž๐ซ๐ข๐ฌ๐ญ๐ข๐œ ๐‚๐จ๐ฆ๐ฉ๐ฅ๐š๐ข๐ง๐ญ๐ฌ:

  1. Mouth ulcer during covid. Lips and oral cavity with burning pain and bright red bleeding. Allopathy treatment improved the condition 95%.
  2. After 6months white patches on head with slight pain and itching then permanent hair fall form patches.
  3. Now from 1week severe pain in oral cavity, food intake stopped due to ulceration.
  4. Constipation: 1-2 days gap.
  5. Insomnia: due to pain.
  6. Thermal/ Thirst: Chilly & Thirsty.
  7. Physical/ General: Nothing noticeable symptom.

Life Situation of Patient:

Her husband had died, so she raised her children by animal husbandry. She has 3 sons and 1 daughter (eldest child, got married at the age of 16). Then she married her first 2 sons. Everything was going well. First 2 sons earned well and took all the responsibility of the family. The patient was free from every responsibility.

One of her sons was addicted to alcohol, he got divorced due to alcohol addiction. During the divorce the patient had to face humiliation. It was not my fault, those people should not have spoken to me like that, wrong was done to me. She blames her son for everything.

There was one daughter in law in the house as both sons worked in another city. She does not talk to one of her daughter in law, as she does not work according to her.

She managed everything without her husband but now she feels useless as everything she had built is getting destroyed and no one in the house listens to her.

The youngest son, who does nothing, drinks alcohol and abuses everyone. There is no peace at home.

Now she always thinks that I should die or leave from here. She always finds faults in others, criticizes them and talks angrily. She argues a lot, she wants to dominate the situation. But no one respects her words. Right now she is in a state of giving up. Now I don’t want to fight, I don’t want to argue. Let anyone do whatever they want to do, I just want to get rid of this disease.


Analysis of the case:

  1. Discoid lupus
  2. Mouth ulceration with bleeding
  3. Painful: burning sensation
  4. Thirsty but canโ€™t drink
  5. Constipation
  6. Sleep disturbed due to burning pain
  7. Started after dispute in the house (divorce of son)
  8. She feels humiliated during arguments of divorce.
  9. She is critical, she donโ€™t like otherโ€™s work.
  10. She always blames others for everything.
  11. Materialistic & Dictatorial Constitution
  12. Conscientious
  13. Feeling of Indignation during her son divorce.

Rubrics:

  • Face: Cancer, lupus
  • Stomach: Thirsty
  • Mind: Indignation
  • Mind: anxiety Conscientious
  • Mind: A/F Mortification
  • Mind: Censorious
  • Mind: Reproaches Other
  • Mind: Dictatorial

Repertorization:

  1. FACE – CANCER – lupus
  2. MIND – REPROACHING others
  3. MIND – INDIGNATION
  4. MIND โ€“ CENSORIOUS
  5. STOMACH – Thirst

Repertorial Result: Ars. Staph. Sulph.

  • Staph: Rule out because she argues for everything. She donโ€™t want to talk to her daughter in law. Staph. is soft spoken and donโ€™t want any discords around her. She wants to resolve arguments from her own side.
  • Sulph: Rule out because patient is chilly, Sulph. is hot. The eruptions of Sulph. is not deep like the patient. Patientโ€™s eruptions are excoriating, bleeding and severe burning pain due to which she is unable to sleep and eat.

Rx:

Ars 200 one dose with 1week SL.

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