A three year old male was brought by his mother with complaints of depigmented itchy spots on scalp and forehead for the last 2 months. He had been to a dermatologist who suggested him Betnesol forte, Vitilo, Ostocalcium, Stemin, Zentil and applied Flutivate ointment.
Patient was advised skin scraping and culture on 17/05/2011. KOH mount showed presence of fungal mycelium and culture isolated was identified as Candida albicans.
Child on examination appeared to be a shy person. Whenever he was being questioned, he would give a smile and would look down. His mother reported that he doesn't t get mix up easily with any strangers. He has fear of animals, ghosts and darkness.
He had great desires for eggs and would easily perspire on head and palms.
On analysis of the case we finally prescribed Calcarea Carb 30, 3 doses fortnight followed by Placebo for 2 weeks.
Photographs before treatment-
After 2 weeks lesion was stable. No new spots were seen. Calcarea carb 30, single dose was repeated followed by Placebo for 4 weeks.
After a month few tiny new spots were seen on face. Placebo was repeated for 4 weeks.
After that few new spots started appearing on fingers since 1 month. Calcarea carb 30, single dose was repeated followed by placebo for 4 weeks and photograph of dorsum of hands was taken.
Again after a month child was analyzed and it was seen that the depigmented spots on forehead, face and dorsum of hands improved and no new spots were seen again. Placebo was repeated for 4 weeks. Photograph of forehead taken.
During treatment
We could see the spot started reducing to 40 %. Placebo was repeated for 8 weeks.
After 8 weeks the spots on forehead and dorsum of hands were much better. No new spots were seen. Placebo was repeated for 6 weeks. Photograph of dorsum of both hands taken.
During treatment
After 1 month depigmented spots on forehead and dorsum of hands much better. No new spots were seen. Placebo was repeated for 4 weeks. Photograph of forehead taken.
Child was reassessed after 2 months. Lesions improved to a great extent. Placebo for 4 weeks was continued.
After 2 months the skin lesions almost subsided. Placebo was repeated for 8 weeks and patient is still under our treatment.
