Pitted Keratolysis successfully treated with Individualised Homoeopathic Medicine – A Case Report

Abstract

Irritated hyperhidrotic soles with multiple small pits, Malodour and sliminess of the skin are pathognomonic for pitted keratolysis (PK). The most common sites of onset of PK are the pressure‐bearing areas, such as the ventral aspect of the toe, the ball of the foot and the heel. The next most common site is a friction area, the interface of the toes. In India increased incidence of pitted keratolysis is commonly found in paddy field workers in costal South India due to persistent exposure to moist environments. Diagnosis can be made easily by the unique clinical presentation of pits and recognition of characteristic odour. Homoeopathy being based on Principle of similar it not only initiates a healing response, but it encourages a respect for the body’s wisdom. Well selected Homoeopathic remedies are effective for managing Pitted keratolysis. Calcarea carbonica was prescribed as an individualized homeopathic medicine on the basis of symptoms which showed a positive role in the treatment of pitted keratolysis.  The outcome was assessed by Modified Naranjo Criteria along  with  the photographs.