From Itch to Ease: Homoeopathic Resolution of Chronic Atopic Dermatitis - An Evidence-Based Case Report

Background: Atopic dermatitis (AD) (ICD 11 EA80) is a chronic relapsing inflammatory skin disease with severe pruritus and eczematous lesions. Conventional treatments yield temporary relief with potential recurrence. Individualized homoeopathic treatment seeks to re-establish systemic balance by holistic means. Case Summary: A 10-year-old boy presented with intense itching and offensive sticky secretions over the flexural side of the right elbow for six months. The condition was recurrent, with earlier suppression by allopathic medication. On thorough case analysis, mental, physical, and miasmatic assessment the entirety of symptoms pointed towards Graphites as the similimum. Graphites 200 (two doses) followed by placebo resulted in noteworthy improvement within three weeks. At the second follow-up, lesions had completely cleared, and after that two-month follow-up showed no recurrence of the symptoms with General well-being, regular bowel movements, and sound sleep. Results: The case was evaluated with the Modified Naranjo Criteria for Homoeopathy (MONARCH) and scored +9, establishing a strong causal connection between the remedy and cure. The improvement was in accordance with Hering's Law of Cure and involved both local and general improvement. Conclusion: This case illustrates the potential therapeutic usefulness of individualized homoeopathic management with Graphites 200 in the treatment of chronic atopic dermatitis. The chronic and overall improvement attests to the therapeutic applicability of homoeopathy in chronic skin diseases and deserves further systematic investigation. Key words: Atopic dermatitis, Homoeopathy, MONARCH, Graphites, Case Report