Plantar psoriasis treated with homoeopathic medicine: An evidence-based case report

Palmoplantar psoriasis (PP) is a variant of psoriasis that specifically affects the skin of the palms and soles of individuals of all ages. Palmoplantar psoriasis is often resistant even to strong local treatment. Topical therapy and phototherapy are first-line modalities for the management of PP. Homoeopathy has remarkable outcomes in treating skin conditions. In this case report, we discuss a case of plantar psoriasis that was managed with individualised homoeopathic medicine. The patient displayed significant improvement with Sepia within 3 months. There was no relapse for over 2 years, indicating that the benefits of the therapy persisted long after the treatment concluded. An assessment of possible causal attribution was conducted using the Modified Naranjo Criteria (Score +9 out of 13). Photographic documentation was conducted at the beginning and at 3 months of treatment. Dermatology life quality index was used to assess patients’ quality of life and Psoriasis area and severity index score to assess improvement in psoriasis and both the scores were significantly improved with homoeopathic treatment. Hence, this case report could serve as a basis for further research into the role of individualised homeopathic medicine in the treatment of PP.