Minutus

Does anyone have information or experience with homeopathic treatment of
pityriasis rubra? I read that it usually resolves spontaneously within
three years, and there's no particular treatment. (Three years would feel
like eternity...) I *may* have a chance to treat this person, so I'm
looking for background clues.

I find SKIN; PITYRIASIS: agar., anac., aran-ix., arg., ars., ars-i., bac.,
berb-a., calc., carb-ac., caul., clem., colch., eryth., fl-ac., graph.,
kali-ar., kali-br., mang., merc., merc-pr-r., mez., nat-ar., nat-m., olnd.,
phos., phyt., pip-m., psor., sep., sil., staph., sul-ac., sul-i., sulo-ac.,
sulph., tell., ter., thuj., thyr., toxo.

so will look at that, but not be limited to it.

Two questions: One, I assume I should approach this based largly on "the
rest of the case" (I will also see if there are modalities to the rash
itself), plus examination of anything that might have been going on just
prior to onset, any chances to his mentals or generals, any concomitants.
Is this a situation where I need to know more about the "usual" presentation
of the disease, or can I probably do it from "the rest of the case"?

Second, does anyone know how long I should expect it to take to see
improvement (or resolution) in the rash itself?

Any tips will be much appreciated!
Shannon

I treated a case of this many years ago using the constitutional Rx which was Carc. It resolved in the first month and didn't return however I remember she was bothered about the white scars which I said would go eventually. Come to think of it her's was Pityriasis V rather than R. Sorry!!

Regards
Rochelle
www.rochellemarsden.co.uk

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Also look at the remedy Merc Sol and Scarletinum.

Atiq

Hi, Shannon. How is pityriasis rubra different from pityriasis rosea? I've had some interesting experience with the latter, as a "return of old symtpoms" in one of my cancer patients, indicating that its much earlier suppression was a layer that needed healing. But I can't even find the former term. Pityriasis rosea lasts for a couple to several months, rather than years, and doesn't need to be treated, although it generally is, allopathically. The lesions progress from a small round red lesion, and spread out over time, with the center becoming dried and pale, and acquiring a strange crinkly texture. Eventually, as the lesions diffuse, they fade out and disappear, ending up about four to six times their original size but less and less noticeable.

There's another form of pityriasis that's a fungal tinea, causing discolored, scaly patches. (=pityriasis versicolor). This form tends to be recurrent because the individual is sensitive to the effect of the fungus.

This dual application of the term "pityriasis" does raise a question in my mind about the rubric you cited -- would it apply to both forms?? How accurate is it? Perhaps it would be better to find a rubric describing the lesions you see.

In any case, given the fact that the disease came back as a formerly suppressed eruption in my cancer patient, I'm glad you're getting to treat this person homeopathically now. I would assume that other aspects of the case would point you to the correct remedy choice, and also that, as usual, the rash would be the one of last elements of the total picture to resolve. (It's interesting trying to persuade a patient who comes primarily for treatment of a skin disorder that this is a good thing, isn;t it?)

For what it's worth. Rosemary

Dear Shannon, do your research on this condition so that you at least know
what you are dealing with and that it is indeed this named condition - it
could be any number of skin conditions. There are prodomal sx such as
headaches, nausea, loss of appetite, glandular swellings, joint pains,
suggestive of a much more complex diseased state than just an acute eruption
phase.

This is a good enough site to learn

http://www.emedicine.com/EMERG/topic426.htm

Also, study the remedies in the rubric you have selected (+others that fit
the case) to acquaint yourself with how they are relevant and present as
this condition. This can be so helpful from a differential and comparative
point of view.

As with all cases you will want to know about the susceptibility the client
has towards this condition (+other family members), - often there is a mild
primary eruption and then a much more excessive one at a later date, how and
why it began, how it effects them, all the usual generals, particulars,
modalities and sensations - same as in any case taking.

Let the case guide you as to what is important and what isn't - either way
this is the vital force giving you excellent clues.

Best wishes, Joy

www.homeopathicmateriamedica.com
on 28/4/04 3:39 PM, Bob&Shannon at shannonnelson@tds.net wrote:

Does anyone have information or experience with homeopathic treatment of
pityriasis rubra? I read that it usually resolves spontaneously within
three years, and there's no particular treatment. (Three years would feel
like eternity...) I *may* have a chance to treat this person, so I'm
looking for background clues.

I find SKIN; PITYRIASIS: agar., anac., aran-ix., arg., ars., ars-i., bac.,
berb-a., calc., carb-ac., caul., clem., colch., eryth., fl-ac., graph.,
kali-ar., kali-br., mang., merc., merc-pr-r., mez., nat-ar., nat-m., olnd.,
phos., phyt., pip-m., psor., sep., sil., staph., sul-ac., sul-i., sulo-ac.,
sulph., tell., ter., thuj., thyr., toxo.

so will look at that, but not be limited to it.

Two questions: One, I assume I should approach this based largly on "the
rest of the case" (I will also see if there are modalities to the rash
itself), plus examination of anything that might have been going on just
prior to onset, any chances to his mentals or generals, any concomitants.
Is this a situation where I need to know more about the "usual" presentation
of the disease, or can I probably do it from "the rest of the case"?

Second, does anyone know how long I should expect it to take to see
improvement (or resolution) in the rash itself?

Any tips will be much appreciated!
Shannon
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Thanks, Joy,
Yes, I'll read up on it. Oddly, it looks like P. rubra pilaris (I left that
last word out) and P. rosacea are different, but this site also has a
write-up on P.rubra pilaris, which is helpful.
Thanks again,
Shannon
on 4/28/04 12:13 PM, Joy Lucas at joy.lucas@ntlworld.com wrote:

Thanks, Joy, for the reference to the emedicine site -- good information!! I'm posting this "thank you" to the group so that people interested in a great source of pathological information take note of the site. ) Rosemary
http://www.emedicine.com

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