Is Leucoderma Hereditary.
NATIONAL JOURNAL OF HOMOEOPATHY 1996 Nov / Dec Vol V No 6.
Wadia S R.
Cases.
` Bac

(Do not neglect Nosodes).

Readers will be interested to study the approach to cases of Leucoderma, a very difficult condition to treat, from Dr. S. R. Wadia, a veteran, octogenarian Homoeopath. He has given four cases as example of his approach. - EDITOR.

Case 1:

Name : Mrs. R. Phatak Age : 48 Years

1. Leucoderma spots since 1 month on nape of neck, legs with occasional burning.
2. Appetite/ thirst/ Stool/ Urine/ Perspiration - Normal
3. Craves - fish ++, sweets, meat.
4. P/H - TB in 1972, AKT given, Typhoid.
5. F/H - Father - BP, son - leucoderma, maternal grandmother leucoderma, maternal uncle - TB.
6. Sleep - Normal, Dreams of falling
7. Menopausal since 2 years. P/H/O - N- menses, 2 FTND.
8. No motion sickness. Doesnt like winter.
9. Mild temperament. F/H/O leucoderma

13-3-89: Thuja 200 (2), - Sil 6
13-4-89: SQ. Developed urticaria (P/H - ?) with itching worse on palms, better hot application, worse night, ? chilly patient - Ars-alb 30.
8-5-89: Itch worse, urticaria. Spot - whiteness, itching, better hot application, worse palms, fish. China-ars 30 18-1-89: Occasional itching - Bacill 200 (3)
Past H/o TB
31-3-90: Worse. Lots of white spots, itching -Bacill 1M to 10M.
2-11-90: Occasional urticaria - Tub-b 1M
2-2-91: Had typhoid, took allopathic treatment - Chloromycetin, Norflox - spots Carbo-veg. 30.
Psorinum 200 (2) - Phatak Repertory - Pg 192.
17-3-91: Itch all over. Spots + Norflox 30 (3), Chloromycetin 30 in potency.
21-3-92: Patient had responded very well to Sulphur, hence Sulphur 1M to 10M was given.
21-4-92: Skin few spots still there, so Tuberculin 10M (2)
28-7-95 : Patient seen after 2 years. All spots nil.
29-4-96: Pain right hip - right knee. AILMENTS FROM - after long rickshaw drive, worse getting up < cold water.
Better by rest, warmth, massage, continued motion Arnica 200 (3), Rhus-tox 200.
23-5-96: Better pain, still right hip - Rhus-tox 10M (3) Patient in good health, skin - Normal.
Bacillinum was given because of H/o TB in patient and in the family.

Case 2:

Name: Mr. N. Phatak Age : 21 years

1. Leucoderma spots since 6 months, on legs, back, nape of neck. Neopsoralin locally applied.
2. Nausea - vomits even water
3. P/H - suppressed generalised eruptions when 11 days old - used ointments. Chickenpox, measles, Acne, suppressed itching at buttocks with local ointment. Vaccination 3+, Jaundice - 5 years of age, Bronchitis, Hernia operated in 1972.
4. F/H - Mother leucoderma, TB, Father - Eczema, Diabetes, Uncle - Asthma
5. Appetite/ Thirst/ Urine/ Stool/ Perspiration - Normal
6. Sleep - Normal, Dreams - unable to recall.
7. Hot patient
8. Irritable wants everything neat and clean.

5-9-86: to counteract bad effects of Neopsoralin, Psoralin 30 (2). Repeated H/o vaccination/ Thuja 1M (6P) followed by Sulphur 200 (3) as constitutional remedy. 20-10-86: Vomiting better- Sports - Bacillinum 200 (2) 20-12-86: Better spots. No nausea. Sulphur 1M (3P) to Sulphur 10M and Sulphur 50M over a period of 3 to 4 months.
31-3-87 : spots on legs lighter. So for frequent colds and h/o TB in the family - Bacil 10M (2).
2-6-87 : Neck spot nil, leg spots lighter - Bacillinum 50M.
13-9-87 : Loose stool, mucus in stool, spot - SQ.
Stool - E. histolytica.
Vomiting, < giant wheel < eating food. Nux-vom 200 (3) Merc-sol 30 during acute problems, followed by Sepia 30.
4-11-88: Responded very well to Merc-sol. spots >>.
Vomiting loose stools - nil. Blood with stool. - Merc-sol 1M followed by M S 1M to 50M.
Treatment ended with Sulphur 10M (3P) given on 19-1-96. Patient normal.

Case 3:

Name : Baby L. Phatak Age: 31/2 Months.

This is a grandchild of Mrs. P and daughter of Mr. P. whose cases are given, so this is the fourth generation which has developed Leucoderma because childs great grandmother had leucoderma.

There were very few depigmented spots on the back, but the father was getting worried. On taking the history I found that the child was given BCG + Triple and Polio inoculations.

F/H - as mentioned before father and paternal grandmother had leucoderma, paternal grandmother had tuberculosis, no other history was available.

12-7-95: Thuja 200 2 doses were given.

27--9-95: Child had green loose stools and was irritable - Chamomilla 30.

16-11-95: Child had low fever, spots fading, teething - Ferr-p + Calc-p 6x.

19-1-96 : Patient okay, all spots disappeared no complaints.

The treatment was discontinued as the child was very much better. In fact, Bacillinum or Tuberculinum should have been given to this child.

Case 4:

NAme : MR. V.V. Mishra Age : 38 Years.

A 38 year old male married patient with -

1. Leucoderma spots on both feet since 8 years.
   H/o itching eruptions suppressed with ointment.
   Eruptions due to wearing plastic chappals in rainy season, increased with swelling of feet for which he was hospitalised. Later - leucoderma spots. Applied Bavchi oil, took allopathic treatment.
2. Associated/ complaints: Frequent colds and coughs since 17 years.
3. Appetite/ Urine/ Stool/ Thirst - Normal
4. Startling in sleep.
5. Hot patient
6. P/ H/ O - Rheumatic fever, dysentery, All inoculations taken.
   F/ H/ O - Father - convulsions, mother-leucoderma.
7. Cool tempered.
   22-1-90 : Sulphur was given in increasing potency form 200 (3) to CM with excellent results. In between the patient constantly complained of frequent colds at least once in a week. Bacillinum was given in increasing potency from 200 upwards. Patient does not complain of colds now and the dorsum of his feet is 90 percent better. Last doses of Bacillinum were given on 15-6-96 and 8-11-96.

It will be seen from these 4 cases that either parent had leucoderma and in the first 3 cases there is a family history of Tuberculosis. I have found that in such cases, Bacillinum or Tuberculinum are needed as Inter-current remedies to tackle the miasmatic base.

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