Dreadful Non Healing Ulcer cured in an ITP Patient

5/08/2020

  • Venous Ulcers in left leg.
  • Blood discharge when pressure on leg or while walking.
  • Low Platelet counts(0.18 lakh). Wound healing very slow.
  • Complaints starts with a pustular eruption followed with number of pustular eruptions converted into a wound.
  • Numbness on affected area. Red margins around the wound.
  • Black discoloration on leg with dryness and skin peels off.
  • H/O taken vacuum therapy.
  • Genetically deformity in right foot.
  • H/O Injury on left leg. Node formation after healing of wound.
  • Cyanosis when pinching or slap. Skin is sensitive.
  • No pain and no sensation on affected area.
  • P/H Cataract, blurred vision of eyes.

Lab reports:

  • Platelets count: o.18 lakh
  • Partial thromboplastin time: 31.3
  • Prothrombin time: 17.4
  • Calcium: 7.9 mg/dl
  • Sodium: 129.3mEq/L
  • Potassium: 4.09mEq/L
  • Vitamin B12: 76.0pg/ml
  • Folate:5.1ng/ml
  • LDH: 229.9u/l

Rx
Anthracin.30
Phos30
T.M. 200
Hydrocotyle 30
Medorrhinum 1m

 

1st Follow up: 19/08/2020

Bloody discharge diminished.

  • Slight sensation on affected area while applying medicine.
  • Sleep disturbed, wakes up early in morning.

Rx
1. Lyco.200/3dose ½ hour
2. Lyco. 1m/3 dose ½ hour
Phos. 30
T.M. 2OO
Hydrocotyle 30

 

2 nd Follow up: 2/09/2020

  • Complaints better then before.
  • Slight improvement in wound. Discharge from wound diminished.
  • Bleeding specially while pressure or walking.
  • Swelling is less than before.
  • Started feeling sensation while applying medicine.

Rx
Lyco. 1m/2 dose weekly
Phos. 30
T.M. 2OO
Hydrocotyle 30

 

3rd Follow up: 16/09/2020

  • Complaints better.
  • Bloody discharge while walking with pressure on leg.
  • Pus discharge relieved now.
  • Swelling improved.

Rx
Lyco. 1m/2 dose weekly
Phos. 30
T.M. 2OO
Hydrocotyle 30

 

4th Follow up: 30/09/2020

  • Complaints better 50-60% relieved in complaints.
  • Discharge improved.
  • No pus discharge.

Rx
Lyco. 1m/2 dose weekly

Phos. 30
T.M. 2OO
Hydrocotyle 30

 

5th follow up: 14/10/2020

  • Complaints better. Size of wound started reducing.
  • Bleeding improved while walking.
  • Black discoloration still there

Rx
Lyco. 1m/2 dose weekly
Phos. 30
T.M. 2OO
Hydrocotyle 30

 

6th follow up: 28/10/2020

  • Size of wound reduced in size.

Rx
Lyco. 1m/2 dose weekly
Phos. 30
T.M. 2OO
Hydrocotyle 30

 

7th follow up: 11/11/2020

  • Complaints better.

Test report:

  • Vitamin B12: 179.2
  • Vitamin D: 3.0
  • HBA1C: 6.3%
  • Platelets count: 0.10

Rx
Lyco. 1m/2 dose weekly
Calc. carb. 30/5 dose alternate day
Phos. 30
T.M. 2OO
Hydrocotyle 30
China 30
Chelidonium Q/12-15 Drops twice in day

 

8th follow up: 25/11/2020

  • Wound has almost healed completely now.

Rx
Lyco. 1m/2 dose weekly
Calc. carb. 30/5 dose alternate day
Phos. 30
T.M. 2OO
China 30
Chelidonium Q/12-15 Drops twice in day


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