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Homoeopathy in Obstinate Non-Segmental Vitiligo: An Evidence-Based Report of Two Cases


 Background Vitiligo is an acquired de-pigmented dermatological disorder of great cosmetic importance, which negatively affects the quality of life (QoL). Available treatment options are mostly invasive, requiring maintenance therapy to prevent relapses and having many side effects.
 Cases Here we present two similar cases of obstinate non-segmental vitiligo, reported with non-itchy de-pigmented macules around both eyes. The subjective assessment of the patient as well as the QoL was evaluated by using the outcome related to impact on daily living (ORIDL) and vitiligo-specific quality of life (VitiQoL) respectively. Photographs were taken as objective evidence. Finally, Modified Naranjo Criteria for Homeopathy (MONARCH) was used to evaluate the possible causal relationship between the homoeopathic intervention and clinical improvement.
 Conclusions The cases were markedly improved on the ORIDL scale (+3) as per the patient's perspective. QoL was also improved as revealed on the VitiQoL score. Photographs were evident with the improvement. MONARCH score (‘ + 9’ in both cases) established the likelihood of improvement was attributable to homoeopathy. In both cases, indicated similimum has produced significant evidence in the treatment of vitiligo.