Deep cracks on feet filled with dirt and would often bleed, this made walking very difficult for 6 years old boy

6 years old child, Master D. M. S. (Patient ref. no: L7038) was brought to the clinic by his parents for complaints of palmo-plantar psoriasis since 3 years. He had developed deep cracks on the feet that would bleed often and would make walking difficult for him. The cracks in his feet were filled with dirt that would not get washed completely due to the depth of the cracks. In his palms he had developed much scaling and peeling of the skin. The palms and soles would be very itchy especially at night. His complaints would get worse during winter and also from taking yogurt in his meal.

He also had complaints of nocturnal enuresis; he would pass urine in bed at least twice every night. His sleep would not be disturbed at all even after passing urine and he would continue to sleep.

He was a lean and thin child with a tendency of not gaining weight inspite of eating well. He had marked liking for sweets and he disliked milk. His water intake was less and he would feel less thirsty normally. He would be constipated occasionally, otherwise his bowels were normal.

He stayed with his parents and elder brother. He was an active child and good at his studies. He was very restless and very inquisitive by nature according to his mother. Inspite of being the younger sibling, he would tend to dominate over his elder brother very often. He would get very angry if someone would not listen to him and he would throw things, books etc when angry. He would not realize what he was doing when he was angry. He was very scared of dogs and this had started after being chased by a few dogs when he was much younger.

He had no history of any other illness in childhood. His father had complaints of fistula-in-ano and his grandfather was asthmatic and there was no other significant family history apart from this.

Based on the above history he was prescribed Anantherum 200 for his complaints of psoriasis and nocturnal enuresis. His mother was advised certain tips on proper foot care for him and within 2 months, the cracks on his feet were much better than before. The psoriasis on the hands also started showing good improvement. His nocturnal enuresis was slightly better than before. After another 3 months of treatment, the rashes on his hands cleared up completely and his feet were more than 75% better than before. Treatment was continued on similar lines and his feet cleared up almost completely by the end of about 10 months of treatment. The treatment was concluded thereafter and he was asked to follow up every 6 months for routine examination and evaluation.