| Sumario: | Background: Alopecia areata (AA) is a common immune mediated, non-scarring hair loss disorder targeting anagen hair follicles, resulting in inflammatory injury, disruption and collapse of normal hair growth cycle. Although spontaneous remission can occur, the unpredictable course of the disease and reoccurrence as well as psychological distress due to visibility often leads patients to seek therapeutic intervention. Case Presentation: A 21-year-old male presented with a solitary, well-circumscribed patch of alopecia sized 2.0cm × 1.8cm in the left occipital region of the scalp, covering 0.6% of scalp area, of two months’ duration. Detailed homoeopathic case-taking revealed characteristic mental, emotional, and physical generals, including a mischievous and jocular disposition, sensitivity to others’ opinions, absent perspiration, recurrent painless hoarseness of voice, and a tendency toward chilliness. Repertorial analysis was performed using a computerized repertory, and Calcarea carbonica was selected as the individualized similimum. A single dose of Calcarea carbonica 200C was prescribed, followed by placebo. Outcome: Progressive hair regrowth was observed during follow-up, with complete improvement of the alopecic patch within one month. Concurrently, the patient’s recurrent episodes of painless hoarseness of voice with cough remained absent during the observation period. No adverse effects or local treatments were reported. Conclusion: This case highlights the potential role of individualized homoeopathic treatment in the management of alopecia areata. However, given the possibility of spontaneous remission in AA and the inherent limitations of a single-case observation, larger prospective studies employing standardized outcome measures are warranted to further evaluate the therapeutic contribution of homoeopathy in this condition.
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