A Case Report on the Management of Palmo-Plantar Psoriasis in Ayurveda

Abstract

Palmo plantar psoriasis (PPP) is a variant of psoriasis which affects the skin of the palms and soles. In Ayurveda it is diagnosed as Vipadika which is a kshudra kushta (skin disease) with involvement of vata kapha dosha predominantly. PPP affects 2% to 5% of the population. There is an array of topical and systemic drug therapies to achieve optimal compliance and benefit. Here we report a case of a 54-year-old female from Karnataka who is a home maker, suffering from psoriasis since 2 years and is also a known case of diabetes, presented with hyper keratotic lesions and severe itching in both the palms & elbows. She reported to our OPD for the management of psoriasis. The treatment protocol was framed accordingly with the aim to treat on the lines of kshudra kushta with administration of interventions such as Arogyavardhini vati, cap. Atrisor, Suta shekara rasa, and Brihat marichyadi taila, Shuddha Gandhaka for local application & follow up with Khadirarista internally and Brihat marichyadi taila as a local application for 3 months. The outcome was measured based on symptomatic relief in signs and symptoms and based on PASI (Psoriasis Area Severity Index) scoring. The patient had reported complete relief from the acute phase after 1 month and complete remission of cutaneous lesions was observed by the end of 3 months of treatment. Hence this case study proves to be successful in the management of PPP/ Vipadika using Ayurvedic medication.