Ayurvedic Management of Atrophie Blanche - A Case Study

Abstract

Atrophie Blanche (AB) is typically described as a variable dimensioned, smooth, ivory-white plaque stippled with telangiectases and is surrounded by hyper pigmentation. AB commonly occurs in middle-aged women on the lower legs or feet, often associated with ulcerations and chronic venous insufficiency (CVI). The ulcers are slow to heal and painful. We report the case of an Atrophie Blanche (Livedoid Vasculopathy) which inadequately treated for more than 8 years. We review the pathogenesis (Samprapti), typical clinical presentation (Purva Roopa and Roopa), diagnostic workup and treated through various Panchakarma procedure and Shamana Yogas.