Abstract

Palmo - plantar psoriasis (PPP) accounts for 3 - 4% of all psoriasis cases, produces significant functional and social disability. It is the second most common type of psoriasis followed by chronic plaque type psoriasis. PPP is a variant of psoriasis which is resistant to many forms of treatment. The present report deals with a case of PPP with diabetes mellitus diagnosed as ‘Vipadika ’ according to Ayurveda. E fficacy of treatment was assessed on the scoring of ‘Psoriasis area and severity index (PASI) ’ and . Tot al two assessmen ts were done, before treatment and after 6 weeks completion of treatment. Virechana karma is done followed by internal Ayurvedic medicines with dietary restrictions and life style changes . In present case, the patient got clinically meaning ful improvement. Itching, scaling, thickness, fissuring and pain during walking / working got reduced after virechana. Sleeplessness and constipation were completely relieved. There was 72% improvement found on PASI (PASI 72), which shows that Ayurvedic ma nagement is beneficial in the management of PPP.

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