Management of Erythrodermic Psoriasis through Ayurveda - A Case Report.

INTRODUCTION

Psoriasis is a noninfectious chronic inflammatory skin disorder, characterized by well-defined erythematous plaques with silvery scales. In an ayurvedic perspective, we can compare this disease with Kitibha Kushta (a type of skin lesion) because most of its signs and symptoms mimic that of erythrodermic psoriasis.

CASE PRESENTATION: A 23-year-old patient diagnosed with psoriasis presented with erythematous overlapped patches all over the body, Auspitz sign, and pain associated with occasional itching sensation. After assessing the dosha involvement, proper Shodhana (purification therapy), Shamana (pacifying therapy), and Rasayana (rejuvenation therapy) were adopted and a reduction in erythema, itching, scaling, pain, and lesions were seen, along with a swingeing decrease of PASI, DLQI, and VAS scores from 37.4, 11, and 07 to absolute zero.

CONCLUSION

Even though erythrodermic psoriasis is very difficult to treat, a thorough assessment of pathogenesis, proper shodhana (purification) and rasayana (rejuvenation therapy) proves to be effective. This gives further scope, similar to a structured clinical trial in the disease.