Clinical Efficacy of Ayurvedic Intervention in Plaque Psoriasis: A Case Report

Abstract

Plaque psoriasis is a chronic immune-mediated inflammatory skin disease characterised by sharply demarcated erythematous plaques covered with silvery-white scales, which significantly impair quality of life. This case report describes an 18-year-old male with complaints of multiple raised, hyperpigmented, erythematous scaly lesions present for three months over the scalp hairline, forehead, chest, abdomen, back, and neck, involving both the flexor and extensor aspects of the lower limbs. Based on clinical findings, the condition can be correlated with Sidma Kushta in Ayurveda. The current conventional treatment strategies mainly emphasise topical management and often fail to ensure long-term remission, indicating a therapeutic gap where Ayurvedic interventions may play a significant role. The patient underwent Takrapanam, Snehapanam, Virechanam, Udgharshanam, Njavarathepp, along with supportive ayurvedic interventions for 30 days. Significant improvement was observed, with follow-up after two weeks. Assessment using the Psoriasis Area and Severity Index (PASI)Score and Dermatology Life Quality Index(DLQI) demonstrated marked symptomatic relief and improvement in quality of life, showcasing the potential benefits of Ayurveda in managing such chronic conditions.