Author(s): Prasad Mamidi *, Kshama Gupta
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. Efficacy of treatment was assessed on the scoring of ‘Psoriasis area and severity index (PASI)’ and. Total two assessments 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 meaningful 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 management is beneficial in the management of PPP.