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CASE REPORT
Year : 2021  |  Volume : 15  |  Issue : 4  |  Page : 322-328

Ayurvedic management of lichen planus pemphigoid (Kitibha)


1 Department of Rog Nidan Evum Vikariti Vigyan, All India Institute of Ayurveda, New Delhi, India
2 Department of Vikrirti Vigyan, Faculty of Ayurveda, Banaras Hindu University, Varanasi, Uttar Pradesh, India
3 Department of Translational Research Biostatician, All India Institute of Ayurveda, New Delhi, India

Correspondence Address:
Sisir Kumar Mandal
Professor, Department of Vikriti vigyan, Faculty of Ayurveda, Banaras Hindu University, Varanasi, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joa.joa_68_21

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Introduction: Lichen planus pemphigoides (LPP) is a rare autoimmune sub-epidermal blistering disease associated with lichenoid skin changes. Here, a 52 years female patient diagnosed with LPP for the last 1.5 years was on steroid therapy treated successfully with ayurvedic interventions is being reported. Main Clinical Findings: Dermatological examination revealed hypertrophic, black to purple colored, round-to-oval papular, flat-topped, well-circumscribed lesions (2–5 mm), symmetrically distributed over upper and lower limbs. Psoriasis Area Severity Index (PASI) score was 34. Diagnosis: Blackish/purple lesions with roughness, itching and scaling correlated to Kitibha in classics. Interventions: Internal administration of decoction of Punarnava and Sahijana with Arogyavardhini vati and Tab Sumanta and external application of Apamarga kshara, Karanjadi and Somraji taila was prescribed as baseline treatment. Outcome: After 2 months of treatment, cessation of new lesions and marked reduction in itching and elevation was found. PASI score decreased to 9.6. In next follow-up, the elevation of lesions and symptoms completely declined and the skin reversed back close to normal texture. PASI score was also found 0. Conclusion: Ayurvedic interventions have proven effective potential in treating rare autoimmune disease like LPP.


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