Ayurvedic management of Acute Exacerbation of Atopic Dermatitis - A Case Report

Abstract

Atopic dermatitis is one of the common skin diseases that affect one’s day to day life. It seriously affects the quality of life of a person. It is the polymorphic inflammatory reaction of skin involving the epidermis and dermis. The term eczema means “to boil over”. Aetiology is unknown. This case study describes a 42-year-old patient who was admitted to Vaidyaratnam Ayurveda college Hospital due to an acute exacerbation of atopic dermatitis. The patient complaints included profuse itching and reddish-brown discoloration over the flexor part of both upper and lower limbs, primarily on the forearm, dorsal part of both palms, and neck region. Patient is a tile worker, always exposed to dust and he is travelling from one state to another as a part of his job. He had a history of allergic rhinitis. On examination, Patient oriented eczema measure (POEM) was 26 which shows very severe eczema, and dermatology life quality index (DLQI) questionnaire score was 24 which shows extremely large effect on patient’s life. Treatment started internally and externally. Internally the treatment protocol was based on Amapachana, Deepana, Srothosodana, Vyadhikshamatwakara, Dosha Dhathu Samyakara. Externally treatment started with Abhyanga, Sarvanga Thakra Dhara, Lepana, Snehapana and Virechana. After the treatment, clinical signs and symptoms were reduced Patient oriented eczema measure was 9 which shows moderate eczema, and Dermatology life quality index questionnaire score was 10 which shows moderate effect on patient’s life.