Effectiveness of Panchakarma (detoxification therapy) followed by Rasayana (rejuvenation) in the treatment of erythrodermic psoriasis - A case report

Erythrodermic psoriasis is a rare and severe form of psoriasis with a prevalence of 1 to 2.25%, characterized by widespread erythema, scaling, and inflammation. Along with conventional therapies, traditional alternatives are being explored. In Ayurveda, this condition can be correlated with Audumbara Kushtha (∼ a type of skin disease). A 56-year-old male patient diagnosed with erythrodermic psoriasis had symptoms of reddish-white patches and scaling over the body, particularly on the abdomen, lower back, forearms, and lower limbs, for 5-6 years. He received a comprehensive Ayurveda regimen including Shodhana (∼purification) and Rasayana (∼rejuvenation) therapies, along with Tuvaraka Rasayana (∼medicated oil prepared from Hydnocarpus laurifolia (DENNST.) STEUM.), a classical remedy for skin disorders. A remarkable improvement was noted, with the PASI score reduced from 48 to 11.2 and the DLQI score from 10 to 0 in 6 months of Ayurveda treatment. No relapse was observed during 6 months of follow-up.