RESUMO
Background: Palmoplantar psoriasis is a type of psoriasis that primarily affects the palms and soles, characterized by erythematous plaques, scaling, and fissuring. These features can significantly impair the quality of life, varying in severity. Skin disorders often result from lifestyle changes, such as consuming an incompatible diet (Viruddha Ahaar Sewan refers to eating foods in a contradictory order or that vitiate the body's Doshas), unhealthy food habits and a sedentary lifestyle. Additionally, genetics, stress, exposure to radiation or UV light, and other environmental influences can contribute to skin problems. This case report describes the clinical presentation, diagnostic challenges, and psychosocial impact of palmoplantar psoriasis in a 12-year-old male with a high recurrence rate, and highlights successful Ayurvedic management. Aim and Objectives: This case study aimed to document the Ayurvedic management and outcomes in a chronic inflammatory skin condition. Methods: A 12-year-old male presented to the Ayurvedic hospital with thick scaling, cracks/fissures, severe itching, and severe pain on both soles, along with a two-year history of recurrent plaques. Thorough analysis was conducted using Ayurvedic examinations, including Dashavidha (10-fold) and Ashtavidha (8-fold), to diagnose the root causes. The condition was managed with Ayurvedic Shaman Chikitsa, involving internal medicine (herbal formulations and dietary modifications) and external applications (therapeutic oils, pastes, and other topical treatments) to alleviate symptoms and promote healing. Observation: Assessment through scores based on clinical features and grading, which was 13 at the time of admission, 2 on day 15, and 0 on day 30. (higher the score higher is the severity of disease). Result: Major improvements in scaling, itching, cracks, and pain on the soles were observed after 15 days of treatment. After 15 days, internal medicines were discontinued, but external applications continued until complete relief, around the 25th day. The patient was reassessed on the 30th day, showing complete resolution of all signs and symptoms with no recurrence. Discussion and Conclusion: This study demonstrates that Vipadika (plantar psoriasis) in children can be treated using an Ayurvedic approach, which includes Abhyantar Chikitsa (internal medicines) and Bahya Chikitsa (external or local treatments). The detailed descriptions of all the medicines used, their contents, their applications, and the procedures followed are provided in the main text. This information will be beneficial for physicians, aiding them in effectively treating similar cases of psoriasis.