AYURVEDIC MANAGEMENT OF SPONGIOTIC DERMATITIS-A CASE STUDY

Abstract

Spongiotic dermatitis is one of the common inflammatory dermatoses encountered in routine dermatological practice. The histopathological finding, characterized by impairment of cohesion between epidermal keratinocytes, leading to intercellular edema, is peculiar to this condition. This accumulation of extracellular fluid results in widening of the space between keratinocytes, causing the epidermis to resemble a sponge histologically. The most drastic side of patients with spongiotic dermatitis is the recurrence of symptoms on exposure to triggering factors, which prevents them from leading a quality life. One year back, a 41-year-old female, presented with cracked crust-like lesions with oozing and itching all over the body since 17 years, was treated by considering doshic involvement, and shodhana-samana chikitsa. The protocol included Rookshana, Snehapana, Mild swedana, Virechana, Takra dhara, Kashaya dhara and Samana chikitsa with Rakta prasadana chikitsa and Visha hara yogas such as Sigrupunarnavadi agada mentioned in Keraleeya Visha Chikitsa book, Vilwadi agada, etc. Rasayana chikitsa with Rasa sindooram was also incorporated.