Ayurvedic management of Shwitra in a child

Vitiligo is an acquired disease of the skin and mucous membranes characterized by well-demarcated, depigmented patches and occurs by selective destruction of melanocytes. A 10-year-old female child presented with chief complaints of hypopigmented discoloration of the skin over the face, chest, and right upper limb for a year. Based on the clinical features and considering Ayurveda descriptions, the condition was diagnosed as Shwitra . The patient was managed with Ayurveda interventions including Virechana (~therapeutic purgation) and Samsarjana krama (~ posttherapy dietetic regimen for revival) followed by internal medication and external application. The Ayurveda intervention showed good clinical improvement in repigmentation of the skin and color changes from chalky white to normal skin color. The case report inferred that the management approaches were found effective in reversing depigmented patches and it may be used in future cases with varied drug combinations based on different Ayurveda parameters.