Krimighna Approach in the Management of Scalp Psoriasis – A Twin Case Report

Abstract

Psoriasis is a chronic, debilitating disease that commonly involves the scalp. Despite a  wide range of therapy options, scalp psoriasis remains challenging to treat, highlighting  a long-standing unmet need for the safe and effective treatments. Many topical therapies  for scalp psoriasis are also difficult or unpleasant to apply, resulting in decreased  adherence and efficacy. In brief, the high level of patient dissatisfaction with currently  available treatments for psoriasis supports the need for new, effective and well-tolerated  treatment options for scalp psoriasis. Two cases of Scalp Psoriasis approached our  outpatient department of dermatology complaining of whitish gray skin lesions over  scalp with mild itching. The medical, social, and family history was insignificant. As  the treatment protocols available for scalp psoriasis in modern science includes only  such as topical corticosteroids, topical vitamin D analogues, topical tar-based  preparations, topical salicylic acid, etc., a full cure for scalp psoriasis is difficult due to  the condition's recurrent nature. Hence, a treatment protocol is necessary to accelerate  the healing process, preventing its spread and recurrence and for cosmetic reasons.  When it comes to Psoriasis, irrespective of type of psoriasis, the main cause is disturbed  Immunity or Autoimmunity which can be related with the term “Krimighnatva” of the  body in Ayurveda. Hence the present twin case reports of scalp psoriasis which has  shown encouraging results serves as an example in providing the role of Krimighna  Chikitsa in management of scalp psoriasis.