Ayurvedic Management of Vitiligo in a Child

Abstract

Vitiligo is an acquired pigmentary disorder characterized by the progressive loss of melanocytes, leading to depigmented patches of skin. Although usually asymptomatic, pediatric vitiligo is associated with significant psychosocial stress, including anxiety and social withdrawal. Trauma-induced lesion development, known as the Koebner phenomenon, is a common precipitating factor in children. This case report explores the Ayurvedic perspective and management of vitiligo, correlating it with Shwitra as described in classical texts. Case Presentation: An 8-year-old female presented with progressively enlarging, asymmetrical depigmented patches over the lower limbs. The onset of lesions followed a minor traumatic injury, suggestive of an isomorphic (Koebner) response. Initially asymptomatic, the lesions later became associated with mild pruritus. Intervention And Outcome: The patient was managed with an integrative Ayurvedic regimen aimed at correcting the underlying Samprapti involving Kapha–Pitta obstruction and Krimi involvement. Treatment included oral administration of Syrup Krimihar and external application of Leukoskin ointment and Somaraji Taila along with controlled sun exposure (Atapa Sevana). Over a treatment duration of six months, the Vitiligo Extent Score (VES) showed a significant reduction from 1.45 to 0.3, with notable perifollicular and progressive repigmentation of lesions. Conclusion: This case demonstrates the potential effectiveness of Ayurvedic interventions in the management of trauma-induced pediatric vitiligo. The combined use of Krimighna and Kushthaghna therapies may help reverse disease pathogenesis and improve clinical outcomes. Further systematic studies are required to substantiate these findings.