PRACHANAM FOLLOWED BY DURDHURAPATHRA SWARASA LEPA IN THE MANAGEMENT OF ALOPECIA AREATA (INDRALUPTHA): A CASE REPORT
Abstract
Alopecia areata is a type of noncicatricial alopecia. It is a common chronic, non scarring hair loss in circular patches from the scalp and or from the body1. Scalp is the most common site of involvement. It may occur irrespective of age & sex, but common in young adults less than 30years of age and males are more affected than women (1.4: 1). Nowadays, Alopecia cases reporting in the Dermatology clinics, in Kerala are increasing, may be because of modern life style, change in food habits, stress etc. It makes more emotional problems due to cosmetic concerns. Various researches are going on worldwide, even though etiopathogenesis of Alopecia is still unclear. Even though, the studies revealed that, it is a T cell mediated autoimmune disease, genetic and emotional factors play key role in its development. Immune privilege mechanism of hair follicles is deranged and cause perifollicular and intrafollicular infiltration of CD8+ and CD4+ T cells lead to shortening of anagen phase2. Influences of Cytokines IFN-Gamma, IL-15 are identified in its development. Different treatment methods are available but none of them are effective for long- term and causes certain side effects. While analyzing the signs and symptoms, Alopecia shows close resemblance with Indraluptha, a Siroroga mentioned in Ayurveda classics. Most of the acharyas included it under Kshudrarogas whereas Vagbhatacharya included this under Sirorogam and explained in Siroroga prathishedam adyayam of Ashtangahridaya, Uttarasthanam3. By compiling the opinions of different acharyas regarding the treatment of Indraluptha, an effective treatment protocol is developed here.
Key words: Alopecia areata, Immune privilege, Indraluptha
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