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Year : 2021  |  Volume : 4  |  Issue : 3  |  Page : 105-110

Ayurvedic management of Alopecia areata (Indralupta) with surgical procedure Kuttanam and internal medications: A case report

1 National Ayurveda Research Institute for Panchakarma, Cheruthuruthy, Thrissur, Kerala, India
2 ESIC model and Super Speciality Hospital, Asramom, Kollam, Kerala, India
3 Regional Ayurveda Research Institute for Lifestyle Related Disorders, Thiruvananthapuram, Kerala, India
4 Drug Standardization Unit, Thiruvananthapuram, Kerala, India

Correspondence Address:
G N Sree Deepthi
National Ayurveda Research Institute for Panchakarma, Cheruthuruthy, Thrissur, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jacr.jacr_5_21

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Alopecia areata is an autoimmune disorder characterized by transient, nonscarring hair loss, especially on the scalp ranging from well-defined patches to diffuse or total hair loss with hair follicle preservation. It affects approximately 2% of the general population. This condition is described as Indralupta (~alopecia) in Ayurveda. The current presentation is a case report of 36-year-old female patient who visited the outpatient department with patchy hair loss of scalp over the vertex and occipital region and generalized hair loss for two years with no associated symptoms. The treatment was determined giving significance to systemic effects of disease along with localized pathology in the skin caused by the vitiation of Tridoshas (~three body humors). She was treated on outpatient level with Ayurvedic internal medications, external applications and Kuttanam (~a minor operative procedure) for four months. The uniqueness of this case is that transition of hairs from gray to black occurred over the course of a single hair follicle growth cycle. The phenomenon of natural reversal of depigmentation of hair in a single hair follicle growth cycle is not found in any of the scientific databases. The patient showed remarkable improvement including regeneration of black hair at the site of hair loss. During the follow-up period of two years, no recurrence was observed. This case report shows that holistic approach of Ayurvedic treatment can produce clinically significant results in Indralupta and shows possibility of application of these principles in repigmentation of hairs.

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