A systems-oriented Ayurvedic approach in chronic plaque psoriasis with renal inflammatory indicators: a 2-year longitudinal case report
By
Sreelekshmi Mallika
Arathy Menon
Vishnu Unnikrishnan
Preethi Mohan
July 6, 2026
Clinical Scorecard: A Comprehensive Ayurvedic Strategy for Managing Chronic Plaque Psoriasis with Renal Inflammation: A Two-Year Case Study
At a Glance
Category Detail
Condition Chronic Plaque Psoriasis
Key Mechanisms Systemic inflammation, psychological stress, renal involvement
Target Population Individuals with chronic plaque psoriasis and associated renal abnormalities
Care Setting Integrative Ayurvedic management
Key Highlights
Patient achieved marked clinical improvement with PASI score reduction from 52 to 6. Improvement in urinary inflammatory parameters and psychological assessment scores. Sustained remission maintained for approximately 2 years. Recurrence associated with academic stress managed effectively with further Ayurvedic treatment. Potential systemic effects involving interconnected inflammatory and psychoneuroimmunological pathways.
Guideline-Based Recommendations
Diagnosis
Evaluate psoriasis severity using PASI score. Assess for urinary abnormalities in patients with psoriasis.
Management
Implement staged Ayurvedic treatment protocols. Incorporate psychological assessment into long-term disease management.
Monitoring & Follow-up
Regularly monitor PASI scores and urinary inflammatory parameters. Assess psychological stress levels using validated scales.
Risks
Consider potential adverse effects of prolonged corticosteroid use. Monitor for recurrent relapses and associated stress triggers.
Patient & Prescribing Data
Young female with chronic plaque psoriasis and childhood nephrotic syndrome.
Ayurvedic interventions led to significant improvement in both dermatological and urinary symptoms.
Clinical Best Practices
Adopt an integrative approach addressing both dermatological and systemic aspects of psoriasis. Utilize individualized treatment strategies based on patient-specific factors.
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