(Vitiligo) is an autoimmune pigmentation skin disorder with multiple predisposing and triggering factors, characterized by white macules that increase in its size Vitiligo affects approximately 0.5-2% of the world’s population.
According to the
Unani system of Medicine,
Baras is caused due to weakness of Quwwa-e-Mughayyira (faculty which helps in the assimilation of food) of the skin,
Fasad al-Hadm (Incomplete digestion of food leading to the putrefaction of food in the stomach.), excessive Burudat in the Mizaj of the body, and
Fasad-e-khoon (Chronic abnormality of blood which affects the nutrition of the skin and produces various changes in it e.g. pigmentation, discolouration, Melasma etc.). In this case study, a 12-year-old male child was registered with complaints of multiple milky patches over the forehead that has spread rapidly over the whole face within seven months. On examination, he was diagnosed as a patient of segmental vitiligo.
Materials and Methods: The patient was advised to take 10 gm of Safuf-e-Baras comprising Babchi (Psoralea corylifolia Linn.), Chaksu (Cassia absus), Anjeer Khushk (Ficus carica) and Tukhm-e-Panwar (Cleome icosandra) in the form of safuf (powder) orally, and to apply the sediments of drug over the affected parts twice a day for 90 days. He was also advised to expose to sunlight daily after local application of the drug for about 10 minutes. Primary and secondary outcome measures were assessed by Photographs and VASI score.
Results and Discussion: More than 90% of the lesions were replaced with normal pigmentation within one month of treatment, and the rest of the de-pigmented macules were completely re-pigmented after 90 days of treatment. No adverse effects were reported during treatment.
Conclusion: Therefore, the formulation was found to be safe and effective for oral administration and local application in children. Such a quick and safe result of this formulation made this case to be reported.