A CASE DISCUSSION ON VICHARCHIKA (ECZEMA)

Abstract

Eczema is a clinical and histological pattern of inflammation of the skin seen in a variety of dermatoses with widely diverse aetiologies. Clinically, eczematous dermatoses are characterized by variable intensity of itching and soreness, and, in variable degrees, a range of signs including dryness, erythema, excoriation, exudation, fissuring, hyperkeratosis, lichenification, papulation, scaling and vesiculation. Histologically, the clinical signs are reflected by a range of epidermal changes including spongiosis (epidermal oedema) with varying degrees of acanthosis and hyperkeratosis, accompanied by a lymphohistiocytic infiltrate in the dermis. This condition is comparable with Vicharchika Kushtha in Ayurvedic system of medicine. Vicharchika (Eczema) is not a life threatening, it makes worried the patient due to its appearance, severe itching disturbing routine and it’s naturally susceptible to be chronic. A case report of 42-year-old male, who presented with complaints of rashes over lower part of both legs and palmer surface of both hands linked with intense itching and told oozing in some lesions. As a result of persistent scratching, lichenification was present in some lesions has been presented here.