Abstract

Objective: This case report presents the successful management of Baras (focal vitiligo) in 62-year-old female patient in whom a combined therapy of Babchi (Psoralea corylifolia) and micro-needling was given and promising result of repigmentation in focal depigmented patches was observed. Method: Although, various studies have indicated the efficacy of Babchi in the management of vitiligo with refractory results. In this case report, the Unani formulations consisting of Safuf Baras and Roghan Babchi have been combined uniquely with micro-needling to treat as well as overcome the refractory nature of vitiligo. The diagnosis of the case was made on the basis of clinical, Woods lamp examination and dermoscopy. This 62-year-old female patient received the interventions for 28 days along with dietary advice as per the Unani medical principles. The compliance to the therapy was good and no overt side effect was reported by the patient during the course of treatment. Result: Significant repigmentation was observed at the end of treatment. The efficacy may be attributed to the inherent active ingredients like psoralen, Rhein, and bergapten which promote melanogenesis. Further, micro-needling also helped in delivery of active ingredients through the microchannels at the dermal level and stimulation of melanocytes. Discussion: Unani formulations along with micro-needling resulted in the repigmentation of lesions. This indicates the effectiveness of USM. Further exploration is needed to optimize this treatment option in vitiligo.