Ayurvedic Management of Polymorphous Light Eruption (PMLE) in a Pediatric Patient

Abstract

Polymorphous Light Eruption (PMLE) is the most common immunologically mediated photodermatosis resulting from abnormal cutaneous hypersensitivity to ultraviolet radiation. The disease commonly manifests with recurrent pruritic papules, erythematous plaques, a burning sensation, and photosensitivity following sun exposure. Ayurveda offers a holistic approach by correcting underlying digestive disturbances, Dosha imbalance, and systemic susceptibility responsible for recurrent photosensitivity reactions. Objective: To evaluate the clinical effectiveness of a gut-oriented Ayurvedic treatment protocol in a pediatric patient suffering from chronic Polymorphous Light Eruption associated with digestive dysfunction. Materials and Methods: A 7-year-old female child presented with recurrent sun allergy since the age of five years, associated with chronic digestive disturbances and constipation since childhood. The patient was managed using a personalized Ayurvedic protocol comprising Aahar Amrutham Ras, Anthram Mitram Gulika, Skin Detox Drops, Shishu Laxoherb, Changeri Swaras, external applications, dietary modifications, and lifestyle regulation. Clinical progress was assessed through serial follow-ups over approximately ten months. Results: Progressive reduction in photosensitivity symptoms was observed during follow-up. Significant improvement in sun allergy was reported within the initial months of treatment. By the final follow-up, PMLE symptoms had substantially subsided with sustained relief, improved digestive function, reduced constipation, and marked improvement in overall skin health. Conclusion: This case demonstrates that Ayurvedic management based on Agnideepana, Ama Pachana, Pitta-Shamana, Rakta-Prasadana, and gut-skin axis correction may provide significant clinical benefit in pediatric PMLE. Larger clinical studies are warranted to validate these observations.