Complete Repigmentation in a Case of Localized Baras Halqa-e-Chashm (Periorbital Vitiligo) Following Unani Therapy: A Case Report

Abstract

Baras/Bars (Vitiligo/Leucoderma) is an acquired depigmentary disorder characterized by milky-white macules and patches resulting from the dysfunction, destruction, or inhibition of melanocytes. In Unani medicine, it is attributed to weakness of Quwwat-e-Mughayyirah (the transformative faculty), governed by the liver, together with a derangement of the temperament of the affected part of the skin towards Barudat (coldness). Unani management therefore aims to correct the underlying Mizaj (temperament), strengthen hepatic function, and eliminate or modify morbid humoral matter. The present case is an excellent example of effective Unani therapeutics in the management of Vitiligo. A 14-year-old female presented with a four-year history of localized periorbital depigmentation. She had previously received conventional treatment without satisfactory improvement. There was no family history of vitiligo or similar pigmentary disorders. Apart from recurrent chilblains during winter, she was otherwise healthy. Dermatological examination revealed a milky-white patch confined to the periorbital region. An individualized Unani regimen, along with supervised sunlight exposure, was prescribed. The patient was followed-up monthly for three months. Gradual repigmentation was observed during follow-up, with complete repigmentation at three months. No adverse effects were reported during treatment. This case report suggests that individualized Unani management may be beneficial in localized periorbital vitiligo and may achieve complete repigmentation within a short follow-up period. Further controlled studies are warranted to establish its efficacy, safety, and reproducibility.