Which of the following is a sign of pandu roga?

• A. Topmost layer of skin becomes pale, dry, lusterless, rough, and scaly
• B. Increased appetite
• C. Joint swelling
• D. Elevated blood sugar

Answer: (A)

Pandu roga is characterized by pallor of the complexion due to reduced quality or quantity of blood. The skin’s top layer becoming pale, dry, lusterless, rough, and scaly reflects this loss of normal color and nourishment to the skin, which is a classic sign. In this context, the described pale, dry skin best fits pandu roga. The other options don’t match this pattern: increased appetite isn’t typical of a pale-skinned, anemia-related presentation; joint swelling suggests inflammatory or rheumatic conditions; elevated blood sugar points to metabolic diabetes.