Management of Hydradenitis Suppurativa by An Ayurvedic Surgical Approach - A Rare Case Report

Dr Shivalingappa J Arakeri; Dr Mohasin Kadegaon; Dr Geetanjali Hiremath

Volume : VIII, Issue : IV, April - 2019

Management of Hydradenitis Suppurativa by An Ayurvedic Surgical Approach - A Rare Case Report

Dr Shivalingappa J Arakeri, Dr Mohasin Kadegaon, Dr Geetanjali Hiremath

Abstract :

Hydradenitis suppurativa (HS) is a chronic, disabling, suppurative disease characterised by deep tender subcutaneous nodules, complicated by fiosis and extensive sinuses affecting primarily the apocrine gland be� areas. The disease is speculated to be caused by follicular structural abnormalities with associated risk factors as smoking and obesity. The treatment modalities include weight loss if, stop smoking, maintain hygiene, antibiotics and surgery. Surgery requires complete excision of lesion in single or multiple stages, the resulting raw area may be very extensive which was difficult to heal with secondary intention and commonly requires skin graft. Hence there is a scope for alternative system of medicine. The clinical features of HS can be compared with Naadivrana mentioned in Ayurveda and ksharsutra (Medicated thread) is the line of treatment in it. Treating fistula with Apamarg ksharasutra is very common, but HS is rare one. This could be the first documented evidence case in treating HS with ksharasutra line of treatment. Thus this study states successful use of ksharsutra in complicated Hydradenitis suppurativa.