Abstract

MANAGEMENT OF HIDRADENITIS SUPPURATIVA IN AXILLA THROUGH AYURVEDA USING APAMARGA KSHAR SUTRA – A CASE REPORT

Dr. K. Rajeshwar Reddy and Dr. Jaee Sunil Parvatkar*

Abstract

Hidradenitis suppurativa is a painful chronic inflammatory disease affecting the skin bearing apocrine glands. It causes painful abscesses and nodules that may progress to interconnected sinus tracts, scarring and skin contractures. Women are more frequently affected than men (female: male ratio, 3:1). The condition most commonly develops in early 20’s of a person, although the onset has been described in prepubertal children and postmenopausal women as well. This study was conducted on a single female patient of 26 years of age who came to the Shalyatantra OPD of R.A Podar Ayurvedic Hospital, Worli, Mumbai, with complaints of chronic pus discharge from Right Axilla along with pain and tenderness and history of multiple boils and small pus filled abscesses in right axilla over a period of 6 months. Patient had taken multiple courses of antibiotics from various doctors with local dressings without any effect. On examination there was a single Sinus Tract or Nadi Vrana of 4 cm seen in the right axilla formed by connection of lesions with pus discharge which could be categorised as Hurley Stage II. Apamarga Kshar sutra was passed through the tract and tied once every week for 5 weeks on OPD basis. Pus discharge stopped in 1st week followed by healthy granulation tissue formation from 2nd week. On every consecutive week of Apamarga Kshar Sutra changing, the track shortened in length until the end of 5th week when the track was completed healed. Thus, we can conclude from the study that this Ayurveda para-surgical treatment using Apamarga Kshar Sutra plays an effective role in the management of Hidradenitis Suppurativa.

Keywords: Hidradenitis Suppurativa, Right Axilla, Hurley stage II, Nadi Vrana, Apamarga Kshar Sutra.