Abstract

HOLISTIC APPROACH TO HIDRADENITIS SUPPURATIVA WITH SPECIAL EMPHASIS ON NADI VRANA: A CASE STUDY

Janesh Gupta*, Archana S. Kukade, Sanjay C. Babar, Prathamesh P. Kashikar

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Abstract

Hidradentis Suppurativa (HS) has always been neglected even though it causes great sense of discomfort and affects the health of the patient greatly. Besides pain, purulent discharge, and destruction of skin texture, HS patients experience metabolic, musculoskeletal, and psychological disorders. The prevalence of HS is about 1% to 4% in Europe. Scarring and suppuration of axilla and groin region are main features. Onset is typically after puberty. Disease becomes chronic only after subcutaneous extension which leads to indurations, sinus and fistula having a serious impact on the quality of life. Etiology is still not known. The characteristic features can be correlated with nadi vrana stated in classical texts. Management of nadi vrana mainly includes taila pooran(pooling), dhavan(douching) and oral medications for shodhan(cleansing) and ropan(healing). A case report of 18years male came with complaints of multiple sinus, pus discharge, throbbing pain and burning sensation in axilla who had taken treatment from allopathic, homeopathic physicians but got minimal relief. Then patient received ayurvedic treatment for 6 months which has gradually reduced his symptoms like sinus discharge, pain and burning sensation gradually. Varunadi kshaya and saptanga guggul were given orally for 6 months. Varunadi kshaya douching and nirgundi taila pooling was given locally for 3 months. Disease has cured without scarring, quality of life and professional activity has been restored. 6 months follow shows no signs of recurrence.

Keywords: Hidradentis Suppurativa, HS, nadi vrana, sinus, varunadi kshaya, nirgundi taila.