Abstract

CASE STUDY OF MANAGEMENT OF HIDRADENITIS SUPPURATIVA BY KSHARSUTRA

Dr. Sabade Pradnya Prakash*

Abstract

Hidradenitis Suppurativa (HS) is also called acne inversa, is a long term skin disease characterised by clusters of abscesses or subcutaneous boil-like infections (often free of actual bacteria) that most commonly affects the underarms, under the breasts, inner thighs, buttocks and groin. Outbreaks are painful and may persist for years with interspersed periods of inflammation, often culminating in sudden drainage of pus. Data presented in this report is apparently a case study of its kind in surgical literature where a female patient with age of 28 years, who was suffering from HS at both the axillary regions, since last 4 years. She took the treatment from all modern skin specialists and consumed lots of medicines including anti-inflammatory, antibiotics, steroids-drugs and local ointments. But she did not get relief from above modern treatment. The main purpose of this study was to cure this HS with advanced modalities in Ayurved, to overcome the hurdles and complications caused by the modern therapy. Ksharsutra was inserted inside the sinus tract. Patient was called for follow up in every week once. Ksharsutra was applied once a week after every 7th day. The procedure was followed for 28weeks, with regular dressings and Ksharsutra application. It was observed that Ksharsutra helps in proper drainage and simultaneous healing of HS sinuses, causing debridement, de-sloughing of tract and chemical cauterisation. It resulted in complete healing of tract avoiding its recurrence. Thus Ksharsutra proved the promising effect in the management of HS.

Keywords: Ksharsutra, Hidradenitis Suppurativa(HS), Parasurgical procedure, wound abscess, nadivrana.