SUBCUTANEOUS INTRALESIONAL INJECTION OF KSHARODHAKA IN THE MANAGEMENT OF WARTS - A CASE STUDY

Warts are benign epithelial hyperplasia manifesting mostly due to infection with human papilloma virus (HPV). The condition may affect the patient with or without pain, itching etc. Wart can became a stressful cosmetic problem. The references of Charmakeela in Kshudraroga adhikara in the Ayurvedic classics have a very close clinical proximity with warts. Kshara is one among the treatment choice for Charmakeela and used in Pratisaraneeya kshara form. Subcutaneous intralesional injection is one among the upgraded modalities of Pratisaraneeya ksharakarma. Kshara used as Ksharodhaka for this procedure. A 24 years old female patient with a common wart over the thumb visited the Salyatantra OPD, Govt. Ayurveda College Hospital Tripuithura in June 2019. The lesion was painless and without itching and was developed within a period of one month. The patient was undertaken for subcutaneous intralesional injection of Aragwadha ksharodhaka following proper lab investigations. The patient did not developed any adverse reactions or pain during the procedure. It was observed that, the wart shed off within a period of 7 days. There was no visible ulceration over the site of wart and healing happened leaving a minimum scar. Also there was visible healthy skin formation.

Immunological study for patients with skin wart in Hilla city /Iraq.

Common wart and filiform regard as two types ofskin warts that belong to benign tumors caused by many types of Human Papilloma Virus (HPV).Thirty samples blood and skin tissue were collected from patients infected with skin wart whom visit public Hilla hospital/Iraq. Thirty blood samples were collected from healthy individual act as control group. Viral detection was performed by specialist (dermatologist) and by using IgG anti HPV ELISA kit.The result proved that 99% ofsamples give positive result for IgG anti HPVtest, whilethe estimation of IL-8 levelsat patients sera produced significantincreasing at patients,sera with mean difference [326.00 pg/ml] compared with their level at control group[231.76pg/ml]with p value ≤ 0.05.

Filiform Verrucous Sarcoidosis of the Face: A Warty Report

Sarcoidosis is a multisystem inflammatory condition of unknown etiology. Variability in the cutaneous features of sarcoidosis is profound, and its protean manifestations affirm the condition’s designation as one of dermatology’s “great mimics.” Cutaneous phenotypes of sarcoidosis include but are by no means limited to ichthyosiform, alopecic, erythrodermic, angiolupoid, and verrucous variants. Verrucous sarcoidosis is an exceedingly rare manifestation, and previous reports of this phenotype are limited to 15 cases. Most cases in the extant literature presented on the extremities, with clinical features mimicking that of a common wart, or as verrucous crateriform nodules, ulcers, or cutaneous horns. Only 4 previous reports of facial verrucous sarcoidosis exist in the literature, and to our knowledge, no prior cases have demonstrated filiform lesion morphology. Here we present a case of filiform verrucous sarcoidosis in an otherwise healthy, middle-aged African American man, devoid of internal organ involvement and limited to the face, histopathologically confirmed by the presence of characteristic granulomata devoid of lymphocytic infiltrates.