Abstract

KSHARASUTRA MANAGEMENT OF CHARMAKILA W.S.R TO ACQUIRED DIGITAL FIBROKERATOMA – A CASE STUDY

Dr. Ranjan Kumar Kasta*, Dr. Ajit Kumar Pradhan, Dr. Priyanka Giri and Dr. Arpita Sahoo

Abstract

INTRODUCTION: Acquired digital fibrokeratomas are a benign soft tissue tumor with typical appearance and anatomical locations. This lesion generally occurs in middle aged males with common sites of occurrence in the digits of upper or lower extremities. It is commonly correlated with Charmakila in Ayurveda. Vyana Vayu and Kapha Dosha are responsible for its origin. CASE PRESENTATION: A 33- year-old man came to Shalya (Surgery) OPD of Gopabandhu Ayurveda Mahavidyalaya and Hospital, Puri, Odisha, India, complaining with abnormal slow growing lesion at palmar surface of middle phalanx of middle finger of right hand diagnosed as acquired digital fibrokeratoma by physical, clinical and histological examination. The base of lesion was trans-fixed and ligated by Ksharasutra and the resulting wound was dressed with Jatyadi Ghrita. The skin eventually healed, and the patient had a good outcome. CONCLUSION: This case is of interest because of the rarity of digital fibrokeratoma. Ksharasutra treatment was preferred to minimize the recurrence rate of curettage and surgical excision.

Keywords: Acquired digital fibrokeratoma; Charmakila; Ksharasutra.