A CASE STUDY ON MANAGEMENT OF KELOID WITH VIRECHANA

Abstract

Keloid refers to irregularly shaped, thickened, firm, hypertrophic, pink or red lesion associated with tenderness, pain and pruritis which is generally due to fibroblast dysfunction. Wound healing is a complex process involving fibroblasts, profibroblast along with overproduction of type 1 procollagen which takes about 3 months to one year for its manifestation. Where the skin restores the lost tissues by scar formation and the new cell is supplied by new vasculature and incorporates new connective tissues. There is a change in the organization of the components from that of the dermis. Some develop it more often due to preceding injury, skin trauma, due to acne, folliculitis, burns, body piercings, surgical wounds or sometimes without a cause and this deregulation makes it difficult to cure and is associated with high rate of recurrence. Normal scars seem to have negative feedback mechanism where the fibroblasts are mobilized to repair their cutaneous defect. This negative feedback mechanism is defective in keloid formation. It has an effect on the aesthetic beauty concept which can create a mental agony too. Thus, keeping the versatility of Shodhana (purificatory measure) in mind, an attempt was done to manage the condition with Shodhana and marked changes were noted in the condition. Keywords: Keloid, Vrana granthi, Shodhana,