Overcoming Giant Verruca Vulgaris Treatment Obstacles With Siddha Medicine: A Case Report

Verrucae vulgaris are infectious keratotic lesions caused by the human papillomavirus (HPV), frequently impairing an individual's quality of life, mainly when situated on the facial region. Verruca vulgaris constitutes a prevalent dermatological issue with diverse repercussions for those affected. The interaction among HPV, the immune system, and treatment methods requires a sophisticated comprehension of this illness. The need for more proficient management of this ailment constitutes a considerable challenge for the healthcare industry. Topical corticosteroids, cryo-therapeutic techniques, laser-based treatments, and immunotherapeutic modalities, including photodynamic therapy, are recognized as costly alternatives. Siddha external medicine offers a therapeutic strategy that employs suitable methodologies. This case report elucidates the clinical presentation of a 60-year-old female exhibiting hyperkeratotic, elevated, non-painful growth lesions localized to the left malar region, which have persisted for six years. She was diagnosed with giant facial verrucae vulgaris based on the observed clinical manifestations. The patient received external therapeutic intervention utilizing Siddha medicine, particularly applying pachaieruvai. The intervention resulted in the complete excision of the lesion, yielding aesthetically pleasing outcomes without any adverse reactions or recurrence observed during subsequent follow-up assessments.