# Revolutionizing Seborrheic Keratosis Treatment: A Case Report of Successful Topical Treatment of Basal Cell Papilloma Using Siddha Medicine

## TL;DR

A 73-year-old woman's seborrheic keratosis was successfully treated with Siddha medicine, offering a new alternative to traditional methods.

## Contribution

Demonstrates Siddha medicine as a novel, effective, and well-tolerated treatment for seborrheic keratosis.

## Key findings

- Application of Pachaieruvai reduced lesion thickness and pigmentation within one week.
- Complete eradication of seborrheic keratosis was observed at the follow-up with no recurrence or adverse effects.

## Abstract

Seborrheic keratosis (SK), also known as seborrheic warts or basal cell papilloma, is a common benign epidermal tumor typically seen in middle-aged and older adults. SK is one of the most frequently encountered skin lesions by primary care physicians and dermatologists in outpatient settings. Traditionally, cryosurgery and electrocautery have been the primary treatment options for SK. While both approaches are effective, these methods can result in unwanted side effects that may affect the cosmetic appearance of patients and can be quite costly, deterring some individuals from seeking treatment. Siddha external medicine provides a viable, cost-effective, and well-tolerated alternative. A 73-year-old female patient presented with black papules featuring fissures and ridges on a verrucous surface. The lesions, with a waxy "stuck-on" appearance, were located on the prominence of the concha of her left ear, measuring 1.5 cm in length and 6 mm in thickness. Though asymptomatic, the lesions raised significant cosmetic concerns. The diagnosis was confirmed through a thorough clinical evaluation. The Siddha formulation Pachaieruvai was applied externally for seven consecutive days. After one week of treatment, a significant reduction in both lesion thickness and pigmentation was observed. At the follow-up appointment, one week after the last treatment, the SK lesions were completely eradicated. No adverse symptoms or recurrence were noted. This research highlights the effectiveness of the Siddha approach to managing SK. Based on the findings, Siddha medicine proves to be an effective treatment for SK.