# Novel Treatment for a Giant Acrochordon Using Pachaieruvai, a Traditional Siddha Medicine: A Case Report

## TL;DR

A 47-year-old man successfully treated a large skin tag with Pachaieruvai, a traditional Indian Siddha medicine, showing no recurrence after six months.

## Contribution

Demonstrates the potential of Pachaieruvai as a low-cost, non-invasive treatment for giant acrochordons.

## Key findings

- The lesion disappeared within two weeks of applying Pachaieruvai externally.
- No recurrence was observed at three and six months post-treatment.
- The treatment caused only mild, temporary discomfort.

## Abstract

Skin tags, also known as acrochordons, are common benign growths that often appear in areas where the skin experiences friction. One of the challenges for healthcare providers is finding more targeted treatment options for skin tags, as current methods-like electrodesiccation, laser therapy, cryotherapy, and surgical removal-can be quite expensive. Fortunately, Siddha medicine offers a promising and potentially more affordable alternative. In this case report, we discuss the successful treatment of a giant acrochordon in a 47-year-old male patient using Pachaieruvai Siddha medicine, an indigenous healing tradition from India. The patient applied Pachaieruvai externally for 10 days and experienced only mild, temporary discomfort. Substantial lesion disappearance was observed within two weeks, and subsequent evaluations at three and six months showed no recurrence. These results suggest that Siddha pharmacotherapy may serve as an effective, less invasive, and economical alternative for the management of acrochordons. However, further research and clinical studies are essential to validate its efficacy and develop standardized treatment protocols.