RG's Homoeopathy

Tag: Seborrheic Keratosis

  • Verruca Vulgaris

    Verruca vulgaris, commonly known as a common wart, is a benign skin growth caused by the human papillomavirus (HPV), primarily types 2 and 4 (though other types can also be involved). It often appears on the hands, fingers, elbows, and knees as a rough, raised, and sometimes cauliflower-like lesion.

    A case of Verruca Vulgaris cured at RG’s Homoeopathy in 1 month

    A middle-aged man with multiple hyperpigmented, verrucous, and raised skin lesions predominantly on the face, including the forehead, cheeks, and periorbital area visited the clinic for treatment. These lesions appear cauliflower-shaped and warty.

    Diagnosis:

    Verruca Vulgaris (Common Warts)–
    Multiple cauliflower-like or hyperkeratotic lesions having a rough, firm, irregular surface.

    Causes & Transmission

    • Direct skin contact with HPV (e.g., from infected surfaces or another person).
    • Small cuts or abrasions increase susceptibility.
    • Common in children, immunocompromised individuals, and those frequently handling wet surfaces (e.g., swimmers).

    Symptoms

    • Firm, rough, raised lesion with a rough surface.
    • May have black dots (thrombosed capillaries).
    • Usually painless but can be tender if on pressure areas.

    Clinical Examination

    Appearance:

    • Small, rough, firm papule with an irregular surface.
    • May have a cauliflower-like or hyperkeratotic texture.
    • Can be single or multiple.
    • Possible black dots (thrombosed capillaries) on the surface.

    Location & Distribution:

    • Often found on the eyelids, lips, forehead, cheeks or around finger nails.
    • Can be isolated or appear in clusters.

    Palpation:

    • Surface feels rough, unlike smooth skin lesions (e.g., molluscum contagiosum).
    • Non-tender in most cases, unless irritated.

    Diagnostic Confirmation (if needed)

    Dermatoscopy: Shows a papillomatous surface with red or black dots (capillary loops).

    Scraping Test: Gently scraping reveals pinpoint bleeding (confirming capillary involvement).

    Biopsy: Histopathology shows hyperkeratosis, papillomatosis, and koilocytes (HPV-infected keratinocytes).

    Differential Diagnosis

    • Seborrheic keratosis – More waxy and stuck-on appearance.
    • Molluscum contagiosum – Dome-shaped with central umbilication.
    • Actinic keratosis – More scaly and linked to sun exposure.
    • Basal cell carcinoma (rare in young patients) – Pearly edges, slow-growing.

    Conventional Treatment:

    • Cryotherapy (freezing)
    • Curettage (scraping)
    • Electrosurgery
    • Laser ablation
    • Often done for cosmetic reasons or irritation

    Homeopathic Perspective:

    Individualized treatment based on totality of symptoms.

    Focus on constitutional remedy to prevent recurrence.

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