Eruptive syringoma is a rare variant of syringoma. The condition is accepted as the benign adnexal tumor. The tumors in this condition are considered the intraepidermal portion of eccrine sweat glands. Eruptive syringoma is having great cosmetic importance because any kind of systemic changes in the body or disturbance to physiological functioning is not noticed. The disorder is generally common in females during puberty or later. In this article we will discuss eruptive syringoma in detail and also about its considerable ayurvedic management.
The word syringoma is derived from the greek language syrinx meaning tube. It was first described by Jacquet and Darier in 1887 and is capable of affecting 0.6% of the general population. Eruptive syringoma is characterized by differentiation in the intra epidermal portion of eccrine origin. It is often associated with down syndrome and multiple syringoma. The small tumors in this condition usually appear on the back and neck (in predilection occurs in periorbital areas). The other rare forms of syringoma are plaque, linear, penile, vulvar, chondroid, solitary and sometimes on ankles also.
Conditions like eruptive syringoma have no definite cause for its occurrence. But are generally related to people who have family history with the same condition. Patients with eruptive syringoma have overactive sweat glands that result in overproduction of sweat or blockage of sweat glands. The patients who are suffering from marfan syndrome are also at a risk of developing eruptive syringoma. Mostly the females with oily skin and health issues that involve diabetes mellitus preferably are at a greater risk of developing this condition.
In ayurveda this condition is understood as sweda vaha srotas dushti. The reasons for the dushti of sweda vaha srotas are blockage of roomkoopa (sweat ducts) by the vitiated doshas or by dushti of meda (subcutaneous fat). The reasons for vitiation of doshas include regular excessive exposure to simultaneous hot and cold environments, excessive anger, grief and fear.
Complete pathology of this condition is not known. According to accepted theories the cutaneous inflammatory process probably leads to hyperplastic reactive process in eccrine duct due to which inflammation occurs. This inflammation may be considered as the cause of eruptive syringoma. This theory can be accepted due to the occurrence of cutaneous inflammation after contact dermatitis, shaving, laser hair removal, radiation dermatitis etc.
In eruptive syringoma most commonly seen symptoms and signs include
- Developing numerous small yellow eruptions on skin. These eruptions are benign and small.
- Redness around the affected areas. Along with redness, pain, itching or burning sensation is mostly observed by the patient.
- These papules are commonly seen on the chin, eyelids, abdomen, under eyes and upper part of cheeks.
- Cutaneous examination shows multiple and symmetrical papules. The color of these papules varies from skin to brownish shiny in appearance.
- These papules measure around 2-4mm in diameter.
- These are present all over the face and on upper extremities too.
- Skin biopsy shows normal epidermis with benign proliferation of multiple eccrine ducts lined by two rows of epithelial cells.
- Some of these eccrine ducts have tadpole-like appearance and have an amorphous material in the ductal lumina.
The symptoms according to ayurveda includes excessive sweating or no sweating, sticky skin, skin tightening or burning sensation over skin.
Treatment of Eruptive syringoma
Eruptive syringoma is having huge cosmetic concerns as people with this condition commonly have to bear the weight of unacceptance in the society. The condition is really difficult to predict as it has a tendency to undergo regression with time. But how much time will be required is not defined. In eruptive syringoma the treatment is highly non standardized which includes excision, dermabrasion, cryotherapy, electrodessication, chemical peels. Topical retinoids are also administered along with monoclonal antibodies. Even the recurrence is commonly seen.
It is possible to manage Eruptive syringoma with ayurvedic medications. Planet Ayurveda which is a herbal manufacturing unit offers it’s herbal products that can be used in the management of this condition. The products are totally herbal and only standardized extract of potent herbs is used in manufacturing. The products offered by planet ayurveda for the management of eruptive syringoma are as follows
- Kanchnaar guggul
- Arogyavardhini vati
- Manjishtha capsules
- Gandhak Rasayan
- Epiderm oil mixed with Nirgundi oil
1. Kanchnaar guggul
Kanchnaar guggul helps in subsiding the tumors that appear in eruptive syringoma. Kachnaar guggul is a classical formulation that include ingredients like Kanchnaar (Bauhinia variegata), Guggul (Commiphora mukul), Pippali (Piper longum), Varuna (Crateva religiosa), Ginger (Zingiber officinale), Black pepper (Piper nigrum), Bibhitaki (Terminalia bellerica) and many more. These herbs help in reducing the blockage.
Dose: Two tablets daily twice after meals.
2. Arogyavardhini vati
Arogyavardhini means something that has potency to develop and maintain good health. This is a classical formulation and is used to manage many pathies. The ingredients that are included in the manufacturing of this formulation are Bibhitaki (Terminalia bellerica), amalaki (Emblica officinalis), chitraka (Plumbago zeylanica), nimba (Azadirachta indica) and many more. These all herbs have a rejuvenating effect on the body and also free it from toxins.
Dose: Two tablets twice a day after meals.
3. Manjishtha capsules
Manjistha Capsules are known to balance pitta dosha and are manufactured using Rubia cordifolia (Manjishtha) only. Manjishtha wonderfully works in resolving the blockage of sweat glands. Also, it is very helpful in detoxifying the body. It is having a healing effect on lesions.
Dose: One capsule twice a day after meals.
4. Gandhak Rasayan
Gandhak rasayan is manufactured using purified sulphur and is very useful in reducing various kinds of skin conditions. This also helps in reducing various causes of itching, burning sensation on skin, oily skin and many other conditions. In eruptive syringomas this formulation works like a boon as it helps in opening the pores of sweat glands and hence helps in reducing the blockage.
Dose: Two tablets twice a day after meals.
5. Epiderm oil mixed with Nirgundi oil
The mixture of these two oils provides patients with relaxation in their symptoms especially in itching. These two oils contain herbal extract of many herbs like manjistha (Rubia cordifolia), Haridra (Curcuma longa), kalahari (Gloriosa Superba) and many more. These all herbs are potent and have antifungal and anti-inflammatory properties.
Use: Use twice daily by mixing them in equal quantity and apply locally after washing the affected part.
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Eruptive syringoma is a condition whose cause is not understandable. Even in modern medicine exact treatment for such conditions is not available. In ayurveda, as mentioned earlier it is understood as sweda vaha srotas dushti and management with herbal products is done keeping in mind the same concept. The products offered by Planet Ayurveda are totally herbal and do not cause any kind of side effect. In case of any query kindly visit www.planetayurveda.com