Epidermal nevi are hamartomas that are characterized by hyperplasia of epidermis and adnexal structures. A case of a 22-year-old woman with a 5-year history of verrucous plaque on the posterior area of the right ear pinna extending into the scalp. Lesions were well-circumscribed, 3 cm × 12 cm, oval, characterized by flat, slightly elevated black-colored papules, and were smooth, slightly hyperkeratotic ranging from few to hundreds in number
Epidermal nevi are due to an overgrowth of the epidermis. Lesions are present at birth (50%) or develop during early childhood. The abnormality arises from a defect in the ectoderm, an outer layer of the embryo that gives rise to epidermis. Charmakila described in Ayurveda correlates with epidermal nevi on the basis of symptomatology and the management. Pratisaraneeya kshara is a cost-effective and an easily accessible treatment that can be made use of in managing such skin lesions.
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