The effect of topical and oral Boswellia sacra in a patient with Pilonidal sinus disease

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2023-12-01 DOI:10.1016/j.aimed.2024.01.002

Amaal al Hashmi, Cliff J. d C. Harvey

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引用次数: 0

Abstract

Pilonidal sinus disease is an acquired skin condition of chronic inflammation in the sacrococcygeal region, characterised by fistulae, pain, and swelling. Fistulae in the condition are recessed with a narrow opening at the skin’s surface (pilonidal sinuses). In most cases, the cavity is filled with hair nests. While 58 % of cases will resolve within 5 weeks, the condition is problematic because of the common recurrence ulcers in around 40 % and 50 % of cases, because it is a condition with a high reoccurrence rate, it is generally difficult to treat. Surgery is the mainstay of treatment and there is no medical consensus regarding adjunctive treatment options for pilonidal sinus disease.

The resin obtained from the bark of Boswellia sacra (Frankincense or Olibanum) has been studied for the treatment of several different pathologies including skin infections, ulcerative colitis, and cancer, and for reducing inflammation. Due to its antiseptic, anti-arthritic and anti-inflammatory effects and its uses for reducing inflammation and encouraging healing in traditional medical systems, it may be of utility in the treatment of pilonidal sinus disease (PNS). To our knowledge, there have been no studies on the use of B. sacra for the treatment of PNS, but it has been used in traditional medicine systems for similar conditions characterised by inflammatory wounds.

Thus, the objective of this case study is to indicate a potential, novel treatment based on traditional medicine – Olibanum – with rapid resolution of pilonidal sinus disease following the use of this treatment both orally and topically in conjunction with diet and lifestyle interventions.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.