Abstract
A pyogenic granuloma (PG) is a rapidly growing benign vascular tumor that can be found on the skin or subcutaneous tissue. While some pyogenic granulomas may resolve spontaneously, most have a tendency to bleed easily and require treatment. Current therapeutic modalities include topical imiquimod, cryotherapy, electrodessication, curettage, excision, laser therapy, sclerotherapy, and microembolization. We report a recalcitrant case of chronic pyogenic granuloma occurring on the scalp of a healthy young male which was unresponsive to conventional surgical and non-surgical modalities. Ultimately, aggressive laser therapy, intralesional triamcinolone acetonide injections, and topical timolol application led to complete resolution and healing.
MeSH terms
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Administration, Cutaneous
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Adrenal Cortex Hormones / therapeutic use
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Adult
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Aminoquinolines / therapeutic use
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Anti-Bacterial Agents / therapeutic use
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Biopsy
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Chemotherapy, Adjuvant
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Combined Modality Therapy
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Drug Therapy, Combination
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Granuloma, Pyogenic / diagnosis
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Granuloma, Pyogenic / drug therapy
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Granuloma, Pyogenic / pathology
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Granuloma, Pyogenic / surgery*
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Humans
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Imiquimod
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Laser Therapy*
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Lasers, Dye / therapeutic use*
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Lasers, Solid-State / therapeutic use*
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Male
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Recurrence
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Scalp Dermatoses / drug therapy
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Scalp Dermatoses / therapy*
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Timolol / therapeutic use
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Triamcinolone Acetonide / administration & dosage
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Triamcinolone Acetonide / therapeutic use
Substances
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Adrenal Cortex Hormones
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Aminoquinolines
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Anti-Bacterial Agents
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Timolol
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Triamcinolone Acetonide
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Imiquimod