Resolution of Recalcitrant Pyogenic Granuloma with Laser, Corticosteroid, and Timolol Therapy
- Author(s): Millsop, Jillian Wong;
- Trinh, Nhat;
- Winterfield, Laura;
- Berrios, Ricado;
- Hutchens, Kelli A;
- Tung, Rebecca
- et al.
Published Web Locationhttps://doi.org/10.5070/D3203021726
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.