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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.
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Public License
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.

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