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Moustafa D, Neale H, Ostrowski SM, Gellis SE, Hawryluk EB. Topical corticosteroids for noninvasive treatment of pyogenic granulomas. Pediatr Dermatol 2021; 38 Suppl 2:149-151. [PMID: 34272756 DOI: 10.1111/pde.14698] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Pyogenic granulomas are benign vascular proliferations of the skin and mucous membranes that tend to bleed easily. They typically require procedural treatments that can be difficult for patients with intellectual disabilities or behavioral concerns to tolerate. In our practice, we have found the use of topical clobetasol to be effective to induce regression of cutaneous pyogenic granulomas. We present here a case of an adolescent patient with autism and two bleeding pyogenic granulomas who poorly tolerated a biopsy of the first lesion and could not tolerate subsequent procedures. Topical therapy with clobetasol effectively managed the second pyogenic granuloma, an approach representative of a noninvasive practice utilized in our clinic.
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Affiliation(s)
- Danna Moustafa
- Harvard Medical School, Boston, MA, USA.,Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA
| | - Holly Neale
- Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA.,University of Massachusetts School of Medicine, Worcester, MA, USA
| | - Stephen M Ostrowski
- Harvard Medical School, Boston, MA, USA.,Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA
| | - Stephen E Gellis
- Harvard Medical School, Boston, MA, USA.,Dermatology Program, Department of Immunology, Boston Children's Hospital, Boston, MA, USA
| | - Elena B Hawryluk
- Harvard Medical School, Boston, MA, USA.,Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA.,Dermatology Program, Department of Immunology, Boston Children's Hospital, Boston, MA, USA
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A Research of Pyogenic Granuloma Genesis Factor With Immunohistochemical Analysis. J Craniofac Surg 2017; 28:2068-2072. [DOI: 10.1097/scs.0000000000004148] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
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Jitprasertwong P, Charadram N, Kumphune S, Pongcharoen S, Sirisinha S. Female sex hormones modulate Porphyromonas gingivalis
lipopolysaccharide-induced Toll-like receptor signaling in primary human monocytes. J Periodontal Res 2015; 51:395-406. [DOI: 10.1111/jre.12320] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2015] [Indexed: 02/02/2023]
Affiliation(s)
- P. Jitprasertwong
- Department of Preventive Dentistry; Faculty of Dentistry; Naresuan University; Phitsanulok Thailand
| | - N. Charadram
- Department of Restorative Dentistry; Faculty of Dentistry; Naresuan University; Phitsanulok Thailand
| | - S. Kumphune
- Faculty of Allied Health Science; Biomedical Research Unit in Cardiovascular Sciences; Naresuan University; Phitsanulok Thailand
| | - S. Pongcharoen
- Department of Medicine; Faculty of Medicine; Naresuan University; Phitsanulok Thailand
- Centre of Excellence in Medical Biotechnology (CEMB); Faculty of Medical Science; Naresuan University; Phitsanulok Thailand
| | - S. Sirisinha
- Department of Microbiology; Faculty of Science; Mahidol University; Bangkok Thailand
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