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Bin Dlaim MS, Alhussein GA, Alqahtani RS, Almanea LT. Conservative Management of Giant Pyogenic Granuloma Post Strabismus Surgery: A Case Report and Literature Review. Cureus 2023; 15:e41321. [PMID: 37539417 PMCID: PMC10395757 DOI: 10.7759/cureus.41321] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/03/2023] [Indexed: 08/05/2023] Open
Abstract
Ocular pyogenic granuloma is a benign vascular tumor that occurs primarily in children. Treatment options for pyogenic conjunctival granulomas include topical steroids, topical timolol, surgery, cryotherapy, and electrocautery. Patients with giant pyogenic granulomas are usually treated with surgical intervention. In this case, a 13-year-old Egyptian girl developed a giant pyogenic granuloma after strabismus surgery. Topical steroids showed a poor response and failed to demonstrate any improvement. While on timolol, the granuloma completely regressed, with no signs of recurrence. Despite the usual surgical approach to the treatment of purulent giant granulomas, we believe that topical timolol can be the preferred option as a noninvasive alternative therapy since it is considered safe when compared to the potential risks of topical steroid therapy or surgical exposure.
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Affiliation(s)
- Mohammad S Bin Dlaim
- Pediatric Ophthalmology Division, King Abdullah bin Abdulaziz University Hospital, Riyadh, SAU
| | - Ghadah A Alhussein
- College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, SAU
| | - Raneem S Alqahtani
- College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, SAU
| | - Leenah T Almanea
- College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, SAU
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Monteiro RC, Shetty P, Marne RB, Mysore V, Patil SR. Letter to the editor regarding "Effectiveness and safety of 0.5% timolol solution in the treatment of pyogenic granuloma: A randomised, double-blind and placebo-controlled study". Indian J Dermatol Venereol Leprol 2023; 89:76. [PMID: 36461800 DOI: 10.25259/ijdvl_754_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 09/01/2022] [Indexed: 11/17/2022]
Affiliation(s)
| | - Prajna Shetty
- Department of Dermatology, Father Muller Medical College Hospital, Mangaluru, Karnataka, India
| | - Ramesh Bhat Marne
- Department of Dermatology, Father Muller Medical College Hospital, Mangaluru, Karnataka, India
| | - Venkataram Mysore
- Department of Dermatology, Father Muller Medical College Hospital, Mangaluru, Karnataka, India
| | - Srishti Ravi Patil
- Department of Dermatology, Father Muller Medical College Hospital, Mangaluru, Karnataka, India
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Patra AC, Sil A, Ahmed SS, Rahaman S, Mondal N, Roy S, Datta A, Kaliyadan F, Panda S, Setia MS, Dogra S, Khandpur S, Hazra A, Das NK. Authors' reply. Indian J Dermatol Venereol Leprol 2023; 89:77-78. [PMID: 36461802 DOI: 10.25259/ijdvl_858_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 09/01/2022] [Indexed: 11/17/2022]
Affiliation(s)
| | - Amrita Sil
- Department of Pharmacology, Rampurhat Government Medical College, Rampurhat, Birbhum, India
| | - Sk Shahriar Ahmed
- Department of Dermatology, Bankura Sammilani Medical College, Bankura, India
| | - Sufiur Rahaman
- Department of Dermatology, Bankura Sammilani Medical College, Bankura, India
| | - Nasiruddin Mondal
- Department of Dermatology, Bankura Sammilani Medical College, Bankura, India
| | - Sudipta Roy
- Department of Dermatology, Bankura Sammilani Medical College, Bankura, India
| | - Adrija Datta
- Department of Dermatology, Medical College, Kolkata, West Bengal, India
| | - Feroze Kaliyadan
- Department of Dermatology, Sree Narayana Institute of Medical Sciences, Ernakulam, Kerala, India
| | | | | | - Sunil Dogra
- Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Sujay Khandpur
- Department of Dermatology, All India Institute of Medical Sciences, New Delhi, India
| | - Avijit Hazra
- Department of Pharmacology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India
| | - Nilay Kanti Das
- Department of Dermatology, Bankura Sammilani Medical College, Bankura, India
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Zaouak A, Frioui R, Chamli A, Helal I, Brahim EB, Fenniche S, Hammami H. A case of multiple pyogenic granulomas of the trunk successfully treated with topical β-blockers. J Cosmet Dermatol 2022; 21:7231-7232. [PMID: 36098985 DOI: 10.1111/jocd.15382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 09/04/2022] [Accepted: 09/11/2022] [Indexed: 01/06/2023]
Affiliation(s)
- Anissa Zaouak
- Department of Dermatology, Research Unit "Genodermatoses and Cancers LR12SP03", Tunis, Tunisia
| | - Refka Frioui
- Department of Dermatology, Research Unit "Genodermatoses and Cancers LR12SP03", Tunis, Tunisia
| | - Amal Chamli
- Department of Dermatology, Research Unit "Genodermatoses and Cancers LR12SP03", Tunis, Tunisia
| | - Imen Helal
- Anatomopathology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Ehsen Ben Brahim
- Anatomopathology Department, Habib Thameur Hospital, Tunis, Tunisia
| | - Samy Fenniche
- Department of Dermatology, Research Unit "Genodermatoses and Cancers LR12SP03", Tunis, Tunisia
| | - Houda Hammami
- Department of Dermatology, Research Unit "Genodermatoses and Cancers LR12SP03", Tunis, Tunisia
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Liu JL, Zhang AQ, Zhang D, Li KY, Jiang LC, Zhang B. An ultrapulsed CO 2 laser combined with a long-pulsed Nd:YAG laser for the treatment of oral and maxillofacial pyogenic granuloma. Dermatol Ther 2022; 35:e15654. [PMID: 35726842 DOI: 10.1111/dth.15654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 06/10/2022] [Accepted: 06/19/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Jian-Lin Liu
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong, RP, China.,Department of Oral and Maxillofacial Surgery, Liaocheng People's Hospital, Liaocheng, Shandong, RP, China
| | - An-Qi Zhang
- Department of Central Laboratory, Liaocheng People's Hospital, Liaocheng, Shandong, RP, China
| | - Di Zhang
- Department of Precision Medicine, Liaocheng People's Hospital, Liaocheng, Shandong, RP, China
| | - Ke-Yi Li
- Department of Oral and Maxillofacial Surgery, Liaocheng People's Hospital, Liaocheng, Shandong, RP, China
| | - Li-Cheng Jiang
- Department of Oral and Maxillofacial Surgery, Liaocheng People's Hospital, Liaocheng, Shandong, RP, China
| | - Bin Zhang
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Shandong, RP, China.,Department of Oral and Maxillofacial Surgery, Liaocheng People's Hospital, Liaocheng, Shandong, RP, China
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Ganjoo S, Jain N. A few drops may go a long way: Topical timolol in pediatric dermatology. INDIAN JOURNAL OF PAEDIATRIC DERMATOLOGY 2022. [DOI: 10.4103/ijpd.ijpd_63_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Joshi G, Quadir SS, Yadav KS. Road map to the treatment of neglected tropical diseases: Nanocarriers interventions. J Control Release 2021; 339:51-74. [PMID: 34555491 DOI: 10.1016/j.jconrel.2021.09.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 09/15/2021] [Accepted: 09/16/2021] [Indexed: 12/11/2022]
Abstract
Neglected tropical disease (NTD) is a set of 20 deadliest endemic diseases which shows its presence in most of the developing countries worldwide. Nearly 1 billion of the population are affected by it and suffered from poverty yearly. These diseases offer their own unique challenges and limitations towards effective prevention and treatment methods. Neglected tropical diseases are severe infections they may not kill the patient but debilitate the patient by causing severe skin deformities, disfigurement and horrible risks for several infections. Existing therapies for neglected diseases suffer from the loopholes like high degree of toxicity, side effects, low bioavailability, improper targeting and problematic application for affected populations. Progress in the field of nanotechnology in last decades suggested the intervention of nanocarriers to take over and drive the research and development to the next level by incorporating established drugs into the nanocarriers rather than discovering the newer drugs which is an expensive affair. These nanocarriers are believed to be a sure shot technique to fight infections at root level by virtue of its nanosize and ability to reach at cellular level. This article highlights the recent advances, rationale, targets and the challenges that are being faced to fight against NTDs and how the novel therapy tactics are able to contribute to its importance in prevention and treatment of NTDs.
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Affiliation(s)
- Garima Joshi
- Department of Pharmaceutical Sciences, Mohanlal Sukhadia University, Udaipur, Rajasthan 313001, India
| | - Sheikh Shahnawaz Quadir
- Department of Pharmaceutical Sciences, Mohanlal Sukhadia University, Udaipur, Rajasthan 313001, India
| | - Khushwant S Yadav
- Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKM's NMIMS (Deemed to be University), Mumbai 400056, India.
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