RESUMO
BACKGROUND: Granuloma pyogenicum (GP) is a common vascular lesion which often bleeds easily during most of the treatment modalities. A number of pyogenic granulomas often recur after such treatment. OBJECTIVE: The aim of this study was to establish a surgical procedure which is easy to operate, less invasive, minimal bleeding at the operation site and without any recurrence of the lesion. METHODS: Twenty-three patients (15males, and 8females) suffering from granuloma pyogenicum at different stages (ulcerated, reepithelialized and resolving) and at various sites of the body constituted the sample population. In all the patients, crushing of the base of the lesions followed by shave excision and electrodesiccation of the shaved base were carried out. The patients were followed up for six months to observe recurrence, scar formation and any other complications. RESULTS: Bleeding was practically nil during the surgical procedure in all the cases. There was no recurrence and cosmetic outcome was excellent. No complications were encountered. CONCLUSION: The technique is not only an alternative modality but can also be the treatment of choice in all stages of granuloma pyogenicum.
Assuntos
Hipersensibilidade Tardia , Leishmaniose Visceral/complicações , Adulto , Animais , Gluconato de Antimônio e Sódio/uso terapêutico , Antiprotozoários/uso terapêutico , Contraimunoeletroforese , Diagnóstico Diferencial , Testes de Hemaglutinação , Humanos , Hipersensibilidade Tardia/diagnóstico , Leishmania donovani/isolamento & purificação , Leishmaniose Visceral/diagnóstico , Leishmaniose Visceral/imunologia , Hanseníase/diagnóstico , Masculino , Pele/imunologiaRESUMO
A 28-year-old man with typical lesions of Schamberg's progressive pigmented purpuric dermatosis involving his right forearm is reported here for its unusual localisation.
RESUMO
Efficacy of topical tretinoin was assessed in 30 cases of idiopathic acanthosis nigricans which were recalcitrant to conventional modalities of treatment. Topical tretinoin once at night application was found to be very effective both clinically and histologically.
RESUMO
A case of ichthyosis linearis circumflexa in a 9-year old boy is reported here for its rarity.
RESUMO
Ten patients having hyperkeratosis with moderate to severe fissures on palms and soles were treated with iontophoresis using 5-10% aqueous solution of sodium salicylate. The results were excellent within a period of 3-4 weeks (6-8 sittings each for a period of 10-15 minutes). The treatment was free from the problems of salicylism. Follow-up in some of the reclcitrant cases for 4 months after stop the treatment and with no local application, showed neither any relapse nor deterioration. Sodium salicylate iontophoresis in hyperkeratosis seems to be safe well tolerated and far more effective than the usual local applications of salicylic acid.