AI Article Synopsis
- Periungual pyogenic granulomas are benign, painful vascular tumors that often bleed and can form due to physical trauma or infections, with many resolving on their own.
- This text discusses a rare case where such granulomas developed in a patient taking the oral retinoid acitretin for congenital palmoplantar keratoderma, but manageable through dose reduction and topical treatments.
- The patient’s lesions healed in two weeks without recurrence over six months, and a systematic review of existing literature was conducted to gather information on other drugs that may also cause these granulomas.
Article Abstract
Periungual pyogenic granulomas are benign vascular tumors that present as painful, round, spontaneously bleeding lesions composed of rapidly proliferating capillaries and excess tissue. The vast majority of pyogenic granulomas are caused by physical trauma or infectious agents and they may resolve spontaneously. Herein, we highlight a very rare case of periungual pyogenic granulomas induced by the regularly prescribed oral retinoid acitretin during treatment for congenital palmoplantar keratoderma. This unique case showed that it is feasible to continue acitretin therapy in the presence of pyogenic granuloma development if proper dose reduction and topical therapies are utilized. The patient's lesions resolved within two weeks of this protocol's initiation and the pyogenic granulomas did not recur over the course of a six-month follow-up observation period. In addition, we performed a systematic review of the literature using PubMed databases for the clinical features and treatments in other reported acitretin-induced pyogenic granuloma cases; we compiled a comprehensive list of other prescription drugs known to cause pyogenic granulomas up-to-date.
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| http://dx.doi.org/10.5070/D327754369 | DOI Listing |
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Article Synopsis
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- A 34-year-old Indian man's scalp lesion was initially misdiagnosed as a pyogenic granuloma due to its bleeding tendency.
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