Salt for the treatment of pyogenic granuloma in a patient with pustular psoriasis of palms

Abstract

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Pyogenic Granuloma: A New Therapeutic Role for Salt?

“…The symptoms gradually resolved over the following 5 days.The clinical, laboratory and radiological features suggested a diagnosis of LT complicating IM.A literature search found only a few case reports of LT complicating IM, one an adolescent who had a palatine tonsillectomy at a younger age. 1,2 We hypothesise LT complicating IM is under-recognised and hence under-reported as it is overshadowed by more obvious palatine tonsillitis.Our case highlights the following: (i) In a child with severe odynophagia and a voice with a muffled quality sometimes described as being a hot potato voice, LT needs to be considered as a differential diagnosis; (ii) in the absence of onsite paediatric otolaryngology services, lateral airway radiograph is helpful in arriving at the diagnosis; and (iii) there is modest evidence that corticosteroids are beneficial in children with acute respiratory obstruction due to tonsillar enlargement in Epstein-Barr virus infection. 3…”

“…A literature search found only a few case reports of LT complicating IM, one an adolescent who had a palatine tonsillectomy at a younger age. 1,2 We hypothesise LT complicating IM is under-recognised and hence under-reported as it is overshadowed by more obvious palatine tonsillitis.…”

“…Lingual tonsillitis (LT) is an uncommon manifestation of IM. 1,2 We recently encountered a child with LT complicating IM.A 6-year-old boy presented to the emergency department in a hospital in regional New South Wales with a 12-day history of sore throat and fever. On presentation, he had severe odynophagia.…”

“…Lingual tonsillitis (LT) is an uncommon manifestation of IM. 1,2 We recently encountered a child with LT complicating IM.…”

“…Despite its benignity, it causes discomfort and bleeding. 1,2 Several treatments are available, such as topical therapy (timolol 0.5% and imiquimod 5%), intralesional injection of sclerosing agents, laser therapy, cryosurgery or more invasive approaches (e.g. surgical excision).…”