Zusammenfassung
Die Behandlung eines Granuloma pyogenicum ist aufgrund der Rezidivneigung schwierig. Es existieren zahlreiche Therapieoptionen: Elektrodissekation, Kryotherapie, topische Externa, verschiedenste Laser etc. Wir berichten kasuistisch über die erfolgreiche Therapie zweier Granulomata-pyogenica-Rezidive an schwierigen Lokalisationen (Fingerkuppe sowie Ohrmuschel) mittels lang gepulstem Nd:YAG-Laser (1064 nm). Es erfolgten zwischen 4 und 6 Behandlungen in Lokalanästhesie im Abstand von mehreren Wochen. Die Energiedichte wurde jeweils bis zu einer sichtbaren Koagulation hochtitriert. Die Läsionen heilten folgenlos und rezidivfrei ab.
Abstract
Treatment of pyogenic granuloma is still difficult as lesions tend to recur. There are various means of treatment: surgical, cryotherapy, topical agents and various lasers. We successfully treated two recurrent pyogenic granulomas at difficult sites (on the tip of the finger and ear) using the Nd: YAG laser (1064 nm). Several treatments under local anesthesia were needed. The energy was increased until coagulation was visible. The laser treatment led to complete resolution.
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Pohl, L., Karsai, S. & Raulin, C. Therapieresistentes Granuloma pyogenicum. Hautarzt 62, 46–50 (2011). https://doi.org/10.1007/s00105-010-1980-1
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DOI: https://doi.org/10.1007/s00105-010-1980-1