Granuloma annulare and pyogenic in children: what it is and how to treat
Granuloma annulare: symptoms and treatment
Dense nodules, towering above the skin, which forms a ring with a slightly sinking or normal edges, called granuloma annulare. Disease dermatological nature are diagnosed in men and women, young children, not dependent on the age group of the person. Causes tumors has not been fully established, but scientists distinguish the list of precipitating factors. Distinguish many types of granulomas, which have their own characteristics.
- Types of granulomas
- Symptoms annulare and pyogenic granuloma
- Methods of treatment
- Folk medicine against granuloma
How is it formed granuloma annulare, is not clear. Medical experts believe that the formation of annular shape is a reaction of the skin that occurs due to exposure to precipitating factors.
Important: there is reason to believe that there is a connection between chronic illnesses – rheumatism, tuberculosis, and sarcoidosis and granulomas neoplasm. And causes a pathological process not infection itself, and the peculiar reaction of the human skin.
The infectious theory of the origin of pathological element attribute and other diseases – fungal infections, sexually transmitted diseases, chlamydia, syphilis. Non-infectious assumption distinguishes rheumatoid arthritis, surgery, trauma.
Granulomas can form at the site of the tattoo after removal of papillomas and warts, either at the site of lesions of herpes zoster. In medicine, describes cases of the appearance of growths on scar tissue.
Pyogenic granuloma arises due to the following reasons:
- Appears in place of severe burns;
- Taking certain birth control pills;
- Therapy acne medication Tretinoin (a cream);
- Strong skin trauma;
- Diseases of the skin of various etiologies;
- Insufficient or excessive hygiene.
Granuloma annulare in children occurs for the same reasons as an adult, fundamental differences are not marked. Treatment lesions of annular shape due to the clinical picture of the disease, the source of the problem.
Many of the granulomas that appear in women during pregnancy, after labor quickly regress. This is because during pregnancy increases the rate of growth of the epithelial tissue lining the vessels. After childbirth everything returns to normal.
Types of granulomas
So, before you learn how to treat granuloma annulare, we know what it is? This neoplasm is characterized by the accumulation of tiny nodules in the form of a ring, which gave him the title. At risk patients suffering from diabetes mellitus.
This education is of a benign nature, is not a tumor, just inflammation of the skin. This kind of pathology is not easy to visualize, since inflammatory cells are located deep in the dermis. Most often ring-shaped form affects the feet, hands, popliteal depression, slightly less often the buttocks and the neck.
Pyogenic granuloma – benign tumors of vascular nature. The term «pyogenic» means that the etiology in the majority due to infectious processes in the body. The location of the fingers of the upper and lower extremities, face.
Note, pyogenic granuloma form is more frequently diagnosed at the age of 15-30 years, and in the period of pregnancy develops in every 20 women.
We can say that granuloma annulare is a skin reaction of delayed type, produced under the influence of certain factors of external and internal nature. In turn, this neoplasm has a subspecies. Two of them, they are typical and atypical form. In turn, atypical inflammation are also divided into subspecies.
The typical form of this disease affects the skin of the feet, hands, sometimes in the popliteal region. Sometimes papules are formed in the neck and buttocks, in the area of the forearm. Diabetics and individuals of older age groups rashes localized on the hands and feet, the torso.
Atypical form of granuloma annulare is divided into subtypes:
Since the clinical manifestations of the nodes on the skin have certain characteristic features, diagnosis of pathology not difficult. If a medical professional has doubts, the research biopsy of the skin, to help you determine the goodness or the malignancy of the item.
Symptoms annulare and pyogenic granuloma
The initial stage of granuloma annulare is characterized by the appearance of small smooth papules. They have a dense structure. Color varies widely, ranging from purple hue, ending corporal color.
Subjective clinical manifestations in patients do not exist. If at this stage no treatment of granuloma annulare, the papules are converted into annular plaques which diameter varies from 5 mm to 10 cm.
Center tumors becomes normal color or slightly blue tint. Nodules arise simultaneously or gradually. The main location of the back surface of the hands, elbows, feet. Sometimes the rash striking in the gluteal region, the forearm. Symptoms of granuloma annulare is not accompanied by painful symptoms.
Worth knowing: if granuloma annulare develops in diabetics, the pathological process is characterized by the rapid progression.
The distinctive features of pyogenic granuloma:
- In place of injury to the formed vascular bundle, the size – no more than a small pea. Some less – cherries;
- The base of the granuloma – like infiltrates of round or oval shape;
- Color anomalous item – dark red color, the surface has a lobed appearance;
- On the periphery of a collar, which is formed from exfoliated epithelial tissue;
- Pain on palpation are observed.
Pyogenic granuloma has a rapid growth. The limiting diameter is within 2-3 weeks. Easily injured, resulting in bleeding detected. Can join complications, which are characterized by the symptoms – purulent discharge, ulceration.
Methods of treatment
Treatment of granuloma annulare depends on the etiology of the occurrence. If was discovered related chronic disease, it requires them resistant therapy. To improve blood circulation in the body prescribed Retinol. It is recommended the use of vitamin preparations, in particular, prescribe the intake of b vitamins, ascorbic acid.
One way to get rid of abnormal growths not exist. Algorithm therapy course due to clinical manifestations, localization, size, General health of the patient, history and other factors.
Note: a well-proven treatment cold. The doctor performs irrigation of the affected area by means of ethyl chloride until the skin appears a layer of «frost» — this manipulation is carried out every 7 days. The duration of complete course – 5 sessions for each focus of inflammation.
The pyogenic granuloma most of the paintings treated through surgical intervention. This method allows you to ensure the problem. The essence of the procedure – complete removal of infected foci. The operation is performed under local anesthesia. Often have bleeding because the tumor is vascular in nature.
Sometimes the doctor recommends laser removal or cauterization of nitrogen. In some cases, manage conservatively. A doctor prescribes the drug Imiquimod. Its mechanism of action is due to modification of the immune system that triggers rapid regression of the tumor.
Folk medicine against granuloma
Treatment of folk remedies it is necessary to coordinate with a medical professional to rule out damage to their health. Alternative medicine is used in cases when the patient has severe inflammation, hyperemia of the adjacent tissues, swelling.
Important: folk remedies help reduce negative symptoms – swelling, redness, inflammation, soreness, etc., inhibit the progression of growth of the nodules, however, will not help to completely get rid of them.
Unconventional methods of therapy:
Annulare and pyogenic granuloma have a favorable prognosis if the patient promptly turned to the doctor, received treatment, strictly observing all the recommendations of a medical professional.
As for the prevention of relapse should lead a healthy lifestyle, strengthen the immune system and the barrier function of the body. It is recommended to be screened regularly at the clinic in a timely manner to treat related diseases.