Suppurative granuloma, also known as focal capillary hemangioma, is a disease characterized by the rapid onset and growth of reddish-brown tumors that can range in size from two millimeters to five centimeters. Granuloma can appear due to tissue damage and is usually benign. A suppurative granuloma can be treated with medicated creams, but surgery may be required.
Method 1 of 2: Treatment of purulent granuloma with medicated creams
Step 1. Before applying the cream, wash the affected area with soap and water
Clean the area where you will be applying the cream to remove any crusting that has formed on the top of the affected area. Use mild, unscented soap and warm water, and do everything very carefully, as granulomas are prone to bleeding.
If you wish, you can use antiseptic solutions to care for this area, but note that this is a painful procedure
Step 2. Apply Imiquimod cream to the affected area
Imiquimod cream stimulates the immune system to produce a substance called a cytokine that fights viruses and cancer cells. It can also help in the fight against purulent granulomas.
- This cream is usually applied once a day for 4 to 16 weeks, depending on the severity of the condition. The dosage and frequency of use of the cream is prescribed by the doctor.
- Side effects may occur, including local reactions and skin redness.
Step 3. Use a silver nitrate antiseptic solution
Silver nitrate is used to treat a variety of skin conditions, including septic granulomas. This antiseptic solution destroys bacterial cell membranes, thereby effectively reducing granuloma pus.
- This product should only be applied to affected areas that need treatment, as silver nitrate can damage healthy skin cells. Apply it with a cotton swab dipped in the solution. It can be applied every other day for one to two weeks.
- Please note that if a severe reaction occurs, such as black scabs and ulceration of the skin, stop using this product and see a doctor.
Step 4. Cover the granuloma with glueless gauze
Since granulomas on the skin tend to bleed easily, it is important to protect them with a bandage. However, do not use a bandage that sticks to the affected skin, as this could damage them. Instead, place a non-stick gauze bandage over the affected area of skin with a medical adhesive plaster on top.
Apply a medical adhesive plaster only to areas of the skin where there is no granuloma
Step 5. Change the bandage at least every other day
If the dressing becomes dirty, change it immediately. This must be done because leaving a dirty bandage over the affected area can lead to a secondary infection.
It is important to keep the affected area clean and dry to speed up the healing process
Step 6. Be aware that certain medications can cause granuloma to develop
If you are just starting a new medication and you develop granuloma pus, talk to your doctor about switching to another medication. Your skin will improve as soon as you stop taking the medication that caused the granuloma.
Do not stop taking the medicine on your own. Talk to your doctor before stopping a prescription medication
Method 2 of 2: Applying Surgical Treatment
Step 1. Talk to your dermatologist about treatment options such as curettage and moxibustion
Curettage and moxibustion include cleansing granulomas on the skin with a curette and electrocautery. Although it sounds scary, the wound usually heals within two to three weeks. After the procedure, you must:
- Keep the wound dry for 48 hours.
- Change the dressing daily.
- Apply a gauze bandage tightly and fix it tightly with a medical adhesive plaster. This is necessary to prevent bleeding.
- Watch for signs of infection such as severe redness, local swelling, severe pain, fever, blood or pus from the wound. If you notice these signs, tell your doctor or dermatologist.
Step 2. Freeze the granuloma with cryotherapy
In cryotherapy, granulomas on the skin are frozen with liquid nitrogen, carbon dioxide or dimethyl ether and propane. Low temperatures reduce cell growth and inflammation, causing vasoconstriction (narrowing of the blood vessels).
A cryotherapy wound usually heals within 7 to 14 days. The pain usually lasts for three days
Step 3. Surgery is required to treat a very large lesion
If you have a large or recurrent granuloma, surgery may be needed. This procedure involves surgical excision of the granuloma. … Sutures are applied to the wound, which are removed after 14 days.