Salt for the treatment of pyogenic granuloma in a patient wi
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Pyogenic granuloma (PG also known as lobular capillary haemangioma) is a common benign vascular neoplasm seen in all age groups. Severe and recurrent bleeding is one reason for patients to seek treatment. Sodium chloride (common salt) is a widely available and cheap substance, which has been found to work in conditions such as umbilical granuloma and it has recently been tried for treatment of PG as well.

A 40-year-old woman with a known history of pustular psoriasis of palms presented with swelling on the palmar aspect of a finger with a history of repeated bleeding. Physical examination revealed an erythematous swelling 20 x 10 mm in size on the palmar aspect of the third finger of the right hand. The patient preferred to have treatment only for the bleeding lesion and was unwilling to undergo invasive procedures.

The treatment involved application of petroleum jelly around the lesion to protect the uninvolved skin, then salt was applied once daily to the lesion, preferably at night, and to be covered with a gauze and sealed with micropore tape. A mild transient stinging sensation was reported on application of the salt .The lesion size reduced in a few days and there was complete resolution of the lesion in 12 days. The patient was followed up for another 6 months and there were no signs of recurrence.

Salt is a cheap and widely available substance. It can be used at sites that are difficult to cauterize, in children or in patients unwilling to undergo more invasive procedures.
It creates a periphery of hyperosmolarity around the granuloma, and via its dessicant action, causes shrinkage of vascular tissue. Hence, it can also be considered in cases where the PG is large in order to reduce the lesion size prior to other procedures. It is a cost-effective and relatively painless procedure that can be easily performed by the patient at home to give results in a short time, and hence its use in PG warrants further evaluation.

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