Pyogenic granuloma-like lesions in a patient using topical tretinoin |
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Authors: | AR MacKenzie-Wood G Wood |
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Affiliation: | Department of Neurology, University of Erlangen-Nürnberg, Erlangen, Germany. stefan@neuro.med.uni-erlangen.de |
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Abstract: | A 16-year-old male developed numerous pyogenic granuloma like-lesions across his neck, chest and back after 6 weeks isotretinoin therapy for cystic acne. The isotretinoin was ceased and he was commenced on oral steroids. After 6 weeks, the lesions were almost completely healed. However, due to worsening comedonal acne, the patient was commenced on topical tretinoin cream 0.05% twice daily to his chest. He was reviewed 2 weeks later and, surprisingly, 2 new pyogenic granuloma-like lesions had developed on his chest. These lesions persisted until the topical tretinoin was ceased 3 months later. |
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