title: Cactus skin injuries.
abstract: Cactus spine injuries to the skin are usually treated by removing the visible spines and applying a topical corticosteroid. With this approach, granulomatous inflammation usually resolves in 2 to 4 months. We describe a case of a 54-year-old Caucasian woman who presented for treatment of painful cactus spine granulomas on her right hand. Unroofing the granulomatous papules and removing the cactus spine fragments under a dissecting microscope, and subsequent soaking in an antibacterial solution, resulted in rapid resolution of the granulomatous lesions.
authors.affiliation: Maimonides Medical Center, Brooklyn, New York, USA.
authors.forename: A
authors.initials: A
authors.lastname: Doctoroff
authors.forename: A T
authors.initials: AT
authors.lastname: Vidimos
authors.forename: J S
authors.initials: JS
authors.lastname: Taylor
mesh_terms: D001414:Bacitracin / Q000627:therapeutic use; D002710:Chlorhexidine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D003879:Dermatologic Agents / Q000627:therapeutic use; D004338:Drug Combinations; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D009355:Neomycin / Q000627:therapeutic use; D010944:Plants / Q000009:adverse effects*; D011112:Polymyxin B / Q000627:therapeutic use; D012867:Skin / Q000293:injuries*; D012871:Skin Diseases / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D014950:Wounds, Penetrating / Q000209:etiology* / Q000473:pathology / Q000628:therapy
chemical_list: D003879:Dermatologic Agents; D004338:Drug Combinations; D001414:Bacitracin; C001816:bacitracin zinc, neomycin sulfate, polymyxin B, drug combination; D009355:Neomycin; D011112:Polymyxin B; C010882:chlorhexidine gluconate; D002710:Chlorhexidine