The efficacy of silver nitrate cauterization for pyogenic granuloma of the hand.
OBJECTIVE
We report a series of pyogenic granulomas of the hand treated effectively in the office with silver nitrate cauterization.


METHODS
Twelve patients with 13 pyogenic granulomas of the hand were treated. The average duration of symptoms was 2 months. Masses were removed bluntly, pressure was held proximal to the lesion to effect hemostasis, and the base of the lesion was cauterized with silver nitrate applicators. After treatment patients were instructed to keep the lesions absolutely dry for 2 weeks.


RESULTS
Complete resolution of the pyogenic granuloma was achieved in 85% of patients after an average of 1.6 treatments (range, 1-3 treatments).


CONCLUSIONS
Pyogenic granuloma of the hand can be treated simply and effectively with silver nitrate cauterization in the office setting.
Quitkin
H Matthew
HM
New York Orthopaedic Hospital, New York, USA.
Rosenwasser
Melvin P
MP
Strauch
Robert J
RJ
D000328:Adult; D002425:Cautery / Q000379:methods*; D005260:Female; D017789:Granuloma, Pyogenic / Q000601:surgery*; D006225:Hand; D006801:Humans; D008297:Male; D012835:Silver Nitrate / Q000008:administration & dosage
D012835:Silver Nitrate