The nonhealing scar

Area of Science:

• Dermatology
• Global Health
• Trauma Care

Background:

• Pyogenic granulomas are frequent, benign vascular skin tumors.
• Trauma is a common precursor to pyogenic granuloma formation.
• Effective treatment in resource-limited or austere environments presents unique challenges.

Observation:

• A case of pyogenic granuloma developed at the site of a previously treated laceration in an austere setting.
• The pyogenic granuloma was successfully managed using available resources.

Findings:

• This report details the first published case of a pyogenic granuloma in an austere environment.
• Multiple treatment modalities, including topical imiquimod, ethanol injection, silver nitrate, and oral steroids, are viable options for managing pyogenic granulomas in resource-constrained settings.

Implications:

• This work highlights the feasibility of treating pyogenic granulomas even in austere environments.
• It provides a valuable resource for healthcare providers facing similar clinical scenarios with limited access to specialized care.
• The findings support the adaptation of existing treatment protocols for pyogenic granulomas to austere medical contexts.