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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Pressure Therapy for Pyogenic Granuloma.

Nitin Mishra1, Mriganka Mehra1, Pratik Gahalaut1

  • 1Department of Dermatology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.

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|June 29, 2023
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Pressure therapy effectively reduced facial pyogenic granulomas before laser ablation. This novel, cost-effective approach minimizes bleeding and scarring for disfiguring vascular tumors.

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Area of Science:

  • Dermatology
  • Vascular Surgery

Background:

  • Pyogenic granuloma is a benign vascular tumor known for bleeding.
  • Disfiguring facial lesions present a clinical challenge.

Purpose of the Study:

  • To evaluate a novel pressure therapy approach for facial pyogenic granulomas.
  • To assess the efficacy of pressure therapy combined with laser ablation.

Main Methods:

  • A young female patient with a disfiguring facial pyogenic granuloma was treated.
  • Pressure therapy using an elastic adhesive bandage was applied.
  • Laser ablation was performed after size and vascularity reduction.

Main Results:

  • Pressure therapy significantly reduced lesion size and vascularity.
  • Laser ablation resulted in minimal bleeding and scarring.
  • The combined approach proved effective for the disfiguring lesion.

Conclusions:

  • Pressure therapy is a simple, inexpensive adjunct for managing large pyogenic granulomas.
  • This method can reduce complications associated with surgical interventions.
  • It offers a promising treatment option for disfiguring facial pyogenic granulomas.