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.
MeSH terms
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Bacitracin / therapeutic use
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Chlorhexidine / analogs & derivatives*
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Chlorhexidine / therapeutic use
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Dermatologic Agents / therapeutic use
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Drug Combinations
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Drug Therapy, Combination / therapeutic use
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Female
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Granuloma, Foreign-Body / etiology*
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Granuloma, Foreign-Body / pathology
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Granuloma, Foreign-Body / therapy
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Humans
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Middle Aged
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Neomycin / therapeutic use
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Plants / adverse effects*
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Polymyxin B / therapeutic use
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Skin / injuries*
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Skin Diseases / etiology*
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Skin Diseases / pathology
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Skin Diseases / therapy
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Wounds, Penetrating / etiology*
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Wounds, Penetrating / pathology
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Wounds, Penetrating / therapy
Substances
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Dermatologic Agents
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Drug Combinations
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Bacitracin
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bacitracin zinc, neomycin sulfate, polymyxin B, drug combination
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Neomycin
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Polymyxin B
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chlorhexidine gluconate
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Chlorhexidine