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Granulomas are specialized responses that your skin can develop in reaction to various triggers, such as infections, foreign materials, or other underlying conditions. In this space, we’ll explore what granulomas are, why they occur, and how we can effectively manage them to keep your skin looking and feeling its best.

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What is Granuloma?

Granuloma is a type of chronic inflammation that results in the formation of small, nodular masses of tissue. It is caused by an accumulation of immune cells in response to an ongoing irritation, infection or foreign body that the body is unable to eliminate. Granulomas can occur in various parts of the body, such as the skin, lungs, lymph nodes, and liver, and are seen in various medical conditions like tuberculosis, sarcoidosis, Crohn’s disease, and granulomatosis with polyangiitis (Wegener’s).

What are the causes of Granuloma?

Granulomas can be caused by a variety of factors, including:

  • Infections: Certain bacteria, viruses, fungi, and parasites can cause granulomas to form. For example, tuberculosis, leprosy, and histoplasmosis can all lead to granuloma formation.
  • Foreign materials: Granulomas may also form in response to foreign materials, such as silicone, suture material, or metal implants.
  • Inflammatory diseases: Certain autoimmune and inflammatory diseases, such as sarcoidosis, Crohn’s disease, and granulomatosis with polyangiitis (Wegener’s), can cause granulomas to form.
  • Idiopathic: In some cases, the cause of granulomas is unknown.

In any case, granulomas form when the immune system is unable to effectively eliminate a stimulus, such as an infection, and instead produces an accumulation of immune cells in response to the ongoing irritation.

What treatments are available for Granuloma?

The treatment of granulomas depends on the underlying cause and may include:

  • Medications: Anti-inflammatory drugs, such as corticosteroids, may be used to reduce the size of granulomas and control symptoms. Antibiotics or antifungal medications may also be prescribed if an infection is the cause.
  • Surgery: In some cases, surgical removal of the granuloma may be necessary. This is often the case when the granuloma is causing pain or compressing surrounding structures.
  • Immunosuppressive therapy: For autoimmune and inflammatory diseases that are causing granulomas, immunosuppressive drugs may be prescribed to control the immune response.
  • Observation: In some cases, if the granulomas are not causing symptoms, no treatment may be necessary and observation may be recommended.

It is important to consult your dermatologist for proper diagnosis and treatment of granulomas. 

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FAQ About Granulomas

Where do granulomas occur?

How are granulomas diagnosed?Can granulomas resolve on their own?

How are granulomas diagnosed?

Granulomas are typically diagnosed through a combination of physical examination, imaging studies, and biopsy.

Can granulomas resolve on their own?

It depends on the underlying cause and other factors, but some granulomas may resolve on their own without treatment. However, it is important to seek medical attention to determine the best course of action.

When should I seek medical attention for granulomas?

You should seek medical attention if you experience symptoms that may be related to granulomas, such as persistent skin rashes, persistent cough, or pain or swelling in a specific area. Early diagnosis and treatment can help minimize the impact of granulomas on your health.

Is there a dermatologist near me in St. Louis that offers treatment for granulomas?

Yes. At our St. Louis dermatology office we offer treatment for granulomas to patients from St. Louis and the surrounding area. Contact our office today to schedule an appointment.