Granuloma

*Practice update COVID-19 as of 4/28/2020

 

 

Dear Patient, 

 

I hope that you and your family are staying healthy in these trying times.  I have been closely monitoring the developments of COVID-19 in our community and across the country.  I am encouraged by the decline in new cases in our community and I am comfortable cautiously reopening our practice as of Friday, May 1st.  In an effort to reduce the spread of COVID-19, I have implemented safety measures following the guidelines of the American Academy of Dermatology. 

Prior to a scheduled appointment, a Sun Valley Skin Center staff member will contact the patient and ask if they, or someone they have been in close contact with, are experiencing symptoms related to COVID-19.  A patient who is experiencing these symptoms will be asked to reschedule their appointment until the symptoms have resolved.  Patients will be asked to wear a mask when they enter the practice.  If a patient does not have a mask, we will request that they call the practice from the parking lot and a staff member will bring a mask to the patient.  Once patients enter the building, a staff member will immediately escort them into an exam room that has had all surfaces sterilized.  All Sun Valley Skin Center staff members will be wearing gloves and masks at all times.  Visits that can be rendered via telemedicine will continue to be conducted over our telemedicine platform for at least the month of May in an effort to reduce the amount of people in the office. 

I sincerely appreciate your participation in these efforts to reduce the spread of COVID-19 in our community.  I ask that patients not bring children, friends or loved ones to their appointment.  I have been impressed with our community’s response to reduce the spread of COVID-19.  I think that it is important that we all remain vigilant and continue to adhere to public health guidelines to further reduce the spread of COVID-19. 

I thank you for the support of our practice and look forward to seeing you in the practice or virtually through telemedicine. 

Stay safe.  Stay healthy.

 

Sincerely,

Lindie Borton, MD

 

 

 

 

 

 

Granuloma is a generic term that refers to a small nodule. It can be any type of nodule, from benign to malignant. Granulomas occur throughout the body. Two types of granuloma apply expressly to the skin:

Pyogenic Granuloma. Pyogenic granuloma looks like small, reddish bumps on the skin that tend to bleed. It is caused by an injury to the skin. It is most frequently found on the hands, arms and face. In some cases, the nodule will spontaneously disappear. More often, the lesions need to be removed by surgery. There may be some scarring as a result of these treatments.

Granuloma Annulare. This type of nodule can occur in any person, but is more common in children and young adults. It is characterized by a ring-shaped lesion that is round and firm; red, white or purple skin around a clear crater of normal skin. It can appear individually or in groups. Most often, it appears on tops of hands and feet, elbows and knees. Most people have no other symptoms, but some may experience itchiness at the site of the lesion. Granuloma annulare can resolve itself and may or may not disappear over time without treatment. However, if the incidence is widespread or aesthetically undesirable, a dermatologist may prescribe a steroid cream or inject steroids just below the skin's surface to speed healing. Another successful treatment is PUVA, in which a medication called psoralen is given and then the area is exposed to ultraviolet light.