Bozkurt Mehmet, Külahçi Yalçin, Zor Fatih, Aşkar Ibrahim
Department of Plastic and Reconstructive Surgery, Dicle University, Diyarbakir, Turkey.
J Burn Care Res. 2006 Mar-Apr;27(2):247-9. doi: 10.1097/01.BCR.0000202642.08806.B7.
This case describes a 2-year-old boy who developed multiple giant pyogenic granulomas on his left upper extremity secondary to a burn injury caused by boiling milk. Here, we present multiple pyogenic granulomas in a burn patient and discuss the possible etiologies of the entity. The pyogenic granulomas were excised and wounds closed with sutures (primary repair) (primary closure). No pyogenic granulomas have recurred after 11 months of follow-up. Pyogenic granuloma with multiple dissemination in a burn scar is an extremely rare occurrence, and there have been no reports of pyogenic granulomas caused by flame and other type of scalding burns such as hot water and oil. The case presented here was a burn injury caused by hot milk. The burn etiology, not the burn injury itself, is important because all similar cases have the same etiology. We thought that this may not be a coincidence and that milk proteins or other components of the milk might cause the development of pyogenic granuloma.
本病例描述了一名2岁男孩，其左上肢因烫伤继发多处巨大化脓性肉芽肿，烫伤由煮沸的牛奶所致。在此，我们展示了一名烧伤患者的多处化脓性肉芽肿，并讨论了该病症可能的病因。切除化脓性肉芽肿后，伤口用缝线缝合（一期修复）（一期闭合）。随访11个月后，未见化脓性肉芽肿复发。烧伤瘢痕中出现多处播散性化脓性肉芽肿极为罕见，且尚无由火焰及其他类型烫伤（如热水和热油）导致化脓性肉芽肿的报道。此处呈现的病例是由热牛奶导致的烧伤。烧伤病因而非烧伤本身很重要，因为所有类似病例都有相同的病因。我们认为这可能并非巧合，牛奶蛋白或牛奶的其他成分可能导致化脓性肉芽肿的形成。
