Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India.
Clin Exp Dermatol. 2021 Oct;46(7):1243-1247. doi: 10.1111/ced.14658. Epub 2021 May 10.
Recurrent bleeding episodes are often a cause of significant anxiety in patients with pyogenic granuloma (PG). The idea of using common salt for the treatment of PG arose from the need for a relatively safe and effective treatment because of the recurrent nature of the lesion.
A prospective open-label uncontrolled study of 50 patients was conducted. All cases were treated with ordinary table salt from a commercially available package. White soft paraffin was first applied over the perilesional skin, then sufficient salt to cover the entire lesion was applied and the area was occluded with surgical adhesive tape. All patients were followed up for any complications or recurrence.
Complete resolution of the lesion without any residual scar was seen in 100% of the cases, and 94% reported a decrease in the bleeding tendency of the lesion as an immediate response. The mean time to complete resolution was 14.77 days. Recurrence was noted in one patient after 11 months of resolution.
Owing to the relative ease in application, lack of scarring and excellent response, we consider salt application to be an ideal treatment for PG lesions, especially in children and anxious patients reluctant to undergo any procedure.
化脓性肉芽肿（PG）患者经常会因反复出血而感到焦虑。由于病变的复发性，使用普通食盐治疗 PG 的想法应运而生，因为这种方法相对安全且有效。
对 50 例患者进行了一项前瞻性、开放性、非对照研究。所有病例均采用市售包装的普通食盐进行治疗。首先在病变周围的皮肤上涂抹白色软石蜡，然后在整个病变部位涂抹足够的盐，并用手术胶带封闭该区域。所有患者均进行随访，观察有无并发症或复发。
100%的病例均达到了病变完全消退且无任何残留瘢痕，94%的患者报告说，病变的出血倾向在即刻得到了缓解。完全消退的平均时间为 14.77 天。1 例患者在痊愈后 11 个月出现复发。
由于应用简便、无瘢痕形成且疗效极佳，我们认为盐敷是治疗 PG 病变的理想方法，尤其是在儿童和不愿接受任何治疗的焦虑患者中。
