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Title: Botulinum toxin type A injection-related suppurative granuloma: a case report
Authors: Wilai Thanasarnaksorn
Bheerathida Rattakul
Saroj Suvanasuthi
Nalinee Sutthipisal
Samitivej Hospital (Sukhumvit)
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Keywords: Medicine
Issue Date: 17-Nov-2019
Citation: Journal of Cosmetic and Laser Therapy. Vol.21, No.7-8 (2019), 422-424
Abstract: © 2019, © 2019 Taylor & Francis Group, LLC. Botulinum toxin type A (BoNTA) injection has become increasingly popular for esthetic minimally invasive procedures worldwide, owing to its efficacy and safety. Serious and long-term complications are rare. Here, we report a case of painless skin-colored cutaneous nodules on the face that developed a few days after BoNTA injection. The histopathology revealed a suppurative granuloma which yielded negative results for all organisms on histochemical staining and tissue culture. While waiting for the results of polymerase chain reaction (PCR), we started administration of systemic broad-spectrum antibiotics that were effective against atypical mycobacteria, since suppurative granuloma is usually related to mycobacterial infection, and a negative result of histochemical staining is common among these organisms. The nodules were flattened down after antibiotics started 6 weeks. All lesions were clear without any scar after 6 months of treatment.
ISSN: 14764180
Appears in Collections:Scopus 2019

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