Hyperplastic granuloma-like lesions in three cases with partial thickness burn wounds.
Hyperplastic granuloma-like lesions in three cases with partial thickness burn wounds Hong-Liang Zhao *, Lian-Gui Li , Lian-kui Zhao , Tai-Ping Hu b a Burns and Plastic Department, Staff Hospital of Han Dan Iron and Steel Group, 17, Qian Jin street, Fu xing District, Han Dan, He Bei 056003, People’s Republic of China b Burns and Plastic Department, Staff Hospital of ShiJiaZhuang Iron & Steel Group, People’s Republic of China
Granuloma Faciale Successfully Treated With Long‐Pulsed Tunable Dye Laser
BACKGROUND Granuloma faciale has been treated in the past with different modalities but the majority have had the risk of scarring. OBJECTIVE Based on the principle of selective photothermolysis, we considered using the newer long-pulsed tunable dye laser for the treatment of granuloma faciale to target the vessels and minimize scarring. METHODS Confirmation of the diagnosis by a punch biopsy of the lesion was followed by three treatments on separate occasions 6 weeks apart with the long-pulsed tunable dye laser. RESULTS There was significant flattening of the lesions after two treatments, with complete clearing after the third. No scarring was detectable and there was no recurrence in the 9-month follow-up. CONCLUSION We conclude that granuloma faciale may be successfully treated with the long-pulsed tunable dye laser with minimal risk of scarring, especially in cosmetically sensitive areas.
Coronial Practice, Indigeneity and Suicide
All available data suggest that, like many other Indigenous peoples, Australian Aborigines are significantly more likely to kill themselves than are non-Aboriginal Australians. This statistical disparity is normally positioned an objective, ontological and undeniable social fact, a fact best explained as a function of endemic community disadvantage and disenfranchisement. This research explores the possibility that higher-than-normal Aboriginal suicide rates may also be a function of coronial decision-making practices. Based upon in-depth interviews with 32 coroners from across Australia, the following conclusions emerged from the data. First, coroners have differing perceptions of Indigenous capacity, and are less likely to have concerns about intent when the suicide is committed by an Indigenous person. Second, coroners have identified divergent scripts of Indigenous suicide, particularly its spontaneity and public location, and this supports rather than challenges, a finding of suicide. Third, the coronial perception of Indigenous life is a factor which influences a suicide determination for Indigenous deaths. Finally, the low level of Indigenous engagement with the coronial system, and the unlikelihood of a challenge to the finding of suicide by Indigenous families, means that a coronial determination of suicide is more likely.