By Gary M. White, MD

Proud flesh, aka hypergranulation tissue in a wound, this represents overgrowth of the highly vascularized tissue during healing.


The application of silver nitrate (usually from a silver nitrate stick) is a long relied upon approach. More recently, the application of a potent topical steroid has been popularized, e.g. fluocinonide, clobetasol BID.

One may also debulk, e.g. shave flat after injecting lidocaine. It bleeds slightly, but AlCl3 and a pressure dressing after are usually sufficient.


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