Which of the following is a management step for suture granulomas?

• A. Remove suturing material
• B. Systemic antibiotics
• C. Topical antifungal
• D. Patch testing

Answer: (A)

Suture granulomas arise when the body mounts a foreign-body inflammatory response to retained suture material. The most effective management is to remove the irritating suture, which stops providing the ongoing stimulus and allows the tissue to settle and heal. In many cases this single step resolves the lesion without further treatment. If a granuloma persists or recurs, options include surgical excision of the granuloma or switching to a less reactive suture material in future procedures. Antibiotics are reserved for true infection, not for granulomatous inflammation. Topical antifungals aren’t helpful because the issue isn’t fungal. Patch testing isn’t relevant to treating a granuloma. Understanding that the cause is the foreign material explains why removing the suture often leads to resolution.