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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
Granuloma growth can be due to the autoimmune reaction.
Hyperactive immune system needs to be controlled by oral steroids first.
Steroid injection also can be tried locally.
This is the first line approach and works well usually.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/