Changes

'''Systemic glucacorticoids''' are appropriate if there are multiple nodules. Treatment is normally with prednisolone. The other therapies mentioned may be used as adjuncts.  

'''Systemic glucacorticoids''' are appropriate if there are multiple nodules. Treatment is normally with prednisolone. The other therapies mentioned may be used as adjuncts.  

'''[[Steroids|Glucacorticoid]] administration intralesionally/perilesionally/sublesionally''' may be effective. Treatment is normally with either triamcinolone acetonide or methylprednisolone acetate. A total dose should be calculated prior to administration to prevent the development of [[Laminitis|'''laminitis''']] from exogenous steroids.

'''[[Steroids|Glucacorticoid]] administration intralesionally/perilesionally/sublesionally''' may be effective. Treatment is normally with either triamcinolone acetonide or methylprednisolone acetate. A total dose should be calculated prior to administration to prevent the development of [[Laminitis - Horse|'''laminitis''']] from exogenous steroids.

If the granulomas are recurrent it may be worth investigating underlying causes such as insect hypersenstivity. This can be achieved by intradermal allergy testing, and management of this using insect control measures and hyposensitisation may be enough to prevent recurrence in the future.

If the granulomas are recurrent it may be worth investigating underlying causes such as insect hypersenstivity. This can be achieved by intradermal allergy testing, and management of this using insect control measures and hyposensitisation may be enough to prevent recurrence in the future.