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Pyogenic granuloma - close-up
Pyogenic granuloma - close-up


Pyogenic granuloma on the hand
Pyogenic granuloma on the hand


Pyogenic granuloma

Definition:

Pyogenic granulomas are small, raised, red bumps on the skin. The bumps have a smooth surface and may be moist. They bleed easily because of the high number of blood vessels at the site.



Alternative Names:

Lobular capillary hemangioma



Causes, incidence, and risk factors:

The exact cause of pyogenic granulomas is unknown. They often appear following an injury on the hands, arms, or face.

Pyogenic granulomas are common in children.



Symptoms:
  • Small red vascular lump that bleeds easily
  • Often found at site of recent injury
  • Usually seen on hands, arms, and face, but may develop in the mouth (most often in pregnant women)


Signs and tests:

Your health care provider will do a physical exam to diagnose this condition. You may also need a skin biopsy to confirm the diagnosis.



Treatment:

Small pyogenic granulomas may go away suddenly. Larger bumps are treated with surgery, electrocautery , freezing, or lasers.



Support Groups:



Expectations (prognosis):

Most pyogenic granulomas can be removed. A scar may remain after treatment. There is a high chance that the problem will come back if the whole granuloma is not destroyed during treatment.



Complications:
  • Bleeding from the granuloma
  • Return of the condition after treatment


Calling your health care provider:

Call your health care provider if you have a skin bump that bleeds easily or that changes appearance.



Prevention:



References:

Habif TP. Vascular tumors and malformations. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 23.

North PE, Kincannon J. In: Bolognia JL, Jorizzo JL, Schaffer JV, et al, eds.Dermatology. 3rd ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 114.



 




Review Date: 11/20/2012
Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

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