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Pyogenic granuloma
Definition
Pyogenic granulomas are small, reddish bumps on the skin that bleed easily due to an abnormally high number of blood vessels.
Alternative Names
Lobular capillary hemangioma
Causes
The exact cause of pyogenic granulomas is unknown, but they often appear following injury. They typically occur on the hands, arms, or face.
Pyogenic granulomas are common in children.
Symptoms
- Small red vascular lump that bleeds easily
- Often occur at site of recent injury
- Seen most frequently on hands, arms, and face, but are often found in the mouths of pregnant women
Exams and Tests
Your health care provider can usually diagnose this condition by simply performing a physical exam. However, a skin biopsy may be needed to confirm the diagnosis.
Treatment
Small pyogenic granulomas may go away suddenly. Larger lesions are treated with surgery, electrocautery, freezing, or lasers.
Outlook (Prognosis)
Most pyogenic granulomas can be removed, but scarring may appear after treatment. There is a good chance that the condition will return if the entire granuloma is not destroyed during treatment.
Possible Complications
- Bleeding from the lesion
- Reappearance of treated lesions
When to Contact a Medical Professional
Call for an appointment with your health care provider if you have a skin lesion that bleeds easily or that changes appearance.
References
Habif TP. Vascular tumors and malformations. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 23.
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
