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Pyogenic granuloma

Lobular capillary hemangioma

 

Pyogenic granulomas are small, raised, and 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. It is a benign (noncancerous) growth.

Causes

 

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

 

Signs of a pyrogenic granuloma are:

  • A small red lump on the skin that bleeds easily
  • Often found at the site of a recent injury
  • Usually seen on hands, arms, and face, but they may develop in the mouth (most often in pregnant women)

 

Exams 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:

  • Surgical shaving or excision
  • Electrocautery (heat)
  • Freezing
  • A laser
  • Creams applied to the skin (may not be as effective as surgery)

 

Outlook (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.

 

Possible Complications

 

These problems may occur:

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

 

When to Contact a Medical Professional

 

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

 

 

References

Habif TP. Vascular tumors and malformations. In: Habif TP, ed. Clinical Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 23.

Patterson JW. Vascular tumors. In: Patterson J, ed. Weedon's Skin Pathology. 4th ed. Philadelphia, PA: Elsevier; 2016:chap 38.

 
  • Pyogenic granuloma - close-up

    Pyogenic granuloma - close-up - illustration

    Pyogenic granulomas are skin lesions that can develop after an injury. They contain many blood vessels, and tend to bleed easily if bumped. These lesions are raised, red, and moist, and the skin around them may be inflamed.

    Pyogenic granuloma - close-up

    illustration

  • Pyogenic granuloma on the hand

    Pyogenic granuloma on the hand - illustration

    Pyogenic granulomas are reactive lesions made-up of blood vessels (vascular) on the skin, seen here on the hand. They are brittle and tend to bleed easily if bumped. They are raised, red, and moist, and the skin around them may be inflamed. These lesions are seen most commonly in children.

    Pyogenic granuloma on the hand

    illustration

    • Pyogenic granuloma - close-up

      Pyogenic granuloma - close-up - illustration

      Pyogenic granulomas are skin lesions that can develop after an injury. They contain many blood vessels, and tend to bleed easily if bumped. These lesions are raised, red, and moist, and the skin around them may be inflamed.

      Pyogenic granuloma - close-up

      illustration

    • Pyogenic granuloma on the hand

      Pyogenic granuloma on the hand - illustration

      Pyogenic granulomas are reactive lesions made-up of blood vessels (vascular) on the skin, seen here on the hand. They are brittle and tend to bleed easily if bumped. They are raised, red, and moist, and the skin around them may be inflamed. These lesions are seen most commonly in children.

      Pyogenic granuloma on the hand

      illustration

    Tests for Pyogenic granuloma

     

       

      Review Date: 10/31/2016

      Reviewed By: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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