Pyogenic Granuloma

Keratosis Pilaris Cure

Keratosis Pilaris Cure

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Pyogenic granulomas (lobulated capillary hemangiomas) are benign vascular lesions that occur most often in young adults and children (Fig. 33-75). These rapidly growing hemangiomas may start at sites of trauma. Treatment is surgical removal. Pyogenic granulomas do not have malignant

Figure 33-74 Seborrheic keratosis with horn cysts (comedo-like openings).

Figure 33-74 Seborrheic keratosis with horn cysts (comedo-like openings).

Pyogenic Granuloma
Figure 33-75 Pyogenic granuloma. (e Richard P. Usatine.)

potential, but it is important to send the tissue for pathology to rule out an amelanotic melanoma. Lesions most commonly occur on the fingers, head, neck, extremities, and on mucous membranes. Pyogenic granulomas frequently occur on the gingiva during pregnancy and regress spontaneously after childbirth. Patients usually are acutely concerned that the lesion has grown quickly and bleeds easily with little or no trauma.

Removal can be accomplished with shave excision and then curettage and electrodesiccation of the base to reduce chances of recurrence. Alternatively, the whole lesion can be cut out down to subcutaneous fat. Pyogenic granulomas will recur if any residual tissue remains after excision.

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