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Pyogenic Granuloma

This benign skin growth is also known as lobular capillary hemangioma, and typically appears as a small, red or pink bump on the skin. It is not caused by infection or contains pus, despite its name. Here are the causes, symptoms, diagnosis, treatment, and prevention strategies for pyogenic granuloma.

Causes

A potential trigger or contributing factor for pyogenic granuloma is an abnormal response to minor injury or irritation to the skin.

  • Skin trauma, such as scratching, biting, or picking

  • The hormonal changes that occur during pregnancy can increase the risk of developing pyogenic granulomas (pregnancy tumors).

  • Blood vessel growth may be affected by certain medications, such as retinoids or oral contraceptives

  • Inflammation of the oral cavity caused by dental appliances, such as braces or dentures

Symptoms

Symptoms of pyrogenic granuloma include:

  • A small, red or pink bump on the skin or mucous membranes

  • Within a few weeks or months, rapid growth occurs

  • Minor trauma may cause bleeding or oozing from the lesion

  • A painful or tender lesion, particularly if it is located in an area that is prone to friction or irritation

Diagnosis

Pyogenic granulomas are diagnosed by a healthcare professional based on a visual examination. Diagnostic tests may include:

  • To confirm the diagnosis and rule out other skin conditions, a skin biopsy is performed

  • Examining the lesion under magnification and evaluating its features through dermoscopy

Treatment

There are several common treatment approaches for pyogenic granuloma, depending on its size, location, and symptoms.

  • Small pyogenic granulomas are often surgically removed under local anesthesia.

  • Freezing the lesion with liquid nitrogen can destroy abnormal blood vessels and promote healing.

  • Laser or electrocautery therapy: Heat-based techniques can be used to remove the lesion and cauterize the blood vessels.

  • To reduce inflammation and shrink the lesion, corticosteroids may be applied topically or injected into the lesion.

Prevention

Pyogenic granulomas can be prevented by minimizing trauma to the skin and mucous membranes. Some preventive measures include:

  • Avoid scratching, biting, or picking at the skin

  • It is important to practice good oral hygiene and avoid trauma to the gums and oral mucosa

  • Preventing injuries during sports or other activities by wearing protective equipment, such as mouthguards or padding

  • If you notice any unusual or persistent growths or lesions on your skin, seek medical attention immediately

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