eMedicine Specialties > Pediatrics: General Medicine > Dermatology

Pyogenic Granuloma: Follow-up

Author: Mark A Crowe, MD, Assistant Clinical Instructor, Department of Medicine, Division of Dermatology, University of Washington School of Medicine
Coauthor(s): Brett Steinberg, DO, Staff Physician, Department of Internal Medicine, Walter Reed Army Medical Center
Contributor Information and Disclosures

Updated: Oct 13, 2009

Follow-up

Further Outpatient Care

  • Following removal of the pyogenic granuloma (PG), routine wound care is the only treatment required.
  • Follow-up visits are required only if the lesion recurs. If the lesion recurs and histopathology confirms the diagnosis, the recurrent lesion may be treated with any of the modalities previously discussed, including simply repeating the initial therapy.

Complications

  • Significant secondary infection (extremely uncommon)
  • Recurrence at the original site
  • Recurrence as multiple satellite lesions in the area immediately surrounding the original lesion
  • Superficial scar formation
  • Oral pyogenic granulomas
    • An oral pyogenic granulomas can develop during or just after the first trimester of pregnancy.
    • Usually, an oral pyogenic granulomas is an early slow-growing mass that, upon excision, does not leave a large defect in the periodontium that requires surgical repair.
    • Rarely, a rapidly growing large tumor may produce significant hemorrhage.

Prognosis

  • Prognosis is excellent after simple removal and wound care.

Miscellaneous

Medicolegal Pitfalls

  • Failure to diagnose and adequately treat an amelanotic melanoma is the most significant concern.
  • Although amelanotic melanoma is extremely rare in children, histologic examination should always be performed to confirm the diagnosis.
 


More on Pyogenic Granuloma

Overview: Pyogenic Granuloma
Differential Diagnoses & Workup: Pyogenic Granuloma
Treatment & Medication: Pyogenic Granuloma
Follow-up: Pyogenic Granuloma
Multimedia: Pyogenic Granuloma
References
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Further Reading

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Keywords

pyogenic granuloma, PG, granuloma gravidarum, granuloma telangiectaticum, lobular capillary hemangioma, pregnancy tumor, gingival lesion, exophytic circumscribed lesion, polymorphonuclear leukocytes, satellitosis, intravenous pyogenic granuloma, nevi, warts, port-wine stain, amelanotic melanoma, human papillomavirus, bacillary angiomatosis, polymorphonuclear leukocytes

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Contributor Information and Disclosures

Author

Mark A Crowe, MD, Assistant Clinical Instructor, Department of Medicine, Division of Dermatology, University of Washington School of Medicine
Mark A Crowe, MD is a member of the following medical societies: American Academy of Dermatology and North American Clinical Dermatologic Society
Disclosure: Nothing to disclose.

Coauthor(s)

Brett Steinberg, DO, Staff Physician, Department of Internal Medicine, Walter Reed Army Medical Center
Brett Steinberg, DO is a member of the following medical societies: American Osteopathic Association
Disclosure: Nothing to disclose.

Medical Editor

Kevin P Connelly, DO, Clinical Assistant Professor, Department of Pediatrics, Division of General Pediatrics and Emergency Care, Virginia Commonwealth University; Medical Director, Paws for Health Pet Visitation Program of the Richmond SPCA; Pediatric Emergency Physician, Emergency Consultants Inc, Chippenham Medical Center
Kevin P Connelly, DO is a member of the following medical societies: American Academy of Pediatrics, American College of Osteopathic Pediatricians, and American Osteopathic Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Robert A Schwartz, MD, MPH, Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, UMDNJ-New Jersey Medical School
Robert A Schwartz, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American College of Physicians, and Sigma Xi
Disclosure: Nothing to disclose.

CME Editor

Merrily P M Poth, MD, Professor, Department of Pediatrics and Neuroscience, Uniformed Services University of the Health Sciences
Merrily P M Poth, MD is a member of the following medical societies: American Academy of Pediatrics, Endocrine Society, and Lawson-Wilkins Pediatric Endocrine Society
Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
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