Pyogenic granulomas (also known as lobular capillary hemangiomas) are small, red, fungating lesions that arise on the skin. These benign tumors contain an abnormally high number of blood vessels and therefore commonly bleed easily. Pyogenic granulomas are usually colored and can range from red/pink to purple, and can be smooth or lobulated. Younger lesions are more likely to be red because of the high number of blood vessels. Older lesions begin to change into a pink color. The size of these lesions ranges from a few millimeters to a few centimeters. It can be painful, especially if located in an area of the body where it is constantly disturbed. Pyogenic granulomas can grow rapidly and will often bleed profusely with little or no trauma.
The exact cause of pyogenic granulomas is not known. However, they frequently occur on children in areas of low impact traumatic injury. The most common location for these lesions is on the face and extremities. Although many of the smaller pyogenic granulomas may involute and go away spontaneously, the larger ones may require simple surgical excision. This is one of many indications for plastic surgery for kids.
*photos on this post are not actual patients of Dr. Brenner.