Skin Disorders

Skin Disorders

Skin disorders cover a wide range of conditions, some benign, some very serious, and some even a sign of another underlying illness. A skin disorder not only affects your physical health, but also your emotional well-being.

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Skin CareSkin Disorders › Pyogenic Granuloma

Pyogenic Granuloma

Pyogenic granuloma is a relatively common skin growth. It is usually a small red, oozing and bleeding bump that looks like raw hamburger meat. It often seems to follows a minor injury and grows rapidly over a period of a few weeks to an average size of a half an inch. The head, neck, upper trunk and hands and feet are the most commonly sites.

The appearance of pyogenic granuloma is usually a color ranging 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. Size ranges from a few milimeters to centimeters. Although painless, pyogenic granulomas can bleed easily and grow rapidly.

It is most likely to occur in children and younger adults, and there is a definite gender difference with more females affected than men . In pregnant women, it is most likely to occur in the first trimester with an increasing incidence up until the seventh month

Causes of Pyogenic granuloma

The exact cause of pyogenic granulomas is unknown, but they frequently appear following injury. They often occur on the hands and arms or face. Because these lesions bleed easily, they can be quite annoying. Pyogenic granulomas are common in children.

Signs and symptoms of Pyogenic granuloma

Lesions usually first appear as a small pinhead-sized red, brownish-red or blue-black spot that grows rapidly over a period of a few weeks to anywhere between 2mm and 2cm in diameter. Occasionally they may reach up to 5cm. They bleed easily and may ulcerate and form crusted sores. Usually a single lesion is present but in rare cases groups of multiple lesions may develop.

It is contagious? Pyogenic Granuloma is not contagious and you can not "catch it" from anyone.

Treatment for Pyogenic granuloma

Treatment usually involves destruction of the lesion with a laser, electrocautery, or liquid nitrogen. Recurrence after treatment is common because of its conelike extension of blood vessels into the skin. When this happens, it is simply treated again. Occasionally, a pyogenic granuloma is surgically removed (excised).

Pyogenic granulomas in other cases tend to persist. There are several methods used to remove them.

  • Laser surgery can be used to remove the lesion and burn the base
  • Larger lesions are treated with surgery, electrocautery , freezing.
  • Chemical cauterisation using silver nitrate is convenient .

Recurrence occurs in approximately 15% of lesions thus removed, with gingival cases showing a much higher recurrence rate than lesions from other oral mucosal sites. Therefore, pyogenic granuloma of the gingiva, i.e. epulis granulomatosa, should not only be excised, but the surgical wound bed should be curetted and adjacent teeth should be scaled and root planed. If at all possible, removal in a pregnant woman should be postponed until after the birth. Lesional shrinkage at that time may make surgery unnecessary.

 

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