Pyogenic Granuloma

A pyogenic granuloma, aka (PG), is a benign (non-cancerous) growth that often occurs on the skin or mucous membranes - what Guyanese call "fleshy growth". It is made up of abnormal blood vessels and can appear as a red, raised, and smooth bump. PGs can bleed easily, especially if they are bumped or scratched.

The exact cause of PGs is unknown, but they are thought to be triggered by a combination of factors, including:

• Hormonal changes, such as pregnancy or use of birth control pills
• Injury to the skin or mucous membranes especially Callouses or Corn
• Infection with bacteria, such as Staphylococcus aureus
• Certain medications, such as retinoids or anti-neoplastic drugs

PGs are most common in young adults, but they can occur at any age. They are more common in women than in men. PGs can occur anywhere on the body, but they are most common on the face, lips, fingers, and gums.

In most cases, PGs do not require treatment and will go away on their own within a few weeks or months. However, if a PG is large, bleeds frequently, or is causing discomfort, it may be removed by a doctor. Treatment options include:

• Cauterization: The PG is burned off with an electric current or laser.
• Cryotherapy: The PG is frozen off with liquid nitrogen.
• Surgical removal: The PG is cut out with a scalpel.

After treatment, there is a small risk that the PG may recur.

Here are some additional information about pyogenic granulomas:

• They are not contagious.
• They do not spread to other parts of the body.
• They are not a sign of any underlying medical condition.

Case study

A 31 year old male presented to TrueCare Medicals Clinic office with a complaint of having noticed a small growth on his middle finger. He claimed the growth began as a small boil which after persisting for a few weeks, he decided to puncture same. The underlying flesh later on began to protrude and presented prolonged bleeding after exposed to any mild physical trauma. After approximately one month, a clinic visit was decided.

No Past medical history, no toxic habits nor medications being consumed. No allergies recorded.

On physical examination, A small granuloma of 4 mm was noted to the lateral aspect of the 3rd left finger at the palmar aspect of zone 2. Site was moist with mild signs of localized inflammation and no active bleeding.

The plan to excise the mass surgically was decided and preparations for the intervention were made.

Patient is continually being followed-up to evaluate his progress.

If you have a growth on your skin or mucous membranes that is red, raised, and smooth, and bleeds easily, it is important to see a doctor to rule out other possible causes.

For further inquiries on this and other health issues, visit our Doctor's Office or reach out to our physician via WhatsApp, or Facebook.