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Pyogenic granuloma in children
Kelley A Pagliai1, Bernard A Cohen
1Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Insights
Pyogenic granuloma (lobular capillary hemangioma) in children is a common skin condition. Most cases resolved successfully with a single shave excision and electrocautery, showing no recurrence.
Area of Science:
- Dermatology
- Pediatric Medicine
- Vascular Neoplasms
Background:
- Pyogenic granuloma (lobular capillary hemangioma) is a benign vascular tumor.
- It commonly affects skin and mucous membranes, presenting as an easily bleeding papule.
- Understanding its pediatric presentation is crucial for effective management.
Purpose of the Study:
- To analyze clinical characteristics of pyogenic granuloma in children.
- To investigate the natural history, treatment outcomes, and recurrence rates.
- To evaluate the efficacy of surgical interventions in pediatric cases.
Main Methods:
- Retrospective study of 128 pediatric patients treated between 1991 and 2001.
- Review of clinical data, treatment modalities, and follow-up outcomes.
- Focus on shave excision with electrocautery for uncomplicated cases.
Main Results:
- The majority of pediatric patients had uncomplicated pyogenic granuloma.
- A single shave excision and electrocautery was the primary treatment.
- No recurrences were observed, and good cosmetic results were achieved.
Conclusions:
- Shave excision and electrocautery is an effective treatment for pediatric pyogenic granuloma.
- This method offers a low recurrence risk and favorable cosmetic outcomes.
- Management of pyogenic granuloma in children can be straightforward with appropriate intervention.
Abstract:
Pyogenic granuloma, also known as lobular capillary hemangioma, is a common, benign, acquired, vascular neoplasm of the skin and mucous membranes characterized by an erythematous, dome-shaped papule that bleeds easily. This is a retrospective study of 128 children with pyogenic granuloma treated at the Johns Hopkins pediatric dermatology clinic between 1991 and 2001. This study was undertaken to analyze the clinical characteristics, natural history, treatment options, recurrence risk, and outcome of this entity in children. The majority of the patients had uncomplicated pyogenic granuloma and were treated with a single shave excision and electrocautery, with no recurrences and good cosmetic results.
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