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Management of Bleeding Pyogenic Granulomas in Acute Care Settings
Christopher E Gaw1, James R Treat2, Eron Y Friedlaender1
1Division of Emergency Medicine.
The Journal of Emergency Medicine
|October 9, 2022
Summary
Emergency physicians can manage bleeding pyogenic granulomas using direct pressure and other hemostatic agents. While effective, some treatments may impact future diagnosis or cosmetic outcomes.
Area of Science:
- Dermatology
- Pediatric Emergency Medicine
- Vascular Lesions
Background:
- Pyogenic granulomas are common benign vascular growths in children.
- These lesions frequently cause significant bleeding after minor trauma.
- Limited data exists on managing acute bleeding from pyogenic granulomas in emergency settings.
Conclusions:
- Emergency physicians have multiple options to achieve hemostasis for bleeding pyogenic granulomas.
- Some treatments may compromise cosmesis or future diagnostic analysis.
- Surgical consultation is recommended for refractory cases.
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