Intravascular Pyogenic Granuloma Arising in an Acquired Arteriovenous Malformation: Report of a Case and Review of the Literature

Authors: Hung C-H.1; Kuo H-W.; Chiu Y-K.1; Huang P-H.1

Source: Dermatologic Surgery, Volume 30, Number 7, July 2004 , pp. 1050-1053(4)

Publisher: Blackwell Publishing

Key:
Free Content - Free Content
New Content - New Content
Subscribed Content - Subscribed Content
Free Trial Content - Free Trial Content

Abstract:

Background.

Pyogenic granuloma, also known as lobular capillary hemangioma, is a benign vascular skin tumor. Intravascular variant of this vascular tumor is rare and such a variant arising in another hemangioma is extremely unusual. Objective.

The objective was to present a patient with an intravascular pyogenic granuloma arising in an acquired arteriovenous malformation of the palm. Methods.

We report a case and review the literature. Result.

A 44-year-old woman presented with an easy-bleeding and ulcerative nodule with a hyperkeratotic collaret on her right palm for 3–4 months. The nodule measured 6 × 6 mm in size and was tender. Under the clinical impression of pyogenic granuloma, the lesion was totally excised and the microscopic examination revealed an intravascular pyogenic granuloma in the papillary dermis with an underlying arteriovenous malformation. Conclusion.

A rare composite vascular tumor is reported, and our case presented as a red eroded nodule surrounded by a keratotic collaret, which was easily misdiagnosed as pyogenic granuloma clinically. We suggest that any pyogenic granuloma-like lesion should be palpated carefully, and if a nodule is present, surgical excision rather than cryotherapy or laser ablation should be considered.

CHIA-HUI HUNG, HUNG-WEN KUO, YAO-KUN CHIU, AND PO-HAN HUANG HAVE INDICATED NO SIGNIFICANT INTEREST WITH COMMERCIAL SUPPORTERS.

Document Type: Research article

DOI: 10.1111/j.1524-4725.2004.30316.x

Affiliations: 1: Department of Dermatology, Chang Gung Memorial Hospital-Kaohsiung, Kaohsiung, Taiwan, ROC

The full text article is not available for purchase.

The publisher only permits individual articles to be downloaded by subscribers.

Back to top

Key:
Free Content - Free Content
New Content - New Content
Subscribed Content - Subscribed Content
Free Trial Content - Free Trial Content
Share this item with others: These icons link to social bookmarking sites where readers can share and discover new web pages.
Page Help Click here for Page Help
Shopping cart
Tools
Sign in






Need to register?
Sign up here
Text size: A | A | A | A