Multiple Large Pyogenic Granulomas Overlying a Burn: Case Report and Literature Review

Krieger Y,Shoham Y,Melamed R,Silberstein E,Greenberg D,Weiss E,Horev A

doi:10.16966/2576-2826.155

Abstract

Pyogenic granuloma is a vascular lesion of the skin commonly found in children and young adults. It is known to erupt following skin laceration or penetrating injury, but is only rarely reported in children after a burn injury.

Highlights

A 17-month old boy was brought to the emergency room with a 2nd degree burn of his face, chest, right upper and lower extremities
Pyogenic Granuloma (PG), known as lobular capillary hemangioma or granuloma telangiectaticumis a common, acquired, benign vascular tumor, with mutations reported in the BRAF/RAS/
One group reported a case of PG lesion, developed on the burned skin of a 17-month-old boy, which resolved with oral erythromycin treatment for 8 weeks [15]

Summary

Introduction

A 17-month old boy was brought to the emergency room with a 2nd degree burn of his face, chest, right upper and lower extremities. Tissue biopsy taken on admission demonstrated lobulated proliferation of capillary sized vessels in an edematous stroma with inflammatory characteristics and confirmed the diagnosis of Pyogenic Granuloma (PG) (Figure 3). All areas which underwent excision and skin grafting, have demonstrated complete graft take and no signs of recurrence of the granulomatous lesions during that time (Figure 4).

Results

Conclusion