Pyogenic Granuloma(PG) with  Satellitoses, A Usual Condition with Very  Unusual Presentation � A Rare Case  Report

Ramesh Uppada  M.D.; Surya kala Chappa; Ramalakshmi VB Pullela  M.D.; Syam sunder rao Pullela M.D

Volume : III, Issue : IV, April - 2014

Pyogenic Granuloma(PG) with Satellitoses, A Usual Condition with Very Unusual Presentation � A Rare Case Report

Ramesh Uppada M. D. , Surya Kala Chappa, Ramalakshmi Vb Pullela M. D. , Syam Sunder Rao Pullela M. D

Abstract :

Pyogenic granuloma(PG), a very common vascular proliferation, usually presents as a solitary sessile or pedunculated lesion with a fragile surface prone to bleeding and ulceration. Local recurrences occur but multiple satellite lesions after excision is very rare. We describe a case of PG with satellitoses in an 18 year old male patient following an insect bite who presented with a small erythematous nodule in the interscapular region. A 4 mm punch biopsy was initially reported as epitheloid hemangioma. The patient later presented with multiple satellite erythematous nodules around the initial nodule which were easily bleeding with minor injury. A second biopsy revealed features of PG. Warthin-Starry stain is negative for bacterial organisms. Patient is HIV nonreactive. The case was diagnosed as PG with satellitoses and the patient underwent excision of the lesion with skin grafting. The patient was followed for 3 years without any recurrence.