History:
Bump that bleeds profusely at the site of an earlier injury. This lesion occurred on the finger of a person who does knits for a hobby.
Description:
Friable, bleeding red nodule
Location:
It can occur almost any where on the body, most commonly on the hands, feet, arms, mouth and face. Pyogenic granulomas often occur in pregnant women in the mouth (commonly called granuloma gravidarum).
Cause:
Abnormal repair response to trauma
Hallmark of the disease:
Red nodules that bleed profusely with minor trauma and dont heal.
Treatment:
Surgical removal with electrodessication and silver nitrate cautery of the base. Institute antibiotic coverage during healing. Some cases of granuloma gravidarum have been reported to spontaneously resolve after childbirth.
Dr. Crutchfield will carefully evaluate and design a treatment program most appropriate for each individual case.
Normal course:
Responds well to surgical treatment. May result in mild scarring. Without treatment, chronic bleeding and high risk of infection and pain. Some cases of granuloma gravidarum have been reported to spontaneously resolve after childbirth.
Patient Education:
Explain that the cause is an abnormal healing response to injury and that surgical intervention is usually curative, with risk of minor scarring.
Nursing Measures:
To review patient education goals, monitor healing and risk of infection after treatment.
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