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 © 2001-2009, DermAtlas | Image Name: | pyogenic_granuloma_1_090401 | File Type: | jpg | |
| Diagnosis: | PYOGENIC GRANULOMA | Category: | neoplasm, vascular / neoplasm, benign | ||
| Body Site: | chin | Age: | 13 years | ||
| Contributors: | Greg Hosler, MD, PhD Patrick Keehan, D.O. | ||||
| Description: | There is a single flesh-colored-to-red papule on the chin. Blanching can be elicitied. It is asymptomatic. | ||||
| Comments: | This young man presented with a solitary flesh-colored to red papule on the chin. The differential diagnosis was a Spitz nevus versus a vascular neoplasm. This case has classic histologic features of a pyogenic granuloma, or lobular capillary hemangioma. Pyogenic granulomas may undergo different stages of evolution. Depending on when biopsied, they may be ulcerated, markedly inflamed, or even sclerotic/hyalinized. | ||||
| Related Images: | All related Images pyogenic_granuloma_3_090401 pyogenic_granuloma_2_090401 | ||||
 © 2001-2009, DermAtlas | Image Name: | pyogenic_granuloma_2_090401 | File Type: | jpg | |
| Diagnosis: | PYOGENIC GRANULOMA | Category: | neoplasm, vascular / neoplasm, benign | ||
| Body Site: | chin | Age: | 13 years | ||
| Contributors: | Greg Hosler, MD, PhD Patrick Keehan, D.O. | ||||
| Description: | Thre is a vascular neoplasm with a lobular architecture. Each lobule is made up of small-caliber vessels, searated by fibrous septae. The epidermis forms a collarette. | ||||
| Comments: | This young man presented with a solitary flesh-colored to red papule on the chin. The differential diagnosis was a Spitz nevus versus a vascular neoplasm. This case has classic histologic features of a pyogenic granuloma, or lobular capillary hemangioma. Pyogenic granulomas may undergo different stages of evolution. Depending on when biopsied, they may be ulcerated, markedly inflamed, or even sclerotic/hyalinized. | ||||
| Related Images: | All related Images pyogenic_granuloma_3_090401 pyogenic_granuloma_1_090401 | ||||
 © 2001-2009, DermAtlas | Image Name: | pyogenic_granuloma_3_090401 | File Type: | jpg | |
| Diagnosis: | PYOGENIC GRANULOMA | Category: | neoplasm, vascular / neoplasm, benign | ||
| Body Site: | chin | Age: | 13 years | ||
| Contributors: | Greg Hosler, MD, PhD Patrick Keehan, D.O. | ||||
| Description: | A higher power view shows the small-caliber vessels. Endothelial cells have a reactive look, but significant cytologic atypia is not appreciated. A significant inflammatory infiltrate is not seen. | ||||
| Comments: | This young man presented with a solitary flesh-colored to red papule on the chin. The differential diagnosis was a Spitz nevus versus a vascular neoplasm. This case has classic histologic features of a pyogenic granuloma, or lobular capillary hemangioma. Pyogenic granulomas may undergo different stages of evolution. Depending on when biopsied, they may be ulcerated, markedly inflamed, or even sclerotic/hyalinized. | ||||
| Related Images: | All related Images pyogenic_granuloma_2_090401 pyogenic_granuloma_1_090401 | ||||
 © 2001-2009, DermAtlas | Image Name: | vascular_malformation_1_081223 | File Type: | jpg | |
| Diagnosis: | VASCULAR MALFORMATION / PORTWINE STAIN / PYOGENIC GRANULOMA | Category: | vascular malformation / neoplasm, vascular | ||
| Body Site: | cheek / face | Age: | 5 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 4 mm smooth topped red papule within an irregularly shaped well demarcated red patch | ||||
| Comments: | This healthy 5-year-old boy with a small portwine stain on the side of his right cheek extending onto the ear developed a red papule within the patch on the cheek 3 weeks ago. The papule was treated successfully with a Nd:YAG 1064nm long pulsed laser using a 7 mm spot, 120 joules/cm2 energy fluence, 20 msec pulse duration, for a total of 2 pulsed. | ||||
| Related Images: | All related Images vascular_malformation_3_081223 vascular_malformation_2_081223 | ||||
 © 2001-2009, DermAtlas | Image Name: | vascular_malformation_2_081223 | File Type: | jpg | |
| Diagnosis: | VASCULAR MALFORMATION / PORTWINE STAIN / PYOGENIC GRANULOMA | Category: | vascular malformation / neoplasm, vascular | ||
| Body Site: | cheek / face | Age: | 5 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 4 mm smooth topped red papule within an irregularly shaped well demarcated red patch | ||||
| Comments: | This healthy 5-year-old boy with a small portwine stain on the side of his right cheek extending onto the ear developed a red papule within the patch on the cheek 3 weeks ago. The papule was treated successfully with a Nd:YAG 1064nm long pulsed laser using a 7 mm spot, 120 joules/cm2 energy fluence, 20 msec pulse duration, for a total of 2 pulsed. | ||||
| Related Images: | All related Images vascular_malformation_3_081223 vascular_malformation_1_081223 | ||||
 © 2001-2009, DermAtlas | Image Name: | vascular_malformation_3_081223 | File Type: | jpg | |
| Diagnosis: | VASCULAR MALFORMATION / PORTWINE STAIN / PYOGENIC GRANULOMA | Category: | vascular malformation / neoplasm, vascular | ||
| Body Site: | cheek / face | Age: | 5 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 4 mm smooth topped red papule within an irregularly shaped well demarcated red patch | ||||
| Comments: | This healthy 5-year-old boy with a small portwine stain on the side of his right cheek extending onto the ear developed a red papule within the patch on the cheek 3 weeks ago. The papule was treated successfully with a Nd:YAG 1064nm long pulsed laser using a 7 mm spot, 120 joules/cm2 energy fluence, 20 msec pulse duration, for a total of 2 pulsed. | ||||
| Related Images: | All related Images vascular_malformation_2_081223 vascular_malformation_1_081223 | ||||
 © 2001-2009, DermAtlas | Image Name: | Kaposi_sarcoma_1_081210 | File Type: | jpg | |
| Diagnosis: | SARCOMA, KAPOSI | Category: | neoplasm, vascular / neoplasm, malignant | ||
| Body Site: | leg | Age: | 26 years | ||
| Contributor: | John Kivukuto, MD | ||||
| Description: | grouped discrete and confluent smooth topped 3 mm papules to 1 cm plaques | ||||
| Comments: | This 26-year-old man with a history of acquired immunodeficiency syndrome and tuberculosis developed cutaneous Kaposi sarcoma. | ||||
 © 2001-2009, DermAtlas | Image Name: | angiolymphoid_hyperplasia_1_080704 | File Type: | jpg | |
| Diagnosis: | ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA | Category: | vascular malformation / neoplasm, vascular | ||
| Body Site: | ear / scalp | Age: | 28 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | discrete and confluent grouped dome shaped 2-4 mm red papules some with excoriations and crusts | ||||
| Comments: | This healthy young adult complained of itchy bumps on his scalp for over a year. A biopsy showed the typical changes of angiolymphoid hyperlasia with eosinophilia. He denied a history of trauma in the involved area, had no systemic symptoms, and had a normal blood count. | ||||
| Related Images: | All related Images angiolymphoid_hyperplasia_3_080704 angiolymphoid_hyperplasia_2_080704 | ||||
 © 2001-2009, DermAtlas | Image Name: | angiolymphoid_hyperplasia_2_080704 | File Type: | jpg | |
| Diagnosis: | ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA | Category: | vascular malformation / neoplasm, vascular | ||
| Body Site: | ear / scalp | Age: | 28 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | discrete and confluent grouped dome shaped 2-4 mm red papules some with excoriations and crusts | ||||
| Comments: | This healthy young adult complained of itchy bumps on his scalp for over a year. A biopsy showed the typical changes of angiolymphoid hyperlasia with eosinophilia. He denied a history of trauma in the involved area, had no systemic symptoms, and had a normal blood count. | ||||
| Related Images: | All related Images angiolymphoid_hyperplasia_3_080704 angiolymphoid_hyperplasia_1_080704 | ||||
 © 2001-2009, DermAtlas | Image Name: | angiolymphoid_hyperplasia_3_080704 | File Type: | jpg | |
| Diagnosis: | ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA | Category: | vascular malformation / neoplasm, vascular | ||
| Body Site: | ear / scalp | Age: | 28 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | discrete and confluent grouped dome shaped 2-4 mm red papules some with excoriations and crusts | ||||
| Comments: | This healthy young adult complained of itchy bumps on his scalp for over a year. A biopsy showed the typical changes of angiolymphoid hyperlasia with eosinophilia. He denied a history of trauma in the involved area, had no systemic symptoms, and had a normal blood count. | ||||
| Related Images: | All related Images angiolymphoid_hyperplasia_2_080704 angiolymphoid_hyperplasia_1_080704 | ||||
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