Pyogenic Granuloma, Portwine Stain, Portwine Birthmark - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

pyogenic granuloma portwine stain portwine birthmark

Body Site

neck chest

Age

12 years

Pigmentation

light

Organization

Color

red purple

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

solitary asymmetric

Comments

This healthy 12-year-old girl had a small portwine birthmark which had become slightly elevated over the last decade. She suddenly developed a friable hemorrhagic papule within the birthmark which bled profusely after minor trauma. The pyogenic granuloma was shaved and cauterized, laser treatment of the portwine birthmark was scheduled. A tendency for pyogenic granulomast to develop within portwine birthmarks has been described in the dermatologic literature.

Description

5 mm red friable papule within an irregularly shaped sharply demarcated red minimally elevated 2.5 X 5 cm plaque

Image Added

6/27/2011 22:42:18

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Other Resources

PubMed Medline Plus Medscape

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