• question-icon

    What causes granuloma pyogenicum?

default
Posted on Thu, 4 Sep 2014 in Skin Hair and Nails
Question: On the fourth of July, I noticed my back was bleeding. It bled A LOT...through my shirt and sweater, but there was only a tiny tiny marking on my back when I saw where the blood was coming from. A few days later, it developed into a flesh colored bump and continued to bleed all the time. It has since been five weeks, and the area looks like a blood blister and has grown tremendously. It started as a dot you could hardly see and now is about the size of a small grape. It bleeds all of the time and is shaped like a dome. I googled what this could be, and I am a little nervous this is nodular melanoma. I have a doctors appointment Friday at a surgical derm but I wanted to have a doctors advice sooner. This is location on my upper back near the center. Again, in about 5 weeks, it has significantly grown. IT ranges from brownish/black, to a raw looking red based on if it bleeds. It bleeds every time i shower and also through my clothes and all over my sheets when I wake up each morning. When I say bleeding, it really bleeds. Once it even squirted blood onto my boyfriend when he was trying to put pressure to get it stop. It bleeds through three band aids at least once a day. In the last week, the lesion has doubled in size and continues to grow. I will include pictures of the lesion, as well as progression pictures each week.
doctor
Answered by Dr. Sanjay Kumar Kanodia 1 hour later
Brief Answer:
Pyogenic granuloma: completely benign condition.

Detailed Answer:
Hello young fellow,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the possibility of melanoma after the growth and increase in size with bleeding.

I have gone through the complete query and all your pictures and with best of my knowledge I reassure you that the area do not appear as cancerous or precancerous and therefore has no relation to any type of melanoma.

So young lady you must be wondering what the exact entity do you have!!!

Your condition is known as "granuloma pyogenicum" or Pyogenic granuloma. It is totally benign condition and is not related to moles. It is formed due to over proliferation of blood vessels. This can be due to friction or trauma or due to hormonal factors.

I correlate it with your hormonal tablet- XXXXXXX I quite often see your kind of condition in young females taking hormonal pills and developing these kind of lesions.

The typical feature of this condition is that it bleeds even on trivial touch.

You can see in the picture that the initial lesion is red and not pigmented later getting enlarged and then bleeding profusely- which is the typical manifestation of Pyogenic granuloma.

You can go on net and see the pictures for ready reference.

For the treatment part - it can be excised very easily and never cause any future issues as is completely benign condition.

If at all if I had kept a second possibility then would like to keep a possibility of - infected mole where due to mild to moderate infection there can be later appearance of bleeding lesion.

But overall in my experience I would keep Pyogenic granuloma as best of my diagnosis. So rest assured for any serious possibility.


Let me guide certain points not in favor of Nodular melanoma:

Nodular melanoma develops on normal skin rather than on pre-existing mole or an any other lesion. These are most commonly seen in the fifth or sixth decade (not in young females of your age) and occurs more frequently in males than in females.

These are basically quite deep and therefore dark in color rather than red bleeding lesions.

Bleeding too occur very late and not just in 4-5 weeks. So all of these points are in disfavor of Nodular melanoma in your case.

So do not think of anything serious about it. Looking to your lesions it shows quite normal kind of Pyogenic granuloma.


Just relax and do not worry.

I hope these informations will relax you. I will be glad to answer any further queries.

My all best wishes for your healthy life.

With regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  HIV

doctor1 MD

I have no problem getting an erection but when I slip on a condon for sex I quickly lose it. This is a problem for me as I will have a lovely...

doctor1 MD

My girl and I had a sex on march 1, and we used condom but she is not having menstural cycle which was supposed to be on March 13, we are afraid...

doctor1 MD

I had unprotected sex 3-4 days before my period...during intercourse I noticed little blood..what must have caused that? I had an ipill within 2...

doctor1 MD

Hi I had intercourse last Saturday night using a condom. I was in the middle of my periods but we decided I should take the morning after pill just...

doctor1 MD

I just had a mutual masturbation session with a sex worker However she removed her hand from inside her vagina and used it roughly on my penis in a...

doctor1 MD

i bought food the food was in a container with a plastic at the top covering the container how ever i notice the plastic on 1 container was...

doctor1 MD

Dear doctor thanks for your valuable reply however my further query is for last two weeks I have a mild rash under my eye which is persistent and...

Get personalised answers from verified doctor in minutes across 80+ specialties

136 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Sanjay Kumar Kanodia
  • Q - Marks on penile shaft, looks like wart and is rough. What could it be?

  • Q - Have red raised skin with clear pus pores on arm. Using neosporin on it....

  • Q - Has dark patches on inside of upper lips. What could be the reason for...

  • Q - Have small pimples on foreskin. How to remove this?

  • Q - Have had a rash near anus it does not itch. Tried Hydrocortizone, no...

  • Q - Had a blood draw. Having a bruise or rash at that spot. Should I be...

  • Q - Have itchy pimple on penis. No relief after applying cream. Which...

  • Q - Have blood blister on mole. Had removed it. Possibility of melanoma?

  • Q - Has rash that looks like pimple. Treatment?

  • Q - Having scalp abscess. Scalp open up several layers with lesions and...

backtotop2