Recurrent pyogenic granuloma within a port wine stain

Authors

  • Muhammed Haneefa Department of Dermatology, Armed Forces Hospital, Southern Region, Khamis Mushayt, KSA
  • Mohammed Alshahrani Department of Dermatology, Armed Forces Hospital, Southern Region, Khamis Mushayt, KSA
  • Sayed Agha A. Shah Department of Pathology, Armed Forces Hospital, Southern Region, Khamis Mushayt, KSA
  • Abdulmajeed Alshahrani College of Medicine, Najran University, KSA

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20212556

Keywords:

Pyogenic granuloma, Port-wine stain, Recurrent

Abstract

Pyogenic granuloma (PG) is a common vascular growth usually seen on the face and extremities following trauma, drugs like retinoids, antineoplastic agents or pregnancy. PG and port-wine stain (PWS) represent different types of vascular lesions that may rarely occur in association. PG arising in a PWS is usually reported following trauma, pregnancy or laser treatment of PWS. Any growth in a long-standing vascular lesion creates panic in the patient and a challenge to the physician, especially in the head and neck area. We report a case of recurrent PG emerging de novo in three different locations within the same PWS in a 24 year old male. A review of literature about the coexistence of both conditions is presented here, together with dermoscopic features.

Author Biographies

Muhammed Haneefa, Department of Dermatology, Armed Forces Hospital, Southern Region, Khamis Mushayt, KSA

Registrar, Department of Dermatology

Mohammed Alshahrani, Department of Dermatology, Armed Forces Hospital, Southern Region, Khamis Mushayt, KSA

Consultant, Department of Dermatology

Sayed Agha A. Shah, Department of Pathology, Armed Forces Hospital, Southern Region, Khamis Mushayt, KSA

Consultant, Department of Pathology

Abdulmajeed Alshahrani, College of Medicine, Najran University, KSA

Intern 

References

Shruti S, Siraj F, Ramesh V, Ramesh V. Recurrent pyogenic granuloma over nevus flammeus. Indian J Dermatol Venereol Leprol. 2019;85:236.

Liu S, Yang C, Xu S, Yuan C, Yang S, Zhang X. Pyogenic granuloma arising as a complication of 595 nm tunable pulsed dye laser treatment of port-wine stains: report of four cases. Dermatol Surg. 2010;36(8):1341-3.

Chen D, Hu XJ, Lin XX, Ma G, Jin YB, Chen H, et al. Nodules arising within port-wine stains: a clinicopathologic study of 31 cases. Am J Dermatopathol. 2011;33(2):144-51.

Sheehan DJ, Lesher JL. Pyogenic granuloma arising within a port-wine stain. Cutis. 2004;73(3):175-80.

Aghaei S. Pyogenic granuloma arising in port wine stain after cryotherapy. Dermatol Online J. 2003;9:16.

Rodins K, Gramp D, James D, Kumar S. Pyogenic granuloma, port-wine stain and pregnancy. Australas J Dermatol. 2011;52(4):8-10.

Hagiwara K, Uezato H, Nonaka S. Phacomatosis pigmentovascularis type IIb associated with Sturge-Weber syndrome and pyogenic granuloma. J Dermatol. 1998;25(11):721-9.

Martin S, Martin S, Beynet D, Breithaupt A. Melanoma in situ within a port-wine stain. Cutis. 2019;104(06):13-4.

Zaballos P, Llambrich A, Cuéllar F, Puig S, Malvehy J. Dermoscopic findings in pyogenic granuloma. Br J Dermatol. 2006;154(6):1108-11.

Bencini PL, Cazzaniga S, Galimberti MG, Zane C, Naldi L. Variables affecting clinical response to treatment of facial port-wine stains by flash lamp-pumped pulsed dye laser: the importance of looking beyond the skin. Lasers Med Sci. 2014;29(4):1365-70.

Downloads

Published

2021-06-24

Issue

Section

Case Reports