A granuloma pyogenicum or telangiectaticum is a benign blood vessel proliferation, this location will eventually heal but a scar will be present. It is a reaction of the blood vessels on injury (sometimes even a minor injury) and occurs mainly in young people/children. Sometimes it turns black as the piece dies. The preferred spots are: hands, face and mouth lining. It bleeds very easily and often.  Children from 6-12 months old are wrongly told by general practitioners that this is a 'bloody hemangioma'.  This is often a granuloma telangiectaticum. The place can be frozen with nitrogen but this does not often help. Surgical removal is the option. The piece is then sent for a definitive diagnosis and can also be viewed under a microscope by the pathologist.


 

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