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Recurrent pyogenic granuloma (Lobular Capillary Haemangioma) of the eyelid in a breast‐feeding patient
Author(s) -
Mansoor Nyaish
Publication year - 2019
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2019.5447
Subject(s) - pyogenic granuloma , capillary hemangioma , medicine , eyelid , pregnancy , lesion , postpartum period , gestation , granuloma , dermatology , surgery , pathology , hemangioma , biology , genetics
Pyogenic granuloma, also known as lobular capillary haemangioma, is a benign vascular tumour which is commonly found in children, young adults and pregnant women. In pregnant women they are usually found on mucosal surfaces such as the gums and are thought to be related to the hormonal changes associated with gestation. Here we describe a case of a three‐times recurrent pyogenic granuloma in the unusual location of the eyelid in a 34‐year‐old breast‐feeding patient. The patient required three excisional procedures. It was felt that the likely cause of the growth was due to hormonal changes related to the prolonged period of lactation. To date only three other cases have been reported of pyogenic granuloma in the gestational or post‐partum period in the eyelid with this being the first case in a breast‐feeding patient to the best of our knowledge. This case highlights the difficulty in managing these lesions and contributes further evidence towards the hypothesised relationship between the hormonal changes associated with pregnancy, breast‐feeding and this lesion.

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