Open AccessGiant Pyogenic Granuloma Gravidarum of the Hand
Author(s) -
Ed Simor Khan Mor Japar Khan,
Mohd Sharifudin Ariff,
A. Eshagroni,
Nor Hazla Mohamed Haflah,
Shalimar Abdullah,
Jamari Sapuan
Publication year - 2014
Publication title -
international medical journal malaysia/iium medical journal malaysia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 9
eISSN - 2735-2285
pISSN - 1823-4631
DOI - 10.31436/imjm.v13i2.480
Subject(s) - pyogenic granuloma , medicine , lesion , surgery , pregnancy , granuloma , resection , pathology , genetics , biology
We describe a case of a giant pyogenic granuloma affecting the left index finger of a 23-year-old pregnant lady requiring surgical excision. Pyogenic granuloma gravidarum is a benign hyperplastic lesion that commonly presents on oral mucosa, typically the gums, in approximately 5% of pregnant women. Skin lesions over the fingers are an unusual site during pregnancy with only a few cases reported in the literature. The lesion was excised and a diagnosis of lobular capillary haemangioma was made based on histopathological evaluation. We delayed surgery until after parturition since recurrence is likely to be lower due to lower levels of circulating oestrogen and progesterone. The prognosis is usually excellent following resection. However, recurrences have been reported regardless of the treatment method.