What should you know about images of pyogenic granuloma?

Images of pyogenic granuloma often show a small, rapidly growing red or purple skin lump that bleeds easily. The surface may be smooth, moist, or crusted, but an image cannot reliably distinguish it from other vascular or pigmented lesions.

Pyogenic granuloma, also called lobular capillary haemangioma, is a benign overgrowth of small blood vessels in the skin or near a nail. Minor injury, irritation, hormonal change, or no clear trigger may precede it. Common sites include fingers, face, lips, and the trunk. Because it can resemble other lesions and can bleed after light contact, a clinician may examine it closely and decide whether tissue should be tested.

Do not pick, squeeze, or repeatedly scrape the area. Apply firm, continuous pressure with clean gauze when it bleeds; if bleeding continues despite sustained pressure, seek medical care. Keep the site protected from friction and arrange an appointment, particularly if it is enlarging, painful, repeatedly bleeding, or changing in colour. A clinician may discuss options such as [Curettage And Cautery](/treatments/surgical-dermatology/curettage-and-cautery/), removal, or another method based on the location and appearance.

Get prompt assessment for a lump that grows quickly, bleeds with minimal contact, becomes infected, or does not heal. Seek urgent help if bleeding is heavy or cannot be controlled with firm pressure, or if you feel faint. A lesion near the eye, mouth, or airway needs careful specialist planning.

Does this lesion need dermoscopic examination or a biopsy? What might be causing repeated bleeding? Which removal method fits its site, and how will you care for the wound afterward?