Periungual pyogenic granuloma treatment: what to know

A pyogenic granuloma is a small overgrowth of blood-vessel tissue. Around a nail it may follow minor trauma, irritation, or a nail-edge problem. It can grow quickly, look bright red, and bleed with light contact. Despite its name, it is not a pus-filled infection. Because several nail conditions can resemble it, a clinician may send removed tissue for laboratory examination.

Have the lump assessed rather than cutting it off at home. Treatment may involve curettage and cautery, which removes the tissue and uses heat to control bleeding and reduce regrowth. The clinician may use local anaesthetic and protect the nearby nail structures. Keep the dressing clean and dry as instructed, avoid picking the area, and use pressure with clean gauze for minor bleeding. Tell the clinician about blood-thinning medicines or problems with wound healing.

Seek prompt care if bleeding does not settle with firm pressure, the finger becomes increasingly red and swollen, or drainage and worsening pain develop. Return for review if the growth comes back, because recurrent tissue may need another assessment or treatment.

Ask how the diagnosis will be confirmed, whether curettage and cautery suits the location, how the nail will be protected, and how to care for the wound afterward.