PEDIATRICS Vol. 90 No. 6 December 1992, pp. 989-991
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Pyogenic Granulomas of Infancy Masquerading as Strawberry Hemangiomas

ILONA J. FRIEDEN MD1 and NANCY B. ESTERLY MD2

1 Depts of Dermatology and Pediatrics School of Medicine, University of California, San Francisco
2 Depts of Dermatology and Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin

Pyogenic granuloma (lobular capillary hemangioma) is a neovascular proliferation which is relatively common in children. The development of pyogenic granuloma may follow minor trauma or may occur on undamaged skin. We present five cases of pyogenic granulomas in young infants which were confused with strawberry hemangiomas, and we discuss the differences between these two vascular growths and implications for therapy during early infancy.

CASE REPORTS

Patient 1

A 5-month-old male infant was seen in the Pediatric Dermatology Clinic of the Children's Hospital of Wisconsin for an expanding lesion on the left cheek. The lesion had developed shortly after birth and had enlarged rapidly during the 2 to 3 months before the visit that resulted in a diagnosis of hemangioma of infancy.

Submitted on May 26, 1992
Accepted on May 26, 1992