The Experts below are selected from a list of 5550 Experts worldwide ranked by ideXlab platform
Ulas Alabalik - One of the best experts on this subject based on the ideXlab platform.
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multiple disseminated Pyogenic Granuloma after second degree scald burn a rare two case
International journal of burns and trauma, 2013Co-Authors: Mustafa Durgun, Caferi Tayyar Selcuk, Burhan Ozalp, Mustafa Aydinol, Ulas AlabalikAbstract:Pyogenic Granuloma is a benign lesion and usually occurs after trauma. Disseminated Pyogenic Granuloma, is a rare form of Pyogenic Granuloma. There are 9 cases of disseminated Pyogenic Granuloma in literature and most of them are hot milk burns. First case describes an 18- month-old girl who developed disseminated Pyogenic Granulomas on her right cheek, neck, and right nasal ala. Lesions on her right cheek and neck were excised and sutured primarily. Lesion on right nasal ala was excised and repaired with full thickness skin graft. Second case describes a 7-years- old boy who developed Pyogenic Granulomas on his left forearm. These lesions were excised and sutured primarily. In both cases lesions were developed after scald burn. During 6-month follow-up, no recurrence was observed in both cases.
Nasser Boshra - One of the best experts on this subject based on the ideXlab platform.
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Pyogenic Granuloma like kaposi s sarcoma
The Lancet, 2015Co-Authors: Michael Megaly, Nasser BoshraAbstract:A 30-year-old man presented to the primary care clinic in June, 2015, with a 3 month history of a painful, foul-smelling mass between the second and third toes of his right foot that had been slowly increasing in size. The mass had begun as a small nodule and had originally been treated with antibiotics for presumed infection without success. On examination he had a red, fi rm mass about 3 cm diameter growing from the lateral aspect of the second toe (fi gure), which was tender to palpation and had a small amount of seropurulent discharge. Its appearance was suggestive of Pyogenic Granuloma with secondary infection. On questioning, the patient denied any medical or surgic al history, or tingling or numbness in the toes. A radiograph showed a soft tissue mass without extension into the bone. The patient was referred for surgical resection of the mass, at which time he admitted to a 5 year history of HIV. He had been off highly active antiretroviral therapy (HAART) for 2 years because of non-compliance and insurance issues. Histological examination of the resected mass showed nodules of spindle cells mixed with red blood cells; tumour cell immunohistochemistry was positive for CD34 and human herpesvirus (HHV-8), consistent with Kaposi’s sarcoma. Microscopy also showed colonies of Gram-positive cocci suggesting secondary infection. Further history and examination showed no other skin changes suggestive of Kaposi’s sarcoma. We diagnosed Pyogenic Granuloma-like Kaposi’s sarcoma. The patient was restarted on HAART and has needed no further treatment. Kaposi’s sarcoma is a vascular tumour caused by HHV-8. Although it is the most common neoplasm in patients with HIV/AIDs, it is quite rare (prevalence about 2% in patients with HIV/AIDS in USA). Pyogenic Granuloma-like Kaposi’s sarcoma is a rare variant of Kaposi’s sarcoma. Lesions are superfi cial and protrude from the skin. Superimposed ulceration and secondary infection can give the appearance of Pyogenic Granuloma, and diagnosis of Pyogenic Granuloma-like Kaposi’s sarcoma can be challenging because it has histological features of both Pyogenic Granuloma and Kaposi’s sarcoma. Diagnosis is made by positive immunohistochemistry staining for CD34 and HHV-8. Kaposi’s sarcoma can present in diff erent forms, from classic purple rash to lesions that mimic diff erent skin disorders, such as Pyogenic Granuloma. Clinicians should maintain a high level of suspicion and seek early tissue diagnosis so as not to miss Kaposi’s sarcoma, especially in HIV-positive patients.
Laura Pinas - One of the best experts on this subject based on the ideXlab platform.
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Pyogenic Granuloma in relation to dental implants clinical and histopathological findings
Journal of Clinical and Experimental Dentistry, 2015Co-Authors: Eduardo Anitua, Laura PinasAbstract:Background: The occurrence of Pyogenic Granuloma in association to dental implants is rare and only five cases have been reported in the literature. Material and Methods: Patients charts were analyzed to select patients who had been diagnosed for Pyogenic Granuloma and its association with dental implants had been evaluated. The clinical status of the dental implants and the prosthesis had also been assessed. Results: Clinical and histopathological diagnosis of Pyogenic Granuloma had been reached for soft mass growth in association with dental implants in 10 patients. Histological analysis of all samples was performed to obtain a firm diagnosis of finding against Pyogenic Granuloma lesions. Accumulation of dental plaque due to poor oral hygiene and improper design of the prosthesis had been related to the occurrence of Pyogenic granuoloma. This lesion showed no predilection to specific surface type and had no significant association with mar ginal bone loss. Conclusions: Pyogenic Granuloma should be included in the differential diagnosis of soft mass growth around dental implants.
Conway C Huang - One of the best experts on this subject based on the ideXlab platform.
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Pyogenic Granuloma caused by exposed sternotomy wires.
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2020Co-Authors: Marian Elizabeth Northington, Conway C HuangAbstract:This case describes a 75-year-old African American man who developed a Pyogenic Granuloma on the chest due to trauma induced by exposed sternotomy wires from his coronary bypass procedure. To describe a previously unreported cause of Pyogenic Granuloma. The Pyogenic Granuloma was excised and during the procedure, exposed sternotomy wires were uncoiled at the base of the lesion. The sternotomy wires were retightened and reappositioned along the sternum, and the wound was closed primarily. The Pyogenic Granuloma has not recurred after 15 months of follow-up. Pyogenic Granulomas are vascular benign tumors that commonly appear secondary to trauma. The source of the trauma in this case was the exposed sternotomy wires.
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Pyogenic Granuloma Caused by Exposed Sternotomy Wires
Dermatologic Surgery, 2004Co-Authors: Marian Elizabeth Northington, Conway C HuangAbstract:Background. This case describes a 75-year-old African American man who developed a Pyogenic Granuloma on the chest due to trauma induced by exposed sternotomy wires from his coronary bypass procedure. Objective. To describe a previously unreported cause of Pyogenic Granuloma. Materials and Methods. The Pyogenic Granuloma was excised and during the procedure, exposed sternotomy wires were uncoiled at the base of the lesion. The sternotomy wires were retightened and reappositioned along the sternum, and the wound was closed primarily. Results. The Pyogenic Granuloma has not recurred after 15 months of follow-up. Conclusions. Pyogenic Granulomas are vascular benign tumors that commonly appear secondary to trauma. The source of the trauma in this case was the exposed sternotomy wires.
J Malvehy - One of the best experts on this subject based on the ideXlab platform.
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dermoscopic findings in Pyogenic Granuloma
British Journal of Dermatology, 2006Co-Authors: Pedro Zaballos, A Llambrich, F Cuellar, Susana Puig, J MalvehyAbstract:Summary Background To the best of our knowledge, no specific dermoscopic criteria have been described in the medical literature for the diagnosis of Pyogenic Granuloma. Objectives To evaluate the morphological findings of Pyogenic Granuloma under dermoscopic observation. Methods Dermoscopic examination (using the DermLite Foto; 3Gen, LLC, Dana Point, CA, U.S.A.) of 13 patients with Pyogenic Granulomas was performed to evaluate specific dermoscopic criteria. Results The most frequently occurring dermoscopic features were found to be: reddish homogeneous area (92%), white collarette (85%), ‘white rail’ lines that intersect the lesion (31%) and ulceration (46%). The results of our study reveal that the absence of specific dermoscopic criteria for other skin tumours and a reddish homogeneous area surrounded by a white collarette are the most frequent dermoscopic pattern in Pyogenic Granulomas (85%). Conclusions Dermoscopy is a useful tool for improving the recognition of Pyogenic Granuloma.
