Pyogenic granuloma from insect bite

Abstract

Introduction: Capillary lobe hemangioma is a relatively common soft tissue tumor. It is known to be a focal reactive development of fibrovascular or granulation tissue with endothelial proliferation, which is not related to any bacteria. It develops rapidly, bleeds easily and ulcerates causing the clinical erroneous impression of a malignant tumor.

Objective: Contribute to the knowledge of this condition for its early detection and timely treatment.

Case presentation: Male patient, 6 years old, with a health history, who is brought to consultation because his mother reports that for more than a month he presented a small lesion on the face after the bite of an insect that grew and bleeds easily, spontaneously or after some trauma. The dermatological examination shows a localized skin condition consisting of a single lesion in the form of a tumor, approximately 0.5 cm, of intense red color, which bleeds easily with the minimum friction, and it was located on the face. It was treated with cryosurgery and the removal of the lesion was achieved with almost no apparent scar.

Conclusions: Complete surgical removal is considered the first-line treatment because recurrences are avoided and, at the same time, sufficient material can be obtained for histopathological study. In cases with a diagnosis of certainty, the use of cryosurgery and electrofulguration is useful to prevent the aesthetic alterations caused by surgery.