Pyogenic Granuloma
Also known as: Lobular Capillary Hemangioma
A rapidly growing, bright red, easily bleeding bump. Looks alarming but is benign - name is misleading (not infectious).
What to look for
Side-by-side comparison
Normal skin
No vascular growths
Pyogenic granuloma
Bright red, bleeds easily
Pyogenic granuloma is a rapidly growing, bright red to dark red, dome-shaped vascular nodule that bleeds easily and profusely with minor trauma. Despite its alarming name, it is neither pyogenic (caused by infection) nor a true granuloma - it is a benign overgrowth of blood vessels (lobular capillary hemangioma).
It typically appears and grows to full size (usually 5-10mm) within days to weeks, which can be frightening for patients. The surface often becomes eroded or ulcerated, leading to frequent episodes of bleeding. A characteristic feature is the collarette - a ring of slightly elevated skin surrounding the base.
Pyogenic granulomas most commonly occur on the fingers, hands, face, and lips. They are common in children, during pregnancy (granuloma gravidarum of the gums), and at sites of recent trauma or surgery.
Treatment involves excision, curettage with electrocautery, or laser treatment. Recurrence after incomplete removal occurs in approximately 40% of cases, so complete removal is important. Pregnancy-related granulomas may resolve spontaneously after delivery.
Quick self-check
Does this look like pyogenic granuloma? Answer 2 questions.
Did it appear rapidly (days to weeks) and bleed easily?
Is it bright red or dark red with a moist or eroded surface?
Risk factors
- Pregnancy (especially on the gums)
- Minor trauma to the site
- Certain medications (retinoids, some targeted cancer therapies)
- Children and young adults
When to see a dermatologist
- ⚠A rapidly growing bright red bump that bleeds easily
- ⚠Any vascular-looking nodule that appeared within days to weeks
- ⚠Frequent bleeding from a skin growth
Often confused with
Not sure if this is pyogenic granuloma? Compare:
Want a more detailed check?
Our full ABCDE checker evaluates 5 clinical criteria in 30 seconds.
Full ABCDE check →Frequently asked questions
Is pyogenic granuloma dangerous?
No. Despite its alarming rapid growth and bleeding, it is a completely benign overgrowth of blood vessels. The main issue is nuisance bleeding and cosmetic concern. Complete removal is curative.
Why does it bleed so much?
Pyogenic granulomas are composed of densely packed blood vessels with a fragile, often eroded surface. Even minor bumps or friction can cause disproportionate bleeding. Applying firm pressure for 10-15 minutes will stop most episodes.