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Pyogenic granuloma, an unusual presentation of peripubertal vaginal bleeding. Case report and review of the literature

  • Alberto Barasoain-Millán EMAIL logo , Francisco Javier Rodriguez-Contreras , Julio Guerrero-Fernandez , Maria Beato Merino and Isabel Gonzalez-Casado
Published/Copyright: October 11, 2014

Abstract

Pyogenic granuloma, also named lobular capillary hemangioma, is a common proliferative vascular lesion known as a benign condition despite its rapid growth. It may appear in any cutaneous or mucosal surface but is usually restricted to the oral cavity. It is characterized by a friable mulberry-like lesion that can be sessile or pedunculated. Bleeding is usually its first clinical manifestation. Locations on respiratory, digestive and genital tracts are uncommon and sporadic. We describe the occurrence of an intravaginal pyogenic granuloma in a peripubertal girl with recurrent vaginal bleeding. This is the first reported case of a genital tract lobular capillary hemangioma in pediatric age to our knowledge. Therefore, we suggest this entity in the differential diagnosis of an unclear peripubertal vaginal bleeding.


Corresponding author: Alberto Barasoain-Millán, Hospital Universitario Fundación Alcorcón, Pediatric Endocrinology and Metabolism Unit, Alcorcón, Spain, E-mail:

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Received: 2014-1-28
Accepted: 2014-8-14
Published Online: 2014-10-11
Published in Print: 2015-3-1

©2015 by De Gruyter

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