• 1

    Gomes S, Shakir Q, Thaker T, et al: Pyogenic granuloma of the gingiva: a misnomer? a case report and review of the literature. J Ind Soc Periodont 17: 514, 2013.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2

    North P, Kincannon J: “Vascular Neoplasms and Neoplastic-like Proliferations,” in Dermatology, 3rd Ed, edited by JL Bolognia, JL Jorizzo, JV Schaffer, p 1915, Elsevier Limited, Amsterdam, the Netherlands, 2012.

    • Search Google Scholar
    • Export Citation
  • 3

    Kirschner R, Low D: Treatment of pyogenic granuloma by shave excision and laser photocoagulation. Plast Reconstr Surg 104: 1346, 1999.

  • 4

    Lin RL, Janniger CK: Pyogenic granuloma. Cutis 74: 229, 2004.

  • 5

    Jafarzadeh H, Sanathani M, Mohtasham N, et al: Oral pyogenic granuloma: a review. J Oral Sci 48: 167, 2006.

  • 6

    Paul LJ, Cohen PR: Paclitaxel-associated subungual pyogenic granuloma: report in a patient with breast cancer receiving paclitaxel and review of drug-induced pyogenic granulomas adjacent to and beneath the nail. J Drugs Dermatol 11: 262, 2006.

    • Search Google Scholar
    • Export Citation
  • 7

    Johnson TM, Demsar WJ, Herold RW, et al: Pyogenic granuloma occurring in a postmenopausal woman on hormone replacement therapy. US Army Med Dep J (Jan-Mar): 86, 2011.

    • Search Google Scholar
    • Export Citation
  • 8

    Gonzalez S, Vibhagool C, Falo LD Jr, et al: Treatment of pyogenic granulomas with the 585 nm pulsed dye laser. J Am Acad Dermatol 35: 428, 1996.

Red, Exophytic Nodule of the Plantar Foot

An Unusual Presentation of a Pyogenic Granuloma

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  • 1 Department of Dermatology, State University of New York Downstate Medical Center, Brooklyn, NY.
  • | 2 Department of Dermatology, Veterans Affairs Hospital Brooklyn, Brooklyn, NY.
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Pyogenic granulomas are benign vascular tumors characterized histologically by a lobular proliferation of capillaries. We report an unusual presentation of a pyogenic granuloma in an elderly patient with a bleeding red nodule on the plantar surface of the foot. Nodular exophytic plantar foot lesions often present a diagnostic challenge, as the differential diagnosis includes benign and malignant entities ranging from eccrine poroma and pyogenic granuloma to Kaposi's sarcoma and amelanotic melanoma. This case highlights the need for an adequate biopsy technique to confirm the diagnosis and guide management.

Corresponding author: Amor Khachemoune, MD, Dermatology Service, Veterans Affairs Hospital and SUNY Downstate, 800 Poly Pl, Brooklyn, NY 11209. (E-mail: amorkh@gmail.com)