Eruptive disseminated pyogenic granulomas following lightning injury

Bravo Puccio, Francisco Gerardo; Castillo, P.A.C.; Del Solar, M.C.; Netchiporouk, E.; Ramirez, L.P.; Sasseville, D.; Moreau, L.; Ramos, C.

dc.contributor.author	Netchiporouk, E.
dc.contributor.author	Moreau, L.
dc.contributor.author	Ramirez, L.P.
dc.contributor.author	Castillo, P.A.C.
dc.contributor.author	Bravo Puccio, Francisco Gerardo
dc.contributor.author	Del Solar, M.C.
dc.contributor.author	Sasseville, D.
dc.contributor.author	Ramos, C.
dc.date.accessioned	2019-02-22T14:56:09Z
dc.date.available	2019-02-22T14:56:09Z
dc.date.issued	2015
dc.identifier.uri	https://hdl.handle.net/20.500.12866/5854
dc.description.abstract	Background: Pyogenic granuloma (PG) is a common benign acquired vascular tumor. It classically presents as a solitary friable nodule on the face or distal extremities. Disseminated eruption is rare and can occur spontaneously or secondary to various triggers, including burn injury. To date, the literature reports only 13 cases of eruptive PGs following burn injury, most from exposure to boiling milk or water. We report the first case of disseminated eruptive PGs following a lightning injury. Case: A 17-year-old previously healthy boy developed second- and third-degree burns following lightning injury. Two weeks later, he developed widespread dark-purple polypoid exophytic tumors ranging from 1 to 10 cm in diameter extending beyond the limits of the initial burn injury. The lesions were friable and often formed erosions and crusts. The patient was otherwise well and laboratory and microbiological investigations were normal. Excisional biopsy of a lesion was diagnostic of PG and the patient was treated with surgical excision of the lesions, without recurrence. Conclusion: The exact pathogenesis of multiple PGs remains unknown. Several pathogenic mechanisms have been suggested, including production of angiogenic factors that stimulate endothelial proliferation and formation of minute arteriovenous fistulas by trauma.	en_US
dc.language.iso	eng
dc.publisher	Karger
dc.relation.ispartofseries	Dermatology
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Adolescent	en_US
dc.subject	Humans	en_US
dc.subject	Male	en_US
dc.subject	human	en_US
dc.subject	male	en_US
dc.subject	Article	en_US
dc.subject	priority journal	en_US
dc.subject	treatment outcome	en_US
dc.subject	case report	en_US
dc.subject	wound healing	en_US
dc.subject	adolescent	en_US
dc.subject	treatment response	en_US
dc.subject	complication	en_US
dc.subject	drug treatment failure	en_US
dc.subject	disease duration	en_US
dc.subject	human tissue	en_US
dc.subject	tumor volume	en_US
dc.subject	erythromycin	en_US
dc.subject	burn	en_US
dc.subject	patient transport	en_US
dc.subject	inflammatory infiltrate	en_US
dc.subject	Burns	en_US
dc.subject	capillary proliferation	en_US
dc.subject	Disseminated pyogenic granuloma	en_US
dc.subject	electric injury	en_US
dc.subject	erosion	en_US
dc.subject	femur fracture	en_US
dc.subject	Granuloma, Pyogenic	en_US
dc.subject	Lightning Injuries	en_US
dc.subject	Lightning injury	en_US
dc.subject	Lobular capillary hemangioma	en_US
dc.subject	pyogenic granuloma	en_US
dc.subject	Skin Diseases	en_US
dc.subject	tumor localization	en_US
dc.title	Eruptive disseminated pyogenic granulomas following lightning injury	en_US
dc.type	info:eu-repo/semantics/review
dc.identifier.doi	https://doi.org/10.1159/000371880
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.15
dc.relation.issn	1421-9832