RT Book, Section
A1 Smith, Mindy A.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114876558
T1 Pyogenic Granuloma
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114876558
RD 2024/04/19
AB A  young  girl  is  brought  in  by  her  mother  to  see  their  pediatrician  for  a  red  growth  on  the  face  that  has  been  there  for  two  months  (Figure  142-1).  The  red  growth  bleeds  easily  if  traumatized.  The  pediatrician  recognizes  the  typical  features  of  a  pyogenic  granuloma  and  presents  various  treatment  options  to  the  mother  including  excision  with  biopsy.  It  is  clear  that  the  child  will  not  stay  still  for  local  anesthetic  with  the  needle  but  is  willing  to  allow  the  physician  to  use  a  Cryo  Tweezer  to  freeze  the  pyogenic  granuloma.  The  pediatrician  places  the  Cryo  Tweezer  in  liquid  nitrogen  and  applies  the  device  to  the  pyogenic  granuloma.  As  the  child  is  cooperative  with  the  procedure  a  second  freeze  is  performed  in  the  same  manner.  On  follow-up  visit  in  3  weeks,  the  pyogenic  granuloma  is  gone.  The  mother  is  warned  if  there  is  regrowth  to  return  for  further  evaluation  and  treatment.