Lobular capillary hemangioma - External and Internal Eye
See also in: Overview,Hair and Scalp,Nail and Distal Digit,Oral Mucosal LesionAlerts and Notices
Synopsis

Lobular capillary hemangiomas, also known as pyogenic granulomas (PGs), are rapidly growing, benign vascular growths of undetermined etiology. The term "pyogenic granuloma" is a misnomer, as the lesion(s) are neither granulomatous nor infectious. PGs usually present as a solitary red papule or nodule that ulcerates and bleeds easily.
Trauma and the production of angiogenic growth factors are some of the postulated causal factors. PGs may also arise during pregnancy (the so-called "pregnancy tumor") or in the course of treatment with certain medications (protease inhibitors, retinoids, some chemotherapeutic drugs). They are more common in children and individuals of childbearing potential. Treatment by removing the lesion is indicated in cases of bleeding, emotional distress, discomfort, or when the diagnosis is in doubt.
PG of the eye area has been reported after oculoplastic and strabismus procedures following incisions of the conjunctiva. In addition, PG has occurred after placement of punctal plugs and in association with Actinomyces canaliculitis.
Trauma and the production of angiogenic growth factors are some of the postulated causal factors. PGs may also arise during pregnancy (the so-called "pregnancy tumor") or in the course of treatment with certain medications (protease inhibitors, retinoids, some chemotherapeutic drugs). They are more common in children and individuals of childbearing potential. Treatment by removing the lesion is indicated in cases of bleeding, emotional distress, discomfort, or when the diagnosis is in doubt.
PG of the eye area has been reported after oculoplastic and strabismus procedures following incisions of the conjunctiva. In addition, PG has occurred after placement of punctal plugs and in association with Actinomyces canaliculitis.
Codes
ICD10CM:
L98.0 – Pyogenic granuloma
SNOMEDCT:
200722003 – Pyogenic granuloma
L98.0 – Pyogenic granuloma
SNOMEDCT:
200722003 – Pyogenic granuloma
Look For
Subscription Required
Diagnostic Pearls
Subscription Required
Differential Diagnosis & Pitfalls
Lesions of the conjunctiva/cornea:
- Suture granulomas
- Tenon granulomas
- Vascular tumors such as angiosarcoma
- Foreign body granulomas
- In the immunocompromised (eg, HIV-infected individuals), consider bacillary angiomatosis, which also causes bright red papules, and Kaposi sarcoma.
- Melanoma
- Cherry hemangioma
- Glomus tumor
- Metastatic carcinoma
- Basal cell carcinoma
- Squamous cell carcinoma
- Spitz nevus
- Granulation tissue
- Angiosarcoma
- Atypical fibroxanthoma
- Venous lake
Best Tests
Subscription Required
Management Pearls
Subscription Required
Therapy
Subscription Required
Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.
Subscription Required
References
Subscription Required
Last Updated:08/10/2021

Premium Feature
VisualDx Patient Handouts
Available in the Elite package
- Improve treatment compliance
- Reduce after-hours questions
- Increase patient engagement and satisfaction
- Written in clear, easy-to-understand language. No confusing jargon.
- Available in English and Spanish
- Print out or email directly to your patient
Upgrade Today
Lobular capillary hemangioma - External and Internal Eye
See also in: Overview,Hair and Scalp,Nail and Distal Digit,Oral Mucosal Lesion