II. Definition
- Highly vascular variant of Capillary Hemangioma
III. Epidemiology
- Common lesion in children and young adults
IV. Causes
- Often idiopathic
- Prior Trauma (esp. penetrating injury) or Burn Injury
- Viral Infection
V. Symptoms
- Bleeding from friable lesion
- Occurs with minimal Trauma
VI. Signs
- Characteristics
- Distribution
- Head and neck
- Eyelid (most common acquired Eyelid lesion)
- Extremities
- Finger tips
- Lateral nailfold (periungual)
- Gingiva or other mucosal surface
- Occurs in infants, children and young adults
- Pregnant women (Epulis gravidarum)
- Onset in 2% of women in late first trimester, second trimester and resolves with delivery
VII. Differential Diagnosis
VIII. Management
- Shave excision with electrodesiccation and curretage (or laser ablation)
- Send lesion for pathology due to differential diagnosis
- Recurs if not completely excised
IX. References
- Habif (1996) Dermatology, Mosby-Year, p. 732
- Higgins (2015) Am Fam Physician 92(7): 601-7 [PubMed]
- Luba (2003) Am Fam Physician 67(4):729-38 [PubMed]