Recurrent pyogenic granuloma with satellitosis.

A 26-year-old woman was treated by curettage and cautery for a pyogenic granuloma on her left shoulder. This recurred 3 months later and was excised. After a further 5 months, she developed three vascular papules and one lobulated vascular lesion at the site. These ranged in size from 1-4 mm and the largest of these bled easily on minimal trauma. The authors treated the four vascular lesions with curettage and cautery and took a punch biopsy from an erythematous area in the scar. Histology was identical to the original lesion, confirming a diagnosis of recurrent pyogenic granuloma with satellitosis. One year later she had no evidence of recurrence of the lesions.