May 27, 2010

Pyogenic Granuloma during Pregnancy

Pyogenic Granuloma is a principally non-infectious, oral disease appearing in the mouth as a tissue overgrowth because of some form of physically traumatic episode, irritation or hormone-related factors. Frequently the skin, nose septum have been observed to be affected due to this condition and at times it has also be found to develop in regions distant from the head like the thighs.

Signs and Symptoms of Pyogenic Granuloma

Pyogenic granuloma appears generally reddish, pinkish to purplish in color and could have an even look or show lobulation. The newly surfaced lesions most often tend to be reddish due to the higher numbers of blood vessels whereas the older ones would change to a pinkish tone. The size could range from a couple of mms to centimetres and could be agonizing, particularly when it develops in a region of the body where there is frequent disturbance to it. Pyogenic granulomas are capable of swift growth over a time span of a couple of weeks and on areas like upper chest, neck, head and lower and upper extremities and would frequently shed profuse blood with slight or no disturbance.

Pyogenic Granuloma during pregnancy

Pyogenic granuloma has greater likelihood of occurring in kids and younger adults and there is an unambiguous gender bias to the females.

Pyogenic Granuloma during pregnancy is a common phenomenon especially surfacing on the gingival or other areas in the oral mucosa like lip area, palate, inner cheek, tongue, buccal mucosa and is also known as pregnancy tumor. Inadequate oral cleanliness or traumas are generally the predisposing factors.

The heightened occurrences of pyogenic granuloma during pregnancy could be linked to the surging progesterone and estrogen levels.

Though as daunting as the word ‘pyogenic granuloma during pregnancy’ sounds, the positive aspect is that it is totally benign. Factually nearly five percent of all expectant mothers would develop pyogenic granuloma during the course of their gestational term. However, these skin lesions have been found to develop in the initial trimester with rising occurrence till almost the 7th month and mostly spotted on the frontal nose septum as a reason for regular nose bleed.

Treatment of Pyogenic Granuloma

Since the skin lesions could heal naturally hence there is generally no treatment for it. Recurring blood loss from the skin lesions located in the nose or mouth might need to be excised and cauterized earlier. Pyogenic granuloma treatment would consist of conservative operative excision that is generally remedial. There has been a comparatively elevated rate of relapse (around fifteen percent) subsequent to a basic excision.

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