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Pamela B. Cornelius, MD; Barbara B. Wilson, MD
University of Virginia, Charlottesville

Arch Dermatol. 1999;135:707-712.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 37-year-old man presented with a 2-month history of a tender lesion on the ball of his right foot. The lesion gradually enlarged, became painful, and began to drain pink fluid.

Physical examination revealed a 1.2-cm elevated, red nodule covered with a serous exudate on the ball of the foot (Figure 1). The clinical diagnosis was probable lobular capillary hemangioma (pyogenic granuloma). A saucerization excision followed by curettage and electrodesiccation was performed. The histopathologic findings are shown in Figure 2 and Figure 3.

Figure 1.

Figure 2.

Figure 3.

What is your diagnosis?

Diagnosis

The biopsy specimen showed a well-defined intradermal nodule with overlying hyperkeratosis and irregular acanthosis. The cellular infiltrate consisted of closely packed histiocytes with sparse lipidization but numerous Touton-type giant cells. Also present were many small vessels and areas of hemorrhage. Polariscopic examination revealed no abnormalities, and . . . [Full Text of this Article]

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