Multiple pyogenic granuloma demonstrated by SPECT using 99Tcm-labelled red blood cells.

Pyogenic granuloma is a polypoid form of capillary haemangioma that occurs on the skin and mucosal surface. The eruption of multiple pyogenic granuloma is a rare phenomenon. We report the case of a 73-year-old male with a 2 year history of intermittent lower gastrointestinal bleeding. 99Tcm-labelled red blood cell scintigraphy was performed to rule out the possibility of capillary haemangioma on the mucosal surface of the gastrointestinal tract. The images showed disseminated haemangiomas involving the skull, abdominal wall, intestine, scrotum and right leg. The final diagnosis of multiple pyogenic granuloma was made by skin biopsy. To the best of our knowledge, this is the first case using 99Tcm-labelled red blood cell scintigraphy to demonstrate multiple pyogenic granuloma.

[1]  G. Kanra,et al.  Pyogenic Granuloma with Multiple Dissemination in a Burn Lesion , 1997, Pediatric dermatology.

[2]  S. Enshaieh,et al.  MULTIPLE GIANT DISSEMINATED PYOGENIC GRANULOMA IN THREE PATIENTS BURNED BY BOILING MILK , 1995, International journal of dermatology.

[3]  M. Tsuneyoshi,et al.  An Intestinal Counterpart of Pyogenic Granuloma of the Skin: A Newly Proposed Entity , 1995, The American journal of surgical pathology.

[4]  J. E. Torres,et al.  Disseminated pyogenic granuloma developing after an exfoliative dermatitis. , 1995, Journal of the American Academy of Dermatology.

[5]  M. A. Everett,et al.  Lobular capillary hemangioma (pyogenic granuloma) with satellitosis. , 1992, Journal of the American Academy of Dermatology.

[6]  C. Fletcher.  Soft tissue tumours , 1989 .

[7]  M. Wick,et al.  Disseminated lobular capillary hemangioma (pyogenic granuloma). A clinicopathologic study of two cases. , 1986, The American Journal of dermatopathology.

[8]  D. T. Lyon,et al.  Large-bowel hemangiomas , 1984, Diseases of the colon and rectum.

[9]  J. Moreno,et al.  Recurrent Pyogenic Granuloma with Multiple Satellites , 1983 .

[10]  J. Abulafia,et al.  Multiple disseminated pyogenic granuloma , 1978, The British journal of dermatology.

[11]  H. Head,et al.  Hemangioma of the colon. , 1973, American journal of surgery.

[12]  Joyce Warner,et al.  PYOGENIC GRANULOMA RECUKRING WITH MULTIPLE SATELLITES , 1968, The British journal of dermatology.

[13]  P. Nader,et al.  Hemangioma causing gastrointestinal bleeding. Case report and review of the literature. , 1966, American journal of diseases of children.