Luna-Ceron Eder, Gómez-Gutiérrez Ana K, Gonzalez-Hernandez Cinthia, Gatica-Torres Michelle
Clinical Sciences, Tecnológico de Monterrey, Mexico City, MEX.
Family and Community Medicine, Centro de Salud con Servicios Ampliados, Anáhuac, MEX.
Cureus. 2021 Jan 5;13(1):e12509. doi: 10.7759/cureus.12509.
Benign vascular neoplasms are common clinical problems encountered in the practice of primary care. Pyogenic granulomas are one of the most common benign vascular lesions in young adults. Although the physiopathological mechanism for the development of this condition is still not well understood, it has been commonly associated with several triggers such as treatment with retinoids, biological agents, invasive cutaneous therapies and trauma. The development of pyogenic granulomas on sites of vascular malformations like port wine stains has been described in the literature to occur rarely. Most of these types of cases have been studied to occur in the setting of pregnancy and after cryotherapy or pulsated laser therapy. The aim of this article is to present the case of a 21-year-old man with a recent appearance of a pyogenic granuloma within an underlying port wine stain in the posterior cervical region without any history of triggers or risk factors. Excision of the vascular lesion was done, and histopathological report confirmed the diagnosis. The objective of this manuscript is to discuss the possible mechanisms involved in the development of this uncommon presentation and to summarize the current literature related to this clinical scenario.
良性血管肿瘤是基层医疗实践中常见的临床问题。化脓性肉芽肿是年轻成年人中最常见的良性血管病变之一。尽管这种疾病发生发展的生理病理机制仍未完全明确，但通常与多种诱因有关，如使用维甲酸、生物制剂、侵入性皮肤治疗和创伤等。文献中曾报道，在葡萄酒色斑等血管畸形部位很少出现化脓性肉芽肿。大多数此类病例是在妊娠期间以及冷冻疗法或脉冲激光治疗后发生的。本文旨在介绍一名21岁男性的病例，该患者在颈后区潜在的葡萄酒色斑内近期出现了化脓性肉芽肿，且无任何诱因或危险因素史。对该血管病变进行了切除，组织病理学报告证实了诊断。本文的目的是探讨这种罕见表现发生发展的可能机制，并总结与该临床情况相关的现有文献。
