Multiple Pyogenic Granulomas Following Burn, Wounds and Their Management: A Case Report

Introduction: Pyogenic granuloma (PG) is indeed classified as a benign, non-neoplastic vascular tumor. Pyogenic granuloma, despite its name, is not associated with pus production and is not caused by infection. Multiple pyogenic granulomas arising from burns are extremely rare. We present a new case of numerous pyogenic granulomas secondary to second- and third-degree burns caused by a flame injury, and its management. Case Presentation: A 39-year-old male smoker presented to Imam Ali (AS) Hospital, Bojnord, Iran, with deep second and third-degree burns to his face and upper torso. The patient’s resuscitation was completed within the first three days, and he became a candidate for surgical debridement. Three weeks later, the patient returned with multiple granulomatous lesions in the burned areas. They were then treated with electrocautery, and the patient recovered well without complications. Conclusion: The eruptive form of pyogenic granuloma following burns is very rare, and its etiology and pathogenesis remain controversial. Pyogenic granuloma lesions following burns are benign based on clinical features and histopathological examination. Several successful methods have been used to treat pyogenic granulomas; however, surgery, when feasible, is the most reliable method for local control.