Pyogenic Granuloma During Pregnancy

Pyogenic Granuloma During Pregnancy

The disease of pyogenic granuloma is also referred to as granuloma gravidarum or pregnancy tumor.

Scientifically, the name of the disease is not typically correct as there is no pus formation involved and neither does the disease in histological terms symbolize a granuloma. Characterized by the outgrowth of tissue, this is mainly an oral disease involving vascular lesions of the skin and mucosa.

The lesions are seen in the form of nodule on the head, neck, extremities and upper part of the body. Under rare circumstances, the disease is also found in the gastrointestinal tract, larynx, conjunctiva and cornea. The exuberant tissues contain multiplying vascular channels, immature fibroblastic connective tissue and scattered inflammatory cells.

Although the exact reason for the disease is unknown, but it could be the result of physical trauma, irritation, poor oral hygiene or hormonal changes.  The lesions in the initial stages are normally red in color due to the accumulation of many blood vessels. With time, the color changes to a pink. The sizes may vary from millimeters to centimeters. Pyogenic granuloma is generally painless but is susceptible to bleeding or ulcers and can be at times painful as well. Some pyogenic granulomas grow at an incredible pace and if left untreated mature and transform into fibromas. 

The disease is observed to attack individuals of all age groups, young and old, with a higher percentage of occurrences in young adults and the fairer sex. It is reported in the female gender frequently owing to the hormonal changes that take place during puberty, pregnancy and menopause. Pregnant women are prone to the problem in the first three months mostly in the anterior nasal septum region.  Another common site for the disease is the gingiva. The disease is often referred to as pregnancy tumor. Studies indicate the prevalence of this tumor in 5 percent of pregnant women. The incidence of pyogenic granuloma in pregnant women is associated with the increase in the hormonal levels in the body during pregnancy.

This so called pregnancy tumor usually degenerates after delivery but may erupt again during the subsequent pregnancy. If the lesion persists and poses further complications such as bleeding and ulcers, then it can be cut and removed under medical supervision. However, one must wait for its removal till after the delivery as it has a tendency to reoccur during pregnancy.

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Pyogenic Granuloma During Pregnancy