Granuloma Pyogenicum (Pyogenic Granuloma) Causing Severe Anemia

To the Editor.— That granuloma pyogenicum (pyogenic granuloma) bleeds easily upon slightest trauma is generally known. Yet seldom (if ever!) is the practitioner confronted with a patient who requires emergency transfusion because of acute and chronic blood loss from this tumor. Recently such a circumstance arose in our clinic. Report of a Case In April 1971 a 10-month-old black male infant was referred to us for treatment of a hemorrhagic skin tumor on his left brow. The lesion had been cauterized with silver nitrate on several occasions; however, the lesion responded only transiently to this form of therapy, and bleeding from its surface became more frequent and unmanageable. When we saw the patient, his mother stated that the lesion had been present six months, and during this period it had grown rapidly. Bleeding, at times, had been profuse, and frequently his bedclothes and sheets were soiled with blood. Recently, he