Pyogenic Granuloma
A 45-year-old woman with type 2 diabetes presented to the plastic surgery clinic with a 6-week history of a painless upper-lip lesion. The lesion had rapidly increased in size over the previous 3 weeks and bled when lightly touched. The patient was not pregnant. On physical examination, the lesion was found to be an erythematous, round, smooth, pedunculated mass (Panel A). It was friable but not tender to touch. Histopathological examination of an excisional biopsy specimen showed proliferating vessels, fibroblasts, numerous inflammatory cells, and surface ulceration, findings consistent with pyogenic granuloma (Panel B). Pyogenic granulomas — also known as lobular capillary hemangiomas — are benign, rapidly growing vascular tumors that may occur at sites of frequent trauma, such as the lips, gingiva, and fingers. Contrary to what the name suggests, neither pus nor granulomatous tissue is associated with these lesions. Bleeding is common and is often the presenting symptom. The lesions are typically excised to address the bleeding, ulceration, or cosmetic appearance. At a 4-month follow-up visit, the lesion had not recurred. David Komakech, M.B., Ch.B. Saint Mary’s Hospital Lacor, Gulu, Uganda source: nejm.org
Living with HIV was one of the hardest experiences of my life. The fatigue, the emotional toll, and the uncertainty about the future weighed on me every single day. I had tried many treatments and medications, but nothing seemed to restore my health or energy the way I hoped.Out of both hope and desperation, I came across NaturePath Herbal Clinic. At first, I was skeptical but something about their natural approach and the powerful stories I read gave me the courage to try one more time.I began their herbal treatment program, and within a few weeks, I noticed small but meaningful changes more energy, better sleep, and a stronger immune system. Over the months, those improvements only grew. Today, I can truly say my life has changed. I feel healthier, more balanced, and finally in control of my well-being again.This isn’t just a testimony it’s a heartfelt recommendation to anyone living with HIV or any chronic condition. Don’t give up hope. I’m so grateful I gave NaturePath Herbal Clinic a chance. Visit their website to learn more: www.naturepathherbalclinic.com Email: info@naturepathherbalclinic.com
