The appearance of<unk>  is usually a color ranging from red/pink to purple, grows rapidly, and can be smooth or mushroom-shaped. Younger lesions are more likely to be red because of their high number of blood vessels. Older lesions begin to change into a pink color. Size commonly ranges from a few millimeters to centimeters, though smaller or larger lesions may occur. A<unk>  can be painful, especially if located in an area of the body where it is constantly disturbed.<unk> s can grow rapidly and often bleed profusely with little or no trauma. They may exude an oil-like substance, causing the surface to be damp. This is especially true if the granuloma is located on the scalp. Epulis granulomatosum is a variant of<unk>  that forms only on gingiva, and is often seen forming in a recent extraction socket.<unk> s appear on the gingiva in 75% of cases, more often in the maxillary than mandibular jaw. Anterior areas are more often affected than posterior areas. It can also be found on the lips, tongue, and inner cheek. Poor oral hygiene or trauma are usually precipitating factors. One study has suggested a correlation between<unk> s and Bartonella seropositivity. However, this association has been questioned by others. The microscopic appearance of a<unk>  consists of highly vascular granulation tissue. Inflammation is present. The lesion may have a fibrous character if it is older, and the surface may have ulcerations.<unk> s rarely occur in the conjunctiva, cornea, or connective tissue of the eye following minor local trauma. Grossly, these mass lesions resemble those occurring at more common sites. The relationship of these lesions to lobular capillary hemangiomas of skin and oropharyngeal mucosa commonly referred to as<unk>  is uncertain. File:Pyogenic granuloma on a finger-1.jpg File:Pyogenic Granuloma Thumb 1.JPG File:Pyogenic Granuloma Thumb 2.JPG Associated conditions Due to its overwhelming incidence on the gingiva, the condition is often associated with two other diseases, though not because they occur together. Instead, the three are associated with each other because they appear frequently on gingiva—peripheral giant cell granuloma and peripheral ossifying fibroma. Detailed analysis can be used to distinguish these conditions.
Pyogenic granuloma
Kaposi's sarcoma
Actinic granuloma
Infantile hemangioma  Infantile hemangioma  1
Angiokeratoma
Aquarium granuloma
Silicone granuloma
Acral fibrokeratoma