A Case of Venous Hemangioma

We experienced a case of venous hemangioma, which was clinically suspected as a granuloma pyogenicum but confirmed histopatholoically. The patient was a 27-year-old woman, who showed erythematous bluish nontender nodules on the right nostril and ala nasi. Histopathologic examination showed blood vessels with thick fibromusclar wall and thin wall in the dermis. The blood vessel with thick wall was lined by a single layer of endothelial cells and lacked elastic fibers on Verhoeff van Gieson stain.

She was treated with surgical excision, laser therapy(SPTL-1) and intralesional triamcinolone acetonide injection.