An umbilical granuloma is a relatively common lesion in young infants.
Pathogenesis: pyogenic granuloma
Risk factors:
(1) umbilical infection
(2) recurrent umbilical inflammation
Clinical features:
(1) The umbilicus shows a soft, friable pedunculated lesion that is often pink or red.
(2) The lesion may drain a serous fluid.
(3) It may persist for several weeks.
(4) There is no evidence of cellulitis or rapid change unless there is superinfection.
Management may include:
(1) simple observation
(2) chemical cautery with silver nitrate
(3) surgical excision
(4) cryoablation
(5) application of salt
Complications:
(1) superinfection
(2) burns on adjacent skin secondary to silver nitrate therapy of the granuloma
