 Although no isolated injury event can be recalled, the patient has developed a pyogenic granuloma next to the distal portion of this lesion on her mid thigh, and it has been treated with topical cautery in her primary care doctor's office, but with recurrence. 
Although no isolated injury event can be recalled , the patient has developed a pyogenic granuloma next to the distal portion of this lesion on her mid thigh , and it has been treated with topical cautery in her primary care doctor 's office , but with recurrence .