Pyogenic Granulomas By Denise M Aaron, MD, Dartmouth Geisel School of Medicine Reviewed / Revised Jan 2022 | Modified Sep 2022 View Patient Education Diagnosis Treatment Topic Resources Pyogenic Granuloma (Palm) Pyogenic Granuloma (Lip) Pyogenic Granuloma (Shoulder) Pyogenic Granuloma (Nail) Pyogenic granulomas are fleshy, moist or crusty, usually scarlet vascular nodules composed of proliferating capillaries in an edematous stroma.