Which condition is described as a pedunculated, red, vascular lesion on the palpebral conjunctiva?

• A. Pyogenic granuloma
• B. Hemangioma
• C. Conjunctival nevus
• D. Pterygium

Answer: (A)

A pedunculated, red, vascular lesion on the palpebral conjunctiva is characteristic of pyogenic granuloma. This lesion, also called a lobular capillary hemangioma, often appears after minor trauma or irritation and grows rapidly as a friable, stalk-like nodular growth that bleeds easily. This distinguishes it from a conjunctival nevus, which is pigmented and typically flat or mildly elevated; a conjunctival hemangioma can be vascular but is not usually a rapidly growing pedunculated lesion on the eyelid conjunctiva; and a pterygium is a fibrovascular growth from the bulbar conjunctiva onto the cornea, usually on the nasal side and not pedunculated or acutely vascular.