M.O is a 37 years old man complaining of a sudden small growth with continuous bleeding on his finger, erythematous, painless papule lesion (figure1). Th e lesion was very small in size, firm and shiny when first noticed by the patient. No history of trauma or accident in that area. It was tender to touch with a tendency to bleed more if touched. Th e patient tried topical antibiotics for one month before he went to seek medical assistance (figure2). When the bleeding couldn t be controlled by antibiotics, he went to a GP for a general checkup. Th e GP diagnosed the bleeding as a superficial infection and pescribed oral cefixime 400 mg once daily for 7 days plus topical fucidic acid ointment twice daily for one month (figure3). Figure 3 shows there was no improvement after the antibiotic course. A dermatologist was seen after that and diagnosed it as a pyogenic granuloma. A second opinion from another dermatologist was taken to confirm the diagnoses. Th e dermatologists decided that there was no need for biopsy at the moment because of the small area of bleeding.