Pyogenic sarcoidosis is also a common pediatric vascular tumor, second only to infantile hemangioma in incidence. There is no age limit for the onset of the disease, but it is most often seen in children, is less common before the age of 1 year, and is easily misdiagnosed as an infantile hemangioma. Pustular granulomas initially present as bright red papules several millimeters to 2M in size with intact epithelium, indicating that ulcers often form and may have a tip. They can occur anywhere with skin mucosa, and are more common on the head and neck. More infantile hemangiomas are rich in blood flow and bleed easily. A small number of patients have a history of local trauma. Purulent granulomas can be de novo or secondary to other vascular malformation lesions. Rather than an infectious disease or granulation tissue, septic granuloma is a proliferative vascular tumor, which has been described as a lobular capillary hemangioma. Treatment should be local injection of phenylephrine, surgery, electrocoagulation, freezing or laser depending on the location and size of the lesion. Larger purulent granulomas are prone to recurrence after treatment. Another rare postoperative complication is satellite-like multiple lesions.