Pyogenic granuloma is a common proliferative lesion that often occurs shortly after a minor injury or infection of the skin. Typically the lesion grows rapidly for a few weeks before stabilizing as an elevated, bright red papule, usually not more than 1 to 2 cm in size. Recurrence after surgery or cautery is not rare. The development of multiple satellite angiomatous lesions at and around the site of a previously destroyed pyogenic granuloma is a rare and alarming event. Herein we report a case of recurrent pyogenic granuloma with multiple satellites that developed after excision of a single lesion of pyogenic granuloma in an 8-year-old boy. (Korean J Dermatol 2002;40(1)：68~71)