Pyogenic Granuloma of Inferior Turbinate in Children: Common Symptoms with a Rare Diagnosis

NOR EYZAWIAH HASSAN; SITI NUR FARHANA ARIFF; SHAHRUL HITAM; NOR AZIRAH SALAHUDDIN; SITI ASMAT AREPEN

doi:10.33102/mjosht.v7i3.204

Authors

NOR EYZAWIAH HASSAN Otorhinolaryngology Head And Neck Surgery, Surgical-based Department, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia (USIM).
SITI NUR FARHANA ARIFF Department of Otorhinolaryngology, Ampang Hospital, Selangor, Malaysia.
SHAHRUL HITAM Department of Otorhinolaryngology, Ampang Hospital, Selangor, Malaysia
NOR AZIRAH SALAHUDDIN Otorhinolaryngology Head And Neck Surgery, Surgical-based Department, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia (USIM).
SITI ASMAT AREPEN Otorhinolaryngology Head And Neck Surgery, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia (USIM).

DOI:

https://doi.org/10.33102/mjosht.v7i3.204

Keywords:

pyogenic granuloma, turbinates, epistaxis, child, nasal cavity, benign

Abstract

Pyogenic granuloma (PG) is a rapidly growing benign lesion of the skin and mucous membrane. Its etiology is still unclear. It is suggested to have arisen either due to trauma or hormonal influences. Pyogenic granuloma is regularly found in the oral cavity. Even though it is rare, it does occur in the nasal cavity and a few cases of pyogenic granuloma have been reported among the paediatric population. We present a case of a 6-year-old boy, who presented with unilateral nasal blockage and recurrent epistaxis. The child has a history of allergic rhinitis and frequent nasal picking. Clinical examination revealed a small broad based reddish mass at the anterior part of the right inferior turbinate. The histopathological examination from complete excisional biopsy was consistent with pyogenic granuloma. Although pyogenic granuloma is relatively rare, we should raise suspicion in young patients who complain of progressive unilateral nasal blockage and recurrent epistaxis, with or without a history of trauma. Thorough clinical examination is adequate in small lesion thus sparing the need for radiological investigation for bigger and extensive lesions. Complete excision is the ultimate treatment to avoid recurrence.

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