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


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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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References

R. Puxeddu, M. Berlucchi, G. P. Ledda, G. Parodo, D. Farina, and P. Nocolai, “Lobular capillary hemangioma of the nasal cavity: A retrospective study on 40 patients,” Am. J. Rhinol., vol. 20, no. 4, pp. 480–484, 2006, doi: 10.2500/ajr.2006.20.2878.

P. A, “Botromycose Humain,” Rev Chir, no. 18, pp. 996–8, 1897.

H. MB, “Granulation pyogenicum,” J Cutan., no. 22, pp. 520–3, 1974.

F. R. Mills SE, Cooper PH, “Lobular capillary hemangioma: the underlying lesion of pyogenic granuloma. A study of 73 cases from the oral and nasal mucous membranes,” Am. Jour os Surg Pathol, vol. 5, no. 4, pp. 470–9., 1980.

S. J. Patrice, K. Wiss, and J. B. Mulliken, “Pyogenic Granuloma (Lobular Capillary Hemangioma): A Clinicopathologic Study of 178 Cases,” Pediatr. Dermatol., vol. 8, no. 4, pp. 267–276, 1991, doi: 10.1111/j.1525-1470.1991.tb00931.x.

T. dos S. F. Pereira et al., “Oral pyogenic granulomas show MAPK/ERK signaling pathway activation, which occurs independently of BRAF, KRAS, HRAS, NRAS, GNA11, and GNA14 mutations,” J. Oral Pathol. Med., vol. 48, no. 10, pp. 906–910, 2019, doi: 10.1111/jop.12922.

C. Delbrouck, M. Chamiec, S. Hassid, and R. Ghanooni, “Lobular capillary haemangioma of the nasal cavity during pregnancy,” J. Laryngol. Otol., vol. 125, no. 9, pp. 973–977, 2011, doi: 10.1017/S0022215111001654.

M. U. Kumar RA, Babu MM, Venkatarajamma PR, “Pyogenic Granuloma of Nasal Septum: A Case Report and Review of Literature,” Int Journ Otolaryngol Head Neck Surg., no. 27, p. 2014, 2014.

G. H. L. Saravana, “Oral pyogenic granuloma: A review of 137 cases,” Br. J. Oral Maxillofac. Surg., vol. 47, no. 4, pp. 318–319, 2009, doi: 10.1016/j.bjoms.2009.01.002.

N. E. Hassan and B. S. Goh, “Pyogenic granuloma of the nasal septum: A rare cause of epistaxis,” Brunei Int. Med. J., vol. 8, no. 6, pp. 367–370, 2012.

M. R. Cordisco, “Hemangiomas of infancy: Epidemiology,” Hemangiomas Vasc. Malformations An Atlas Diagnosis Treat., vol. 138, pp. 17–21, 2009, doi: 10.1007/978-88-470-0569-3_3.

D. G. Lee et al., “CT Features of Lobular Capillary Hemangioma of the Nasal Cavity,” Am. J. Neuroradiol., vol. 31, no. 4, pp. 749–754, 2010, doi: 10.3174/ajnr.A1908.

S. Rai, P. Bhatnagar, and M. Kaur, “Laser: A powerful tool for treatment of pyogenic granuloma,” J. Cutan. Aesthet. Surg., vol. 4, no. 2, p. 144, 2011, doi: 10.4103/0974-2077.85044.

Published

2021-09-01
CITATION
DOI: 10.33102/mjosht.v7i3.204
Published: 2021-09-01

How to Cite

HASSAN, N. E., ARIFF, S. N. F., HITAM, S., SALAHUDDIN, N. A., & AREPEN, S. A. (2021). Pyogenic Granuloma of Inferior Turbinate in Children: Common Symptoms with a Rare Diagnosis . Malaysian Journal of Science Health & Technology, 7(3), 47–49. https://doi.org/10.33102/mjosht.v7i3.204

Issue

Vol. 7 No. 3 (2021): Special Issue on Clinical Scenarios In Medicine, A Malaysian Experience (Case Report)

Section

Ear, Nose and Throat

Copyright (c) 2021 Arepen S.A.M.D. et al.

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