Recurrent pyogenic granuloma with a satellite lesion

Area of Science:

• Oral pathology
• Dermatology
• Obstetrics

Background:

• Pyogenic granuloma (PG) is a non-neoplastic, tumor-like growth resulting from minor trauma.
• It commonly affects young adults, particularly females, presenting as a vascular, exophytic lesion.
• Oral PGs are often associated with hormonal changes, such as those during pregnancy.

Observation:

• A 30-year-old pregnant woman presented with a pyogenic granuloma on the anterior palate.
• The lesion was a smooth, lobulated, erythematous, and hemorrhagic papule.
• The patient had a history of minor trauma to the area.

Findings:

• The pyogenic granuloma recurred one year after surgical excision.
• A satellite lesion also developed alongside the recurrent pyogenic granuloma.
• Histopathological examination confirmed the diagnosis of pyogenic granuloma.

Implications:

• Pregnancy-associated pyogenic granulomas may have a higher recurrence rate.
• Close monitoring and prompt treatment are essential for recurrent oral pyogenic granulomas.
• Understanding the hormonal influence on pyogenic granuloma development is crucial for patient management.