Archives of pediatrics & adolescent medicine · 2000
Pyogenic granuloma presenting as a congenital epulis.
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Willies-Jacobo L J, Isaacs H, Stein M T
Аннотация
OBJECTIVE: To describe a clinical approach to the differential diagnosis of oral lesions in neonates.
DESIGN: Case report.
SETTING: Academic ambulatory care center.
PARTICIPANTS: Male infant.
RESULTS: A gingival mass in a male infant appeared clinically consistent with a congenital epulis. Following excision and histologic examination, the diagnosis was determined to be a pyogenic granuloma. Careful attention to alternative diagnoses led to the correct etiology.
CONCLUSIONS: Primary care pediatricians encounter neonatal oral lesions infrequently. The most common oral lesions in the newborn period are Epstein pearls and Bohn nodules. This case illustrates the importance of formulating a more extensive differential diagnosis on discovery of a neonatal oral mass.
DESIGN: Case report.
SETTING: Academic ambulatory care center.
PARTICIPANTS: Male infant.
RESULTS: A gingival mass in a male infant appeared clinically consistent with a congenital epulis. Following excision and histologic examination, the diagnosis was determined to be a pyogenic granuloma. Careful attention to alternative diagnoses led to the correct etiology.
CONCLUSIONS: Primary care pediatricians encounter neonatal oral lesions infrequently. The most common oral lesions in the newborn period are Epstein pearls and Bohn nodules. This case illustrates the importance of formulating a more extensive differential diagnosis on discovery of a neonatal oral mass.