• Arch Pediat Adol Med · Jun 2000

    Review Case Reports

    Pyogenic granuloma presenting as a congenital epulis.

    • L J Willies-Jacobo, H Isaacs, and M T Stein.
    • Department of Pediatrics, University of California San Diego Medical Center, 92103-8464, USA.
    • Arch Pediat Adol Med. 2000 Jun 1;154(6):603-5.

    ObjectiveTo describe a clinical approach to the differential diagnosis of oral lesions in neonates.DesignCase report.SettingAcademic ambulatory care center.ParticipantsMale infant.ResultsA 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.ConclusionsPrimary 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.

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