Corticosteroids as a conservative treatment for recurrent pediatric oral pyogenic granuloma: a case report and review of the literature.

Abstract

Pyogenic granuloma is a noncancerous inflammatory tumor of the skin or mucous membranes. The most frequent causes include hormonal changes, drugs, or localized chronic inflammation. We report the case of an 11-year-old girl who presented with a bleeding gingival swelling and no significant medical history. The pyogenic granuloma presented as a sessile, lobulated, and violaceous lesion with fibrinous ulcerations and telangiectasias. The tumor recurred despite six surgical excisions. In this case report, we treated the latest recurrence with topical corticosteroids and triamcinolone injections, resulting in complete remission with no side effects. This case emphasizes the necessity for diagnostic certainty and the potential of corticosteroids as a less invasive and effective treatment for recurring pyogenic granuloma.