Year : 2018

Volume : Volume 8

Issue : Issue 1

Address for correspondence :
Dr. Naina Pattnaik
drnainapattnaik@gmail.com

Abstract

Background:  A 45 years old female  reported to the department of periodontology, with a              solitary, oval, pedunculated hemangioma (?) on the gingiva, as the chief complain. The outgrowth was reddish in color, with ulcerative surface and was bleeding profusely on probing. Panoramic radiography, ultrasonography and haematological parameters such as CBC and PT were done. Laser diode (LD) excision was the surgeon’s choice. Post-operative histopathological report of the outgrowth revealed that the connective tissue was interspersed with numerous small and large budding capillaries (angiogenic activity). The blood vessels were distributed in a clustered pattern, as an identified feature of a typical   granuloma. So the case was confirmed as the oral lobular pyogenic granuloma (LPG). LPG was co-related with the past medical  history, findings of present physical examination and clinical reports. The Port-Wine Stain birthmark of right face, earlier epileptic episodes and funduscopic findings were gone in favor of Sturge-Weber Syndrome (SWS). Thus the LPG was  finally diagnosed as the intraoral manifestation of SWS. SWS is a rare congenital non-fatal neurocutanious disorder caused by somatic mosaic mutation.

Keywords: Pyogenic granuloma, Sturge-Weber Syndrome, The Port-Wine Stain.