TY - JOUR
T1 - Recurrent epistaxis and unilateral intranasal mass in a teenager
AU - Bradshaw, Brad
AU - Ulualp, Seckin O.
AU - Rajaram, Veena
AU - Liu, Christopher
N1 - Publisher Copyright:
© Am J Case Rep, 2021.
PY - 2021
Y1 - 2021
N2 - Objective: Rare disease Background: Epistaxis in children is a common problem encountered in outpatient clinics and emergency departments. A wide variety of conditions may cause recurrent epistaxis in children. We describe clinical, radiologic, and histologic features of a lobular capillary hemangioma presenting as a rapidly growing intranasal mass in a child with recurrent epistaxis. Case Report: A 16-year-old male presented with a 2-month history of recurrent unilateral epistaxis requiring multiple vis-its to the emergency department. The child had nasal obstruction, snoring, no recurrent sinus infections, no anosmia nor hyposmia, no weight loss, no night sweats, no fever, no decreased activity, and no easy bruising. He denied any history of local trauma. On physical examination, a fleshy violaceous mass was found, protrud-ing from and obliterating the right nasal cavity. Magnetic resonance imaging documented an avidly enhancing mass centered at the right nasal vestibule. Upon resection, histologic evaluation indicated a pyogenic granu-loma. At the 2-month followup, the surgical site was healed with no evidence of recurrent lesion. Conclusions: Lobular capillary hemangioma, although uncommon, should be considered in the differential diagnosis of recurrent epistaxis and intranasal mass in children.
AB - Objective: Rare disease Background: Epistaxis in children is a common problem encountered in outpatient clinics and emergency departments. A wide variety of conditions may cause recurrent epistaxis in children. We describe clinical, radiologic, and histologic features of a lobular capillary hemangioma presenting as a rapidly growing intranasal mass in a child with recurrent epistaxis. Case Report: A 16-year-old male presented with a 2-month history of recurrent unilateral epistaxis requiring multiple vis-its to the emergency department. The child had nasal obstruction, snoring, no recurrent sinus infections, no anosmia nor hyposmia, no weight loss, no night sweats, no fever, no decreased activity, and no easy bruising. He denied any history of local trauma. On physical examination, a fleshy violaceous mass was found, protrud-ing from and obliterating the right nasal cavity. Magnetic resonance imaging documented an avidly enhancing mass centered at the right nasal vestibule. Upon resection, histologic evaluation indicated a pyogenic granu-loma. At the 2-month followup, the surgical site was healed with no evidence of recurrent lesion. Conclusions: Lobular capillary hemangioma, although uncommon, should be considered in the differential diagnosis of recurrent epistaxis and intranasal mass in children.
KW - Child
KW - Epistaxis
KW - Granuloma, pyogenic
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U2 - 10.12659/AJCR.933075
DO - 10.12659/AJCR.933075
M3 - Article
C2 - 34511595
AN - SCOPUS:85114708783
SN - 1941-5923
VL - 22
JO - American Journal of Case Reports
JF - American Journal of Case Reports
IS - 1
M1 - e933075
ER -