Colonic pyogenic granuloma in children: a rare or rarely recognized entity.
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A 27-year-old male patient had recurrent pyogenic granuloma with satellitosis. Histologically, Warthin-Starry staining of the lesions revealed clumps of dark bacilli as found in patients with bacillary angiomatosis. IgG antibodies against Bartonella (Rochalimaea) henselae were elevated as shown by an indirect immunofluorescence assay. The patient did not present an obvious risk for HIV infection or immunosuppression, and no antibodies against HIV-1 and HIV-2 were found. Recurrent pyogenic granuloma with satellitosis may be a localized variant of bacillary angiomatosis.
This paper describes the examination, diagnosis and treatment of a rapidly enlarging tongue mass presenting in a healthy 12-year-old girl. This mass caused distress to both the patient and her parents and diagnostic uncertainty for her general medical and dental practitioners. The lesion was in fact caused by an orthodontic quadhelix appliance and responded to simple treatment.
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