Management of unusual case of Crocker and Hartzell's disease in a young patient with a 1 year follow-up

Abstract

Soft tissue enlargements of the oral cavity often present a diagnostic challenge because a diverse group of pathological processes can produce such lesions. Crocker and Hartzell's disease is one of the most common entities responsible for causing soft tissue enlargements. It is a relatively common benign mucocutaneous lesion. Crocker and Hartzell's disease has been referred to by other names such as pregnancy tumour, pyogenic granuloma, granuloma pediculatum benignum, benign vascular tumour and vascular epulis. The incidence is 26.8–32% of all reactive lesions. It is seen mostly in second or third decade of life and commonly seen in women. The most frequently involved site is the maxillary gingiva; other sites are lip, tongue, buccal mucosa and palate. This paper presents a rare case of Crocker and Hartzell's disease found on mandibular anterior gingiva of an 8-year-old male patient.

Management of liver clot following surgical excision of a recurrent pyogenic granuloma: A case report

“…However, this term is a misnomer as the lesion is angiomatous histologically and is not associated with any purulent discharge [4] . Pyogenic granulomas comprise 26.8-32% of all reactive lesions [5] . Initially thought to originate from a botryomycotic infection, the pathology is now ascribed to the existence of chronic trauma, which provides a pathway for the invasion of the tissue by nonspecific microorganisms that further stimulate the exuberant proliferation of vascular connective tissue.…”