|LETTER TO EDITOR
|Year : 2017 | Volume
| Issue : 1 | Page : 64-65
Unusual presentation of a traumatic ulcerative granuloma with stromal eosinophilia
Treville Pereira1, Subraj Shetty1, Svylvy Pereira2
1 Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, Maharashtra, India
2 Private Practioner, 1101, Maruti Mount View, Sector 8-B, C.B.D, Belapur, Navi Mumbai, Maharashtra, India
|Date of Web Publication||14-Jun-2017|
Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Sector 7, Nerul, Navi Mumbai - 400 706, Maharashtra
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Pereira T, Shetty S, Pereira S. Unusual presentation of a traumatic ulcerative granuloma with stromal eosinophilia. J Orofac Sci 2017;9:64-5
|How to cite this URL:|
Pereira T, Shetty S, Pereira S. Unusual presentation of a traumatic ulcerative granuloma with stromal eosinophilia. J Orofac Sci [serial online] 2017 [cited 2021 Oct 22];9:64-5. Available from: https://www.jofs.in/text.asp?2017/9/1/64/207947
We would like to report an interesting case of a 24-year-old male patient who reported to our dental clinic at Airoli, Navi Mumbai with a growth on the left buccal mucosa. The patient gave a history of a toothbrush injury. Initially, the lesion was ulcerated which later on healed to form a firm bluish growth [Figure 1]. The lesion was surgically excised. On grossing, the specimen showed multiple hemorrhagic areas.
Histopathologically, the lesion showed a stratified squamous epithelium. The underlying connective tissue stroma showed a dense infiltrate of lymphocytes and abundant eosinophils and histiocytes. There were also large hemorrhagic areas present [Figure 2]. The lesion was diagnosed as an unusual presentation of a traumatic ulcerative granuloma with stromal eosinophilia.
|Figure 2: Photomicrograph showing the stratified squamous epithelium with large haemorrhagic areas in the connective tissue (a) connective tissue showing an abundance of eosinophils (b). (H and E stain, a-10X, b-40X)|
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Traumatic ulcerative granuloma with stromal eosinophilia is known by a number of other names such as traumatic granuloma, eosinophilic ulcer or eosinophilic granuloma.,, It is a benign, reactive, self-limiting condition of the oral cavity. It characteristically presents as a self-healing solitary ulcer of weeks or months in duration following trauma, although in most cases the history of trauma cannot be elicited. Acute trauma from sharp tooth, sharp filling, ill-fitting partial dentures or physical sharp bite is said to be the cause. In the present case, the injury was caused by a toothbrush and the lesion presented itself as an ulcer initially but later on healed and formed a growth.
Traumatic ulcerative granuloma with stromal eosinophilia is more common in adults over the age of forty and more common in males  with male to female ratio of 1.6:1. In the present case, the patient was a 24-year-old male. Simple surgical excision is the treatment of choice. Most of the lesions undergo resolution after incisional biopsy. Rapid healing was achieved in the present case following surgery [Figure 3].
It is interesting to note that such a case with an unusual presentation and location has not been reported in the literature.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Neville BW, Damm DD, Allen CM, Bouquot CE. Traumatic ulcerations. In: Oral and Maxillofacial Pathology. 3rd
ed. Philadelphia: W.B. Saunders; 2009. p. 287-9.
Elzay RP. Traumatic ulcerative granuloma with stromal eosinophilia (Riga-Fede's disease and traumatic eosinophilic granuloma). Oral Surg Oral Med Oral Pathol 1983;55:497-506.
Sklavounou A, Laskaris G. Eosinophilic ulcer of the oral mucosa. Oral Surg Oral Med Oral Pathol 1984;58:431-6.
Marszalek A, Neska-Dlugosz I. Traumatic ulcerative granuloma with stromal eosinophilia. A case report and short literature review. Pol J Pathol 2011;62:172-5.
Chavan SS, Reddy P. Traumatic ulcerative eosinophillic granuloma with stromal eosinophilia of tongue. South Asian J Cancer 2013;2:144.
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[Figure 1], [Figure 2], [Figure 3]