Conjunctival Botryomycoma: A Case Report

Mehdi Khamaily,Joumany Brahim Salem,Fouad El Asri,Abdelbarre Oubaaz,Yassine Mouzari,Rachid Zerrouk,Mounia Bouchaar,Karim Reda,Sidi Dahi,Imane Tarib

doi:10.24018/ejmed.2020.2.4.334

Mehdi Khamaily, Joumany Brahim Salem + Show 8 more

Open Access

https://doi.org/10.24018/ejmed.2020.2.4.334

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Abstract

The fleshy telangiectatic bud or pyogenic granuloma is a tumor-like lesion that develops from chronic inflammatory situations of the conjunctiva or the eyelid. The chalazion represents one of the most frequent of these situations. We report the case of a child who presented, after a chalazion, a pyogenic granuloma, treated by surgical removal.

Highlights

Conjunctival involvement is rare, it is typical of childhood [2], which occurs in the form of a benign inflammatory fibrovascular proliferation, often occurring at the level of the palpebral conjunctiva in reaction to an attack or trauma [3]
We report the case of an 8-year-old child who presented to the consultation for a painless lump of the upper palpebral conjunctiva that bleeds when the eyelid rubs (Fig. 1)
We tried to take medication based on topical corticosteroid therapy, but without results, we performed the surgical excision under local anesthesia

Summary

Introduction

Botryomycoma, known as pyogenic granuloma or lobulated capillary hemangioma, is a benign tumor of vascular origin in the superficial dermis, but hypodermic and mucous forms have been reported [1].Conjunctival involvement is rare, it is typical of childhood [2], which occurs in the form of a benign inflammatory fibrovascular proliferation, often occurring at the level of the palpebral conjunctiva in reaction to an attack (chalazion or previous surgery) or trauma [3].This conjunctival tumor remains painless, bright red in color with smooth surface bleeding often pedunculated [4], of favorable evolution under topical anti inflammatory treatment which can be attempted first, in case of incomplete regression, surgical excision is the treatment [5].Argon laser treatment has not been shown to be effective on this type of tumor [6]. Index Terms — conjunctival tumor, pyogenic Granuloma. Botryomycoma, known as pyogenic granuloma or lobulated capillary hemangioma, is a benign tumor of vascular origin in the superficial dermis, but hypodermic and mucous forms have been reported [1]. Conjunctival involvement is rare, it is typical of childhood [2], which occurs in the form of a benign inflammatory fibrovascular proliferation, often occurring at the level of the palpebral conjunctiva in reaction to an attack (chalazion or previous surgery) or trauma [3].

Results

Conclusion