Pyogenic granuloma in a patient with lichen planus – A correlation or coincidence?

2021-12-05 Dentistry

A 63years old female patient reported to the department of periodontology with the chief compliant of bleeding gums and burning sensation of gums. Patient gave history of present illness since 30 years. Pyogenic granuloma (PG) is a common benign non-neoplastic mucocutaneous lesion and Oral lichen planus (OLP) is an autoimmune cell-mediated phenomenon which variably presents on the oral mucosa as white striations or plaques and erythema, often with a component of ulcerative erosion. The association of oral lichen planus and the intake of drugs is a well described subclassification of OLP, known as oral lichenoid drug eruption. Although there is no association between pyogenic granuloma and lichen planus reported in the literature, present case is rare in its entity. Hence this case report describes detail history and management of an unusual case of lichen planus with intraoral pyogenic granuloma recurring multiple times after surgical excisions not in the same region.