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This case report aims to elaborate on an unusual clinical presentation of oral pyogenic granuloma in a middle-childhood female patient. The clinical and radiographic characteristics of the lesion were unremarkable to the diagnosis but rather mimicked other intraoral lesions. It is histopathology that could solve the puzzle with the microscopic and immunohistochemical findings that rendered the final diagnosis of lobular capillary haemangioma.<\/jats:p>","DOI":"10.1136\/bcr-2024-260483","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:52:13Z","timestamp":1724287933000},"page":"e260483","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unusual clinical presentation, microscopy and immunohistochemistry of oral pyogenic granuloma in a paediatric patient"],"prefix":"10.1136","volume":"17","author":[{"given":"Rajeswary","family":"Amritha","sequence":"first","affiliation":[{"name":"Pediatric and Preventive Dentistry, CDER, AIIMS, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2924-8857","authenticated-orcid":false,"given":"Morankar","family":"Rahul","sequence":"additional","affiliation":[{"name":"Pediatric and Preventive Dentistry, CDER, AIIMS, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Jot","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology and Microbiology CDER, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitesh","family":"Tewari","sequence":"additional","affiliation":[{"name":"Pediatric and Preventive Dentistry, CDER, AIIMS, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"2025082704121908000_17.8.e260483.1","doi-asserted-by":"crossref","first-page":"423","DOI":"10.3889\/oamjms.2017.111","article-title":"Pyogenic Granuloma - A Common Benign Vascular Tumor with Variable Clinical Presentation: new Findings and Treatment Options","volume":"5","author":"Wollina","year":"2017","journal-title":"Open Access Maced J Med Sci"},{"key":"2025082704121908000_17.8.e260483.2","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1097\/00000478-198010000-00007","article-title":"Lobular capillary hemangioma: the underlying lesion of pyogenic granuloma. 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