Epistaxis as an Initial Manifestation of Juvenile Xanthogranuloma: A Case Report

Abstract

Juvenile xanthogranuloma (JXG) is a rare benign histiocytic tumor, which was first described by Adamson in 1905. JXG typically presents as solitary or multiple yellow-brown skin nodules in infants, most often on the head, neck or upper trunk. Extracutaneous forms are rare and there are only several cases reported in the nasal cavity up to date. Previous cases were presented with the mass effect such as nasal obstruction. We recently experienced a pediatric patient with epistaxis and the nasal endoscopy suggested pyogenic granuloma. However, biopsy of the mass revealed JXG. Herein, we report a case of disseminated juvenile xanthoma misdiagnosed as pyogenic granuloma.