Eosinophilic ulcer of the oral mucosa, also known as traumatic ulcerative granuloma with stromal eosinophilia, is a rare condition and the pathogenesis of the disease is unclear. There are theories that suggest that trauma plays a big role in the development of the condition, but others imply, that it may be a reactive pattern secondary to several stimuli. The disease most often affects the tongue, but it can also occur on the mucobuccal fold, lip, palate or gingiva. The inflammatory lesion is typically described as a solitary ulcer with elevated borders and a white or yellow fibrinous base, but, sometimes, the symptoms may vary.
This is a case report of a young, seven-year-old girl, who had granulomatous changes and growth on both sides of the buccal sulcus. A biopsy and a blood test were taken and her and her mother’s medical history examined. Results indicated an eosinophilic ulcer. After corrective surgery under general anesthesia, in a three week follow up, there were only signs of mild redness and irregularity of the oral mucosa. After four months, the area was completely healed.
The objective of this case report is to highlight our findings and to help other medical professionals to make the right diagnosis and treatment plans. According to our case, surgical excision of an eosinophilic ulcer leads to a good result.