Lobular capillary hemangioma (LCH)
Formerly known as pyogenic granuloma, is a benign vascular lesion of the skin and mucosa. These lesions are more common in male children and in female adults during pregnancy. The head and neck are the most frequent sites of occurrence, with cutaneous or lip lesions presenting most commonly, followed by oral mucosa and nasal mucosa. LCH of the nasal mucosa can present with recurrent unilateral epistaxis and unilateral nasal obstruction or rhinorrhea. Most nasal lesions occur in Little’s area on the anterior septum, in the nasal vestibule or inferior turbinate. Repetitive trauma or manipulation has been suspected as a causative factor.