Pregnancy granuloma appearance may be best described as which of the following?

• A. A white patch that cannot be wiped off
• B. A red surface underneath that may be wiped off
• C. A blue-black discoloration
• D. A painful ulcer

Answer: (B)

Pregnancy granuloma is a benign, highly vascular lesion of the gingiva that arises with hormonal changes during pregnancy. It usually presents as a small to moderate, soft, red-to-reddish-purple mass on the gingival margin or interdental papilla that bleeds easily when touched. The surface can look bright red and may have surface sloughing or exudate that can be wiped away, exposing the underlying tissue. This description—an easily bleeding, red surface that may be wiped off—fits the appearance of granuloma gravidarum better than a white patch, a blue-black discoloration, or a painful ulcer. In practice, management emphasizes good oral hygiene and plaque control, with surgical removal considered if the lesion persists after pregnancy or causes ongoing issues.