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