Strawberry gingivitis as the first presenting sign of wegener's granulomatosis: report of a case

Autor: Siar CH, Yeo KB, Nakano K, Nagatsuka H, Tsujigiwa H, Tomida M, Ng KH, Kawakami T
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: European Journal of Medical Research, Vol 16, Iss 7, p 331 (2011)
Druh dokumentu: article
ISSN: 2047-783X
DOI: 10.1186/2047-783X-16-7-331
Popis: Abstract Wegener's granulomatosis is a rare multi-system disease characterized by the classic triad of necrotizing granulomas affecting the upper and lower respiratory tracts, disseminated vasculitis and glomerulonephritis. Oral lesions as a presenting feature are only encountered in 2% of these cases. Hyperplastic gingival lesions or strawberry gingivitis, is a characteristic sign of Wegener's granulomatosis. The latter consists of reddish-purple exophytic gingival swellings with petechial haemorrhages thus resembling strawberries. Recognition of this feature is of utmost importance for timely diagnosis and definitive management of this potentially fatal disease. A case of strawberry gingivitis as the first presenting sign of Wegener's granulomatosis affecting a 50-year-old Malay male is reported here. The differential diagnosis of red lesions that may present in the gingiva is discussed.
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