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

被引：0
作者：
C. H. Siar
K. B. Yeo
K. Nakano
H. Nagatsuka
H. Tsujigiwa
M. Tomida
K. H. Ng
T. Kawakami
机构：
[1] University of Malaya,Department of Oral Pathology, Oral Medicine and Periodontology, Faculty of Dentistry
[2] Gleneagles Intan Medical Centre,Hard Tissue Pathology Unit
[3] Matsumoto Dental University Graduate School of Oral Medicine,Department of Oral Pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
[4] Okayama University,Department of Oral Physiology
[5] Matsumoto Dental University School of Dentistry,Formerly Unit of Stomatology, Cancer Research Centre
[6] Institute for Medical Research,undefined
[7] Jalan Pahang,undefined
来源：
European Journal of Medical Research | / 16卷
关键词：
Wegener's granulomatosis; strawberry gingivitis; oral lesion; systemic disease;
D O I：
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摘要：
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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