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

By C.H. Siar, K.B. Yeo, K. Nakano, H. Nagatsuka, H. Tsujigiwa, M. Tomida, K.H. Ng and T. Kawakami


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

Topics: RK Dentistry
Year: 2011
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Provided by: UM Digital Repository

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