Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis: report of a case
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. H...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
2011
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| Subjects: | |
| Online Access: | http://eprints.um.edu.my/4341/1/Strawberry_gingivitis_as_the_first_presenting_sign_of_Wegener%27s_granulomatosis__Report_of_a_case.pdf http://eprints.um.edu.my/4341/ |
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| Summary: | 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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