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

Siar, C.H. and Yeo, K.B. and Nakano, K. and Nagatsuka, H. and Tsujigiwa, H. and Tomida, M. and Ng, K.H. and Kawakami, T. (2011) Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis: report of a case. European Journal of Medical Research, 16 (7). pp. 331-334. ISSN 0949-2321,


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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.

Item Type: Article
Additional Information: ISI Document Delivery No.: 802GO Times Cited: 0 Cited Reference Count: 17 Cited References: Bhatt V, 2009, BRIT J ORAL MAX SURG, V47, P500, DOI 10.1016/j.bjoms.2009.02.012 COHEN RE, 1990, J PERIODONTOL, V61, P705 EUFINGER H, 1992, INT J ORAL MAX SURG, V21, P50, DOI 10.1016/S0901-5027(05)80454-0 Fletcher CD, 2002, PATHOLOGY GENETICS T Jaiarj Nathinee, 2003, J Mass Dent Soc, V52, P16 Lager I, 2003, ORAL SURG ORAL MED O, V96, P701, DOI 10.1016/S1079-2104(03)00370-6 Lilly J, 1998, ORAL SURG ORAL MED O, V85, P153, DOI 10.1016/S1079-2104(98)90418-8 Lourenco Silvia Vanessa, 2006, Acta Derm Venereol, V86, P90 Manchanda Y, 2003, J AM ACAD DERMATOL, V49, P335, DOI 10.1067/S0190-9622(03)00556-5 NAPIER SS, 1993, BRIT DENT J, V175, P327, DOI 10.1038/sj.bdj.4808316 Ponniah I, 2005, ORAL SURG ORAL MED O, V100, P265, DOI 10.1016/j.tripleo.2005.04.018 Rashmi MS, 2008, QUINTESSENCE INT, V39, P507 Ruokonen H, 2009, EUR J INTERN MED, V20, P651, DOI 10.1016/j.ejim.2009.04.007 Savage NW, 2010, AUST DENT J, V55, P55, DOI 10.1111/j.1834-7819.2010.01199.x Shiboski CH, 2002, ORAL SURG ORAL MED O, V94, P707, DOI 10.1067/moe.2002.129178 Siar CH, 2009, EUR J MED RES, V14, P315 Stewart C, 2007, J AM DENT ASSOC, V138, P338 Siar, C. H. Yeo, K. B. Nakano, K. Nagatsuka, H. Tsujigiwa, H. Tomida, M. Ng, K. H. Kawakami, T. I holzapfel verlag gmbh Munich
Uncontrolled Keywords: Wegener's granulomatosis strawberry gingivitis oral lesion systemic disease oral manifestations lesions
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry > Dept of Oral Pathology & Oral Medicine & Periodontology
Depositing User: Ms Nursyafiqah Abd Malek
Date Deposited: 10 Jan 2013 00:15
Last Modified: 10 Jan 2013 00:15

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