Strawberry gingiva: a distinctive sign in wegener's granulomatosis

A 37-year-old man presented with gingival hyperplasia accompanied by an ulcer on the eyelid, nasal obstruction, ear discharge, and discharging nodules on the cheek and back. An evaluation for infectious diseases and leukemia was negative. During his hospital stay, he had fever and migratory joint pa...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2003-08, Vol.49 (2), p.335-337
Main Authors: Manchanda, Yashpal, Tejasvi, Trilokraj, Handa, R, Ramam, M
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cyclophosphamide - therapeutic use
Diagnosis, Differential
Gingival Hyperplasia - drug therapy
Gingival Hyperplasia - etiology
Glucocorticoids - therapeutic use
Granulomatosis with Polyangiitis - complications
Granulomatosis with Polyangiitis - diagnosis
Granulomatosis with Polyangiitis - drug therapy
Humans
Immunosuppressive Agents - therapeutic use
Male
Medical sciences
Prednisolone - therapeutic use
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
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Summary:A 37-year-old man presented with gingival hyperplasia accompanied by an ulcer on the eyelid, nasal obstruction, ear discharge, and discharging nodules on the cheek and back. An evaluation for infectious diseases and leukemia was negative. During his hospital stay, he had fever and migratory joint pains develop, suggesting a diagnosis of Wegener's granulomatosis, which was confirmed by a strongly positive cytoplasmic antineutrophil cytoplasmic antibody test. He responded promptly to treatment with oral prednisolone and cyclophosphamide. In retrospect, the diagnosis could have been suspected earlier because of the distinctive red, friable, and granular appearance of the gingiva.
ISSN:0190-9622
1097-6787
DOI:10.1067/S0190-9622(03)00556-5