Tuberculous gingival enlargement: A rare clinical manifestation

Tuberculosis (TB) is an inflammatory granulomatous disease that rarely presents as primary lesion in gingiva. Gingival involvement has been reported in only a very limited number of cases. A 13-year-old boy presented with gingival enlargement in the maxillary and mandibular anterior region associate...

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Bibliographic Details
Published in:Journal of Indian Society of Periodontology 2017-03, Vol.21 (2), p.156-159
Main Authors: Aaron Muthuraj, Maria Subash, Maradi, Arun Parappa, Janakiram, Srihari, Chithresan, Koshy
Format: Article
Language:English
Subjects:
Antitubercular treatment
Biopsy
Care and treatment
Case Report
Case studies
Diagnosis
Disseminated infection
Enzymes
Erythrocyte sedimentation rate
Family medical history
Giant cells
Gingiva
Health aspects
Langhans cells
Lymphadenitis
Mandible
Nests
oral cavity
Oral hygiene
Patients
Sarcoidosis
Tuberculosis
Tuberculous lymphadenitis
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Summary:Tuberculosis (TB) is an inflammatory granulomatous disease that rarely presents as primary lesion in gingiva. Gingival involvement has been reported in only a very limited number of cases. A 13-year-old boy presented with gingival enlargement in the maxillary and mandibular anterior region associated with enlargement of lower lip with no systemic manifestations. He had a history of tuberculous lymphadenitis before 5 years which was inadequately treated. The patient's erythrocyte sedimentation rate was 70 mm/h. Histopathological report of the gingival lesion revealed noncaseating granulomas with nests of epithelioid cells and multinucleated Langhans giant cells. The patient was then referred to a physician for management, who initiated active antitubercular treatment following which the condition resolved. The aim of this article is to emphasize the importance of early diagnosis of primary TB of the gingiva which may be misdiagnosed when oral lesions are not associated with any apparent systemic infection.
ISSN:0972-124X
0975-1580
DOI:10.4103/jisp.jisp_170_17