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

C. H. Siar, K. B. Yeo, Keisuke Nakano, Hitoshi Nagatsuka, H. Tsujigiwa, M. Tomida, K. H. Ng, Toshiyuki Kawakami

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)331-334
Number of pages4
JournalEuropean Journal of Medical Research
Volume16
Issue number7
Publication statusPublished - Jul 25 2011

Fingerprint

Fragaria
Gingivitis
Granulomatosis with Polyangiitis
Gingiva
Glomerulonephritis
Vasculitis
Granuloma
Respiratory System
Differential Diagnosis
Hemorrhage

Keywords

  • Oral lesion
  • Strawberry gingivitis
  • Systemic disease
  • Wegener's granulomatosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis : Report of a case. / Siar, C. H.; Yeo, K. B.; Nakano, Keisuke; Nagatsuka, Hitoshi; Tsujigiwa, H.; Tomida, M.; Ng, K. H.; Kawakami, Toshiyuki.

In: European Journal of Medical Research, Vol. 16, No. 7, 25.07.2011, p. 331-334.

Research output: Contribution to journalArticle

Siar, CH, Yeo, KB, Nakano, K, Nagatsuka, H, Tsujigiwa, H, Tomida, M, Ng, KH & Kawakami, T 2011, 'Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis: Report of a case', European Journal of Medical Research, vol. 16, no. 7, pp. 331-334.
Siar, C. H. ; Yeo, K. B. ; Nakano, Keisuke ; Nagatsuka, Hitoshi ; Tsujigiwa, H. ; Tomida, M. ; Ng, K. H. ; Kawakami, Toshiyuki. / Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis : Report of a case. In: European Journal of Medical Research. 2011 ; Vol. 16, No. 7. pp. 331-334.
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