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

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

Research output: Contribution to journalArticle

16 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

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Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Siar, C. H., Yeo, K. B., Nakano, K., Nagatsuka, H., Tsujigiwa, H., Tomida, M., Ng, K. H., & 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), 331-334.