Lingual infarction in Wegener's Granulomatosis: a case report and review of the literature.
Wegener's granulomatosis (WG) is a multi-system disease, characterised by the triad of necrotising granulomata affecting the upper and lower respiratory tracts, disseminated vasculitis and glomerulonephritis. Oral lesions are associated with up to 50% of cases, although are rare as a presenting feature. The most common oral lesions associated with WG are ulceration and strawberry gingivitis. We review the literature regarding oral manifestations of WG and present a case of lingual infarction, an extremely rare oral lesion associated with WG, in a severe, rapidly progressive and ultimately fatal form of the disease.
Carter
Lachlan M
LM
Maxillofacial Surgery, Leeds Dental Institute, Clarendon Way, Leeds, UK. carter.lachlan@virgin.net
Brizman
Eitan
E
D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D007238:Infarction; D008875:Middle Aged; D012720:Severity of Illness Index; D014059:Tongue / Q000098:blood supply*; D014060:Tongue Diseases / Q000209:etiology*