title: Strawberry gingivitis as the first presenting sign of Wegener's granulomatosis: report of a case.
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.
authors.affiliation: Department of Oral Pathology, Oral Medicine and Periodontology, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: C H
authors.initials: CH
authors.lastname: Siar
authors.forename: K B
authors.initials: KB
authors.lastname: Yeo
authors.forename: K
authors.initials: K
authors.lastname: Nakano
authors.forename: H
authors.initials: H
authors.lastname: Nagatsuka
authors.forename: H
authors.initials: H
authors.lastname: Tsujigiwa
authors.forename: M
authors.initials: M
authors.lastname: Tomida
authors.forename: K H
authors.initials: KH
authors.lastname: Ng
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kawakami
mesh_terms: D003937:Diagnosis, Differential; D005891:Gingivitis / Q000209:etiology*; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged