title: Missing diagnosis: gingival hypertrophy due to amlodipine.
abstract: Gingival hypertrophy (GH) is a well-known physical manifestation due to inflammatory conditions, pregnancy, vitamin C deficiency, systemic diseases like leukemia, Wegners granulomatosis, and various drugs like anticonvulsants, immunosuppresant, and calcium channel blockers (CCBs).We present here a case of a 45-year-old woman, who has been taking Amlodipine 10mg once a day together with Atenelol 50mg per day for one and half years, and has subsequently developed gum hypertrophy. This manifestation was reversed after stopping of Amlodipine. Though this case presentation is described in literature, we hereby present it in a pictorial form, to sensitize the treating physician toward it.
authors.affiliation: Senior Resident, Department of Medicine, University College of Medical Sciences & Guru Teg Bahadur Hospital (University of Delhi), Delhi110095, India. Electronic address: drlaxmikantucms@gmail.com.
authors.forename: L R
authors.initials: LR
authors.lastname: Tomar
authors.affiliation: Assistant Professor, Department of Medicine, University College of Medical Sciences & Guru Teg Bahadur Hospital (University of Delhi), Delhi110095, India.
authors.forename: A
authors.initials: A
authors.lastname: Aggarwal
mesh_terms: D017311:Amlodipine / Q000009:adverse effects* / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000009:adverse effects / Q000627:therapeutic use; D003951:Diagnostic Errors; D005260:Female; D005881:Gingiva / Q000187:drug effects / Q000473:pathology*; D005886:Gingival Hypertrophy / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D008875:Middle Aged
chemical_list: D002121:Calcium Channel Blockers; D017311:Amlodipine
keywords: Amlodipine; Calcium channel blocker; Gingival hypertrophy