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Year : 2022  |  Volume : 12  |  Issue : 5  |  Page : 246

Granulomatosis with polyangiitis presenting with strawberry gingivitis


1 Department of Medicine, Sir Ganga Ram Hospital, New Delhi, India
2 Manav Rachna Dental College, New Delhi, India

Date of Submission29-Sep-2022
Date of Decision01-Oct-2022
Date of Acceptance03-Oct-2022
Date of Web Publication31-Oct-2022

Correspondence Address:
Atul Kakar
Department of Medicine, Sir Ganga Ram Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmrp.cmrp_95_22

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How to cite this article:
Kakar A, Kakar S, Tripathi S. Granulomatosis with polyangiitis presenting with strawberry gingivitis. Curr Med Res Pract 2022;12:246

How to cite this URL:
Kakar A, Kakar S, Tripathi S. Granulomatosis with polyangiitis presenting with strawberry gingivitis. Curr Med Res Pract [serial online] 2022 [cited 2022 Nov 27];12:246. Available from: http://www.cmrpjournal.org/text.asp?2022/12/5/246/359946



A 17-year-old girl presented with complaints of painful, swollen and bleeding gums.[1] On examination, she had diffuse reddish nodular gingival swelling with dusky margins that bled [[Figure 1]: Panel 1]. Her inflammatory markers were high, including markedly elevated anti-PR3 (147.2 AU/ml). The gingival biopsy revealed marked epithelial hyperplasia with ulceration, and the contrast-enhanced computed tomography of the chest showed bilateral nodular cavitary lesions, thus confirming our diagnosis for granulomatosis with polyangiitis.[2] The patient received rituximab and methylprednisolone, and the symptoms had started resolving on the follow-up post a fortnight.
Figure 1: Oral examination showing strawberry gingivitis

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Thompson G, Benwell N, Hollingsworth P, McLean-Tooke A. Two cases of granulomatosis polyangiitis presenting with strawberry gingivitis and a review of the literature. Semin Arthritis Rheum 2018;47:520-3.  Back to cited text no. 1
    
2.
Robson JC, Grayson PC, Ponte C, Suppiah R, Craven A, Judge A, et al. 2022 American college of rheumatology/European alliance of associations for rheumatology classification criteria for granulomatosis with polyangiitis. Ann Rheum Dis 2022;81:315-20.  Back to cited text no. 2
    


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