European Journal of Internal Medicine
Volume 20, Issue 6 , Pages 651-653 , October 2009

“Strawberry like” gingivitis being the first sign of Wegener's granulomatosis

  • Hellevi Ruokonen

      Affiliations

    • Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
    • ,
  • Tapani Helve

      Affiliations

    • Department of Internal Medicine, Division of Rheumatology, HUS, Helsinki University Central Hospital, Helsinki, Finland
    • ,
  • Johanna Arola

      Affiliations

    • Department of Pathology, Haartman Institute, University of Helsinki, Helsinki, Finland
    • ,
  • Jarkko Hietanen

      Affiliations

    • Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
    • Department of Oral Pathology, Institute of Dentistry, Helsinki University, Helsinki, Finland
    • HUSLAB, Helsinki University Central Hospital, Helsinki, Finland
    • ,
  • Christian Lindqvist

      Affiliations

    • Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
    • ,
  • Jaana Hagstrom

      Affiliations

    • Department of Pathology, Haartman Institute, University of Helsinki, Helsinki, Finland
    • Corresponding Author InformationCorresponding author. Department of Pathology, Haartman Institute, P.O. Box 21, 00014 University of Helsinki, Finland. Tel.: +358 504271914; fax: +358 919126551.

Received 17 March 2009 ,Revised 14 April 2009 ,Accepted 25 April 2009.

References 

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  2. Rosai, J. Rosai, and Ackermann's Surgical Pathology. Elsevier, Mosby, Volume 1. 2004 pp 373–4.
  3. Steward C, Cohen D, Bhattacharyya I, Scheitler L, Riley S, Calamia K, et al. Oral manifestations of Wegener's granulomatosis: a report of three cases and a literature review. J Am Dent Assoc. 2007;138:338–348
  4. Cohen RE, Cardoza TT, Drinnan AJ, Aquirre A, Neiders ME. Gingival manifestations of Wegener's granulomatosis. J Periodontol. 1990;61:705–709
  5. Eufinger H, Machtens E, Akuamoa-Boateng E. Oral manifestations of Wegener's granulomatosis. Review of the literature and report of a case. Int J Oral and Maxillofac Surg. 1992;21:50–53[Review]
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  9. Pernu HE, Oikarinen K, Hietanen J, Knuuttila M. Verpamil-induced gingival over growth: a clinical, histologic, and biochemic approach. J Oral Pathol Med. 1989;18:422–425
  10. Rateitchak-Plüss EM, Hefti A, Lörtscher R, Thiel G. Initial observation that cyclosporin-A induces gingival enlargement in man. J Clin Periodontol. 1983;10:237–246
  11. Lederman D, Lumerman H, Reuben S, Freedman PD. Gingival hyperplasia associated with nifedipine therapy. Oral Surg. 2000;57:620–622
  12. Somacarrera ML, Hernandez G, Acero J, Moskow BS. Factors related to the incidence and severity of cyclosporin-induced gingival overgrowth in transplant patients. A longitudinal study. J Periodontol. 1994;1:671–675
  13. Lewis M, Jordan R. A colour handbook of oral medicine. London: Manson publishing; 2005;
  14. Manchanda Y, Tejasvi T, Handa R, Ramam M. Strawberry gingiva: a distinctive sign in Wegener's granulomatosis. J Am Acad Dermatol. 2003;49:335–337
  15. Shiboski CH, Regezi JA, Sanchez HC, Silverman S. Oral lesions as the first clinical sign of microscopic polyangiitis: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:707–711
  16. Hoffman GS, Kerr GS, Leavitt RY, Hallahan CW, Lebovics RS, Travis WD, et al. Wegener granulomatosis: an analysis of 158 patients. Ann Int Med. 1992;116:488–498

PII: S0953-6205(09)00071-5

doi: 10.1016/j.ejim.2009.04.007

European Journal of Internal Medicine
Volume 20, Issue 6 , Pages 651-653 , October 2009

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