Journal of Clinical Images and Medical Case Reports
ISSN 2766-7820
Clinical Image - Open Access, Volume 3
Granulomatosis with polyangiitis presenting with strawberry gingivitis: Images in rheumatology
A Kakar1*; T Batra2; S Tripathi3; A Gogia4
1Vice Chairman and Senior Consultant, Department of Medicine, Sir Ganga Ram Hospital, New Delhi, India.
2Resident, Sir Ganga Ram Hospital, New Delhi, India.
3Student-Observer, Sir Ganga Ram Hospital, New Delhi, India.
4Senior Consultant, Department of Medicine, Sir Ganga Ram Hospital, New Delhi, India.
*Corresponding Author : : Dr. Atul Kakar
Vice Chairman and Senior Consultant, Department
of Medicine, Sir Ganga Ram Hospital, New Delhi,
India.
Email: [email protected].
Received : May 12, 2022
Accepted : Jun 09, 2022
Published : Jun 16, 2022
Archived : www.jcimcr.org
Copyright : © Kakar A (2022).
Citation: Kakar A, Batra T, Tripathi S, Gogia A. Granulomatosis with polyangiitis presenting with strawberry gingivitis: Images in rheumatology. J Clin Images Med Case Rep. 2022; 3(6): 1894
Description
A 17 years old girl presented with complaints of painful, swollen and bleeding gums. On examination, she had diffuse reddish nodular gingival swelling with dusky margins that bleed (Figure 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 CECTchest showed bilateral nodular cavitary lesions, thus confirming our diagnosis for Granulomatosis with Polyangiitis. The patient received rituximab and methylprednisolone, and the symptoms had started resolving on the follow-up post a fortnight.
