Oral Medicine Case Book 57: Orofacial granulomatosis
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Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
SADA
Abstract
A 17-year old female presented at the Oral Medicine Clinic
with the complaint of persistent swelling of the upper lip and
anterior attached gingiva, causing her discomfort when eating
and talking. The swelling started approximately ten months
earlier. At the time she was seen by her physician who prescribed
an antibiotic that gave mild symptomatic relief, but no
clinical resolution. She was also seen by an oral hygienist on
three occasions with no improvement of the gingival swelling.
The patient also reported that she had been diagnosed with
depression and type 2 diabetes approximately two years ago
and was currently using Citalopram (a selective serotonin reuptake
inhibitor) and Glucophage (metformin hydrochloride,
an anti-hyperglycemic drug). Extra-oral examination revealed
a firm, swollen and superficially cracked upper lip with a red
granular appearance. No enlarged cervical lymph nodes
could be palpated. Intra-orally, the anterior maxillary and mandibular
gingivae were hyperplastic and erythematous, with a
granular surface (Figures 1, 2 and 3). The differential diagnosis
included contact allergy and granulomatous disease,
including mycobacterial infection.
Description
Keywords
Oral medicine, Granulomatosis
Citation
Mulder-Van Staden, S., et al. (2014). Oral Medicine Case Book 57: Orofacial granulomatosis. South African Dental Journal, 69(2): 72-73