Abstract
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.
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