Granulomatosis with polyangiitis(wegener’s granulomatosis); an important rare differential diagnosis for generalized hyperplastic gingivitis.

Abstract

Granulomatosis with polyangiitis (GPA) formerly known as Wegener’s granulomatosis is a rare lifethreatening disease which can affect multiple organs of the body including oral cavity. The oral manifestation of GPA has been named as strawberry gingivitis due to its characteristic features. We report a case of GPA in a 68-year-old lady who presented with Strawberry gingivitis as the initial symptom and successfully managed with prednisone and cyclophosphamide. This case demonstrates an orofacial manifestation of a systemic disease which emphasises the importance of awareness of this kind of manifestations among dental professionals in order to facilitate early diagnosis. Key words: Anti neutrophil cytoplasmic antibody, Granulomatosis with polyangiitis, Strawberry gingivitis.