Abstract
Plasma cell gingivitis is a rare benign condition of the gingiva of unknown etiology characterized by sharply demarcated erythematous and edematous gingiva often extending to the mucogingival junction. This is sometimes considered as a hypersensitive reaction. It presents clinically as a diffuse, erythematous and papillary lesion of the gingiva, which frequently bleeds with minimal trauma. The histological appearance consists of a dense infiltration of normal plasma cells separated by collagenous stroma, usually confined to free and attached gingiva. The lesion can be eliminated by identifying and avoiding the source of the allergen along with nonsurgical periodontal therapy. We report a 29-years-old female patient diagnosed clinically as plasma cell gingivitis and confirmed histologically. The patient gave history of herbal dentifrice for a period of one year. Nonsurgical periodontal therapies along with discontinuation of herbal dentifrice lead to remission of the condition within a month.
Highlights
Plasma cell gingivitis (PCG) is a rare benign inflammatory condition of gingiva of unknown etiology[1,2] characterized by diffuse and massive infiltration of plasma cells into the sub-epithelial gingival tissue.[3]
Plasma Cell Gingivitis is known by a variety of other names such as atypical gingivostomatitis,[1] idiopathic gingivostomatitis, allergic gingivostomatitis, soft tissue plasmacytosis, stomatitis venenata or irritant contact stomatitis
Plasma cell gingivitis is a rare condition characterized by diffuse and massive infiltration of plasma cells into the connective tissue.[2]
Summary
Plasma cell gingivitis (PCG) is a rare benign inflammatory condition of gingiva of unknown etiology[1,2] characterized by diffuse and massive infiltration of plasma cells into the sub-epithelial gingival tissue.[3]. Plasma Cell Gingivitis mimics lesions associated with discoid lupus, lichen planus, cicatricial Pemphigoid, HIV-related gingivitis, leukemia and myeloma, an early diagnosis in such cases is vital in patient’s interest.[1,2,3,8,9] The diagnosis of PCG requires hematological screening in addition to clinical and histopathological examinations.[1,2,10] Plasma Cell Gingivitis is purely benign, and the detection and elimination of the exposure to the etiologic antigenic agent will bring about the remission of the condition.[10 ] Correspondence: Dr Navaraj Lamdari Department of Dental surgery National Academy of Medical Sciences, Bir Hospital Kathmandu, Nepal. Lamdari and Pradhan Plasma Cell Gingivitis: A Case Report
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