A 21-year-old previously healthy man presented to his internist with weight loss, sinus congestion, and ear pain. He did not respond to 2 courses of antibiotics that were prescribed for a presumed sinus infection and right-sided otitis media. One month later, he developed an oral abscess, resulting in the extraction of a maxillary molar. In the postoperative period, he noted that his "gums were growing." He soon developed a fever and multiple pustules on his forehead, chest, back, and shoulders.
Knight JM, Hayduk MJ, Summerlin D, Mirowski GW. "Strawberry" Gingival HyperplasiaA Pathognomonic Mucocutaneous Finding in Wegener Granulomatosis. Arch Dermatol. 2000;136(2):171-173. doi:10.1001/archderm.136.2.171