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Critical Situations
February 2000

"Strawberry" Gingival HyperplasiaA Pathognomonic Mucocutaneous Finding in Wegener Granulomatosis

Arch Dermatol. 2000;136(2):171-173. doi:10.1001/archderm.136.2.171

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.

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