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January 1985

Solitary Gingival Enlargement

Author Affiliations

The Johns Hopkins University School of Medicine, Baltimore; St Joseph Hospital, Lancaster, Pa

Arch Dermatol. 1985;121(1):125-126. doi:10.1001/archderm.1985.01660010129037

REPORT OF A CASE  A 55-year-old man, on routine oral examination, had a blue, raised, soft-tissue lesion on the crest of the right anterior mandibular alveolar ridge (Fig 1). The region was edentulous; the teeth had been extracted previously for unknown reasons. When the patient closed his mouth, the right maxillary lateral incisor traumatized the lesion. The patient had a history of maturity-onset diabetes mellitus and congestive heart failure. His diabetes was complicated by retinopathy, peripheral neuropathy, and gangrene of his toes, which required a below-the-knee leg amputation. The oral lesion was excised with the patient under local anesthesia, and it was submitted for microscopic examination. At the same time, the remaining teeth were removed because of periodontal disease.On microscopic examination, the specimen was covered with nonulcerated stratified squamous epithelium (Figs 2 and 3). In the center of the specimen, separated from the epithelium by a zone of dense

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