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December 1986

Recent Onset of Gingival Enlargement

Author Affiliations

Department of Dermatology, Harvard Medical School, Boston

Arch Dermatol. 1986;122(12):1437-1438. doi:10.1001/archderm.1986.01660240101027

REPORT OF A CASE  A 36-year-old woman presented with a four-week history of gingival enlargement. She had no history of periodontal procedures or local radiation and was taking no medications. She had a 15-pack-per-year history of cigarette smoking. Aside from a vague low-grade fever and night sweats for one to two months, she felt well.As an outpatient, she had been treated with very brief courses of oral penicillin and tetracycline without improvement. A gingival biopsy specimen was said to show nonspecific changes. Shortly before her first hospitalization, an "abscess" on the back had been drained and treated with dicloxacillin. Additional "boils" were noted about this time. She was admitted to the hospital for evaluation.Physical examination revealed marked gingival hyperplasia, forming spongy bluish-red masses. The process was somewhat more extensive in the mandibular gingivae than in the maxillary gingivae and was especially prominent at the interdental papillae (Fig 1).

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