UPDATE GRANULOMATOSIS WITH POLYNGITIS

A 42-year-old woman presented to the dermatology clinic with a 6-week history of rapidly progressive, painful gingival hyperplasia. She had recurrent epistaxis, and three necrotic ulcers had developed on her face over the previous 4 weeks. An oral examination revealed gingival hyperplasia with a granular and hemorrhagic appearance typical of “strawberry gingivitis.” Laboratory test results showed an elevated titer of antineutrophil cytoplasmic antibodies with a cytoplasmic staining pattern (c-ANCA), and an enzyme-linked immunosorbent assay for anti–proteinase 3 antibodies was positive. The serum creatinine level and urinalysis results were normal. Computed tomography of the head and chest revealed normal paranasal sinuses and multiple pulmonary nodules. A diagnosis of granulomatosis with polyangiitis was established on the basis of these clinical and laboratory findings. Strawberry gingivitis is a rare manifestation of granulomatosis with polyangiitis, and its clinical presentation is highly suggestive of the disease. The patient initiated treatment with prednisolone and cyclophosphamide but was lost to follow-up. Credit: Maryam Ghiasi, M.D. @nejm #medicine #medicalcreations

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SUGGESTIVE OF STRAWBERRY GINGIVITIS.... ..... IN.....@ GRANULOMATOSIS WITH POLYANGITIS NICELY EXPLAINED AND ILLUSTRATED....

Strawberry gingivitis involving both mandibular and maxillary gums. Wegener's granulomatosis. Granulomatosis with polyangiitis.

@Dr. Shahbaz Khan Wonderful case sir..

Thank you doctor
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Beautiful case sharing Thanx dr

Thank you doctor
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With due respect... We would appreciate if u put ur cases instead of taking cases from internet. It's a learning platform as well if I am not wrong... Pls put ur cases and especially those cases which u have seen by your own so that u should have know each and every detail about that case. I am not critising anyone here.. so many seniors, colleagues and juniors are there... We would like to discuss each and every case whether simple or something really confusing.. watever it is. But at least real cases of you. Thank you.

Actually u don't get my point... U have taken it otherwise... Medical graduates or students can search on internet by their own... For that u don't need to pic from internet ND put it here... Nyways it's up to you... How you take it.. Good day.
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Typical and educative post.but as suggested by Dr Suhani Gupta ,upload case you are presently handling or handled or you question which you want discussion by fraternity membes to put views and you will get some suggestions to conclude your case or write a note above case mentioned the source and it is for information and education purpose.

Thanks Dr Kausar Yadwad
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Strawberry gingivitis,c-anca,anti protianase antibodies,epistaxis and pulmonary nodules... Indicates wegners granulomatosis

Thanks sir for sharing. In Kawasaki disease , toung also apper like strawberry .

Good one From where you get this case?? May I know if there is no issue.

Read carefully u will get your answer
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Wegeners granulomatosis

Thank you doctor
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