Severe gingival inflammation and bleeding as the sole manifestation of granulomatosis with polyangiitis

The diagnosis of GPA was supported by the combination of serologic tests and gingival biopsy results. Besides gingival inflammation, there was no involvement of other organs or systems associated with GPA. Because the patient was in her 31st week of pregnancy at the time of the GPA diagnosis and to...

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Published inBMJ case reports Vol. 17; no. 8; p. e261013
Main Authors Álvarez Pérez, Luis F, González-Meléndez, Ariana, Vilá, Luis M
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 22.08.2024
BMJ Publishing Group LTD
Subjects
Anemia
Arthritis
Biopsy
Blood
Blood transfusions
Case reports
Creatinine
Dentistry and oral medicine
Disease
Female
Gingival Hemorrhage - etiology
Gingivitis - diagnosis
Gingivitis - etiology
Granulomatosis with Polyangiitis - complications
Granulomatosis with Polyangiitis - diagnosis
Humans
Inflammation
Literature reviews
Male
Middle Aged
Patients
Remission (Medicine)
Rheumatology
Ulcers
Vasculitis
Vasculitis
Dentistry and oral medicine
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Summary:The diagnosis of GPA was supported by the combination of serologic tests and gingival biopsy results. Besides gingival inflammation, there was no involvement of other organs or systems associated with GPA. Because the patient was in her 31st week of pregnancy at the time of the GPA diagnosis and to avoid treatments that could be hazardous during breastfeeding, we chose a more conservative immunosuppressive regimen. [...]the rheumatologists were able to confirm the diagnosis of granulomatosis with polyangiitis, and I have been undergoing treatment for 1 and a half years.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2024-261013