Localized aggressive periodontitis associated with unusual gingival enlargement posing a diagnostic

2008 May;63(4):230-2.

Jadwat Y, Anagnostopoulos C, Wood NH, Lemmer J, Meyerov RH, Feller L.

Department of Periodontology and Oral Medicine. School of Dentistry, University of Limpopo, Medunsa Campus, South Africa.

This is a case report of localized aggressive periodontitis associated with unusual gingival enlargement. There was difficulty both clinically and histologically in deciding whether the gingival enlargement was a pyogenic granuloma or a Kaposi sarcoma. The diagnosis of Kaposi sarcoma was eventually ruled out by the failure of immunohistopathological examination to demonstrate the presence of HHV-8 DNA markers, and by the clinical response of the lesions to antimicrobial agents. Once a definitive diagnosis was made, the patient was treated conventionally.

PMID: 18689337 [PubMed - indexed for MEDLINE]

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