Strawberry Gingivitis as a Diagnostic Clue to Granulomatosis With Polyangiitis in an Older Woman: A Case Report.

IF 1.6 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Gerodontology Pub Date : 2026-09-29 DOI:10.1111/ger.70126
Qiyu Chen, Lijuan Shi, Chuanjin Ye, Jie Zhao, Wenlei Wu, Juan Wu
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引用次数: 0

Abstract

Background: Strawberry gingivitis is a characteristic but under-recognised oral manifestation of granulomatosis with polyangiitis (GPA), with potential for long-term sensory damage often overlooked.

Case presentation: A 60-year-old woman with strawberry gingivitis, cough, and hearing loss fulfilled the 2022 ACR/EULAR classification criteria for GPA (score 13), with the diagnosis established through integrated clinical, serological, radiological, and histopathological assessment. Induction therapy resolved the oral lesions, but 18-month follow-up showed bilateral deafness and blindness.

Conclusions: Strawberry gingivitis is a highly characteristic, though not pathognomonic, sign of GPA. Even with good short-term control, patients risk progressive sensory damage, emphasising the need for long-term follow-up.

草莓牙龈炎作为老年妇女肉芽肿合并多血管炎的诊断线索:1例报告。
背景:草莓牙龈炎是肉芽肿合并多血管炎(GPA)的一种特征性但未被充分认识的口腔表现,其潜在的长期感觉损害常被忽视。病例介绍:60岁女性,草莓性牙龈炎、咳嗽、听力损失符合2022年ACR/EULAR GPA分类标准(评分13分),通过综合临床、血清学、放射学和组织病理学评估确定诊断。诱导治疗消除了口腔病变,但18个月的随访显示双侧耳聋和失明。结论:草莓性牙龈炎是GPA的一个高度特征性的征象,虽然不是典型的。即使短期控制良好,患者仍有进行性感觉损伤的风险,这强调了长期随访的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
审稿时长
3-6 weeks
期刊介绍: The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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