Strawberry gum が診断の契機となった Wegener 肉芽腫症の1例 Strawberry gums as a diagnostic clue to Wegener's granulomatosis : A case report

この論文にアクセスする

この論文をさがす

著者

    • 菊地 良直 KIKUCHI Yoshinao
    • 横浜市立大学医学部附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 大村 進 OMURA Susumu
    • 横浜市立大学医学部附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 河原 日登美 KAWAHARA Hitomi
    • 横浜市立大学医学部附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 斎藤 友克 SAITO Tomokatsu
    • 横浜市立大学医学部附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 海野 智 UMINO Satoshi
    • 横浜市立大学医学部附属市民総合医療センター歯科・口腔外科・矯正歯科 Department of Oral and Maxillofacial Surgery, Yokohama City University Medical Center
    • 藤田 浄秀 FUJITA Kiyohide
    • 横浜市立大学大学院医学研究科顎顔面口腔機能制御学(口腔外科学)講座 Department of Oral and Maxillofacial Surgery, Yokohama City University school of medicine

抄録

Wegener's granulomatosis (WG) is a systemic disease characterized by necrotizing granulomatous inflammation of the respiratory tract, kidneys, and other organs. The most characteristic oral manifestation of WG is an unusual form of hyperplastic gingivitis. Because the clinical appearance of the affected gums resembles overripe strawberries, the gingivitis is referred to as "strawberry gums". We report a case of WG showing typical strawberry gums with middle ear and nasal involvement. A 43-year-old woman was referred to our department because of gingival swelling after an operation for otitis media, which had not been diagnosed as WG at that time. The gingival surface appeared granular, resembling over-ripe strawberries. A gingival biopsy specimen showed microabscesses and multinucleate giant cells, characteristic findings of strawberry gums. The clinical appearance and histopathological findings suggested a diagnosis of WG. The diagnosis was supported by a positive anti-neutrophil cytoplasmic antibody test (cANCA). The patient responded to treatment with steroids and immunosuppressants, and the strawberry gums disappeared. The typical findings of strawberry gums were the initial diagnostic sign of WG.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 50(9), 550-553, 2004-09-20 

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  24件

参考文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

被引用文献:  2件

被引用文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

各種コード

  • NII論文ID(NAID)
    10018619310
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
ページトップへ