Gingival Swelling as the Initial Manifestation of Crohn’s Disease: A Case Report

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  • TSUNODA Kazuyuki
    Department of Dentistry and Oral Surgery, Keio University School of Medicine
  • SATO Hidekazu
    Department of Dentistry and Oral Surgery, Keio University School of Medicine
  • ISHII Shutaro
    Department of Dentistry and Oral Surgery, Keio University School of Medicine
  • OZAWA Natsuo
    Department of Dentistry and Oral Surgery, Keio University School of Medicine
  • TSUNODA Hiroyuki
    Department of Dentistry and Oral Surgery, Keio University School of Medicine
  • NAKAGAWA Taneaki
    Department of Dentistry and Oral Surgery, Keio University School of Medicine

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Other Title
  • 歯肉腫脹を初発症状としたクローン病の1例
  • 症例報告 歯肉腫脹を初発症状としたクローン病の1例
  • ショウレイ ホウコク シニク シュチョウ オ ショハツ ショウジョウ ト シタ クローンビョウ ノ 1レイ

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Abstract

Crohn's disease is a chronic granulomatous inflammatory disorder that is often accompanied by oral symptoms. We herein report a case of Crohn's disease that initially occurred as gingival swelling. A 63-year-old woman complained of gingival swelling and was referred to our clinic. During the disease course, Behcet's disease was denied despite the development aphthous ulcers and erythema nodosum. Thereafter, abdominal pain, diarrhea and weight loss were observed, and Crohn's disease was subsequently diagnosed by endoscopy. Because oral symptoms may precede Crohn's disease, it is important to include this possibility in the differential diagnosis when encountering patients presenting with oral swelling and ulcerative lesions.

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