Kaarthikeyan Gurumoorthy, Arvind M, Jayakumar Nd, Khakar Mihir
Department of Periodontics, Saveetha Dental College, Chennai, India.
J Oral Maxillofac Pathol. 2012 Sep;16(3):432-4. doi: 10.4103/0973-029X.102510.
The granular enlargement of the gingiva may be the first clinical manifestation of Orofacial granulomatosis, preceding other local or systemic manifestations. The term Idiopathic Orofacial granulomatosis (OFG) refers to conditions restricted to the oral region without any identifiable systemic granulomatous diseases. We report a case of nine year old female patient with gingival enlargement as the sole manifestation without any systemic involvement. Laboratory investigations were done to rule out tuberculosis, sarcoidosis, allergic hypersensitivity, Crohn's disease. The patient was treated by gingivectomy and there is complete remission of the lesion without any recurrence. Thus the early investigations and diagnosis of OFG can help in the prevention of future systemic complications.
牙龈颗粒状肿大可能是口面部肉芽肿病的首个临床表现，先于其他局部或全身表现出现。特发性口面部肉芽肿病（OFG）这一术语指局限于口腔区域且无任何可识别的系统性肉芽肿病的情况。我们报告一例9岁女性患者，以牙龈肿大为唯一表现，无任何全身受累情况。进行了实验室检查以排除结核病、结节病、过敏性超敏反应、克罗恩病。该患者接受了牙龈切除术治疗，病变完全缓解，无任何复发。因此，OFG的早期检查和诊断有助于预防未来的全身并发症。
