Abhishek Kandwal, Rashmi Jindal
Periodontics, Oral Implantology & Oncodentology; Himalayan Institute of Health Sciences.
Ethiop J Health Sci. 2013 Jul;23(2):183-7.
Plasma cell gingivitis (PGC) is a rare disease of gingival tissues which is difficult to treat. It has a higher rate of reoccurrence and needs a detailed and careful analysis of etiology. Further, its association with chelitis is rare, only few cases have been reported and the condition with this presentation poses a diagnostic dilemma.
This paper reports a 16 year old male with a complaint of bleeding and swelling of gingiva since 3 years. The gingival enlargement occurred on facial aspect of upper and lower anterior teeth involving attached gingival. He also presented with swelling of both lips which was recurrent and for the same duration of 3 years.
Based on clinical features and histopathological findings, a diagnosis of plasma cell gingivitis with inflammatory chelitis was made. A detailed history of possible allergen exposure was taken and patch test was conducted to identify any such allergens. Other conditions were ruled out by blood investigation, detailed medical and drug history.
A close collaboration between Periodontist and Dermatologist is essential to manage such a case.
浆细胞性龈炎（PGC）是一种罕见的牙龈组织疾病，难以治疗。其复发率较高，需要对病因进行详细且仔细的分析。此外，它与唇炎的关联罕见，仅有少数病例报道，而这种表现的病情会造成诊断难题。
本文报告一名16岁男性，自3年前起出现牙龈出血和肿胀的症状。牙龈肿大出现在上下前牙的唇面，累及附着龈。他还出现双唇肿胀，反复发作，病程同样为3年。
根据临床特征和组织病理学检查结果，诊断为浆细胞性龈炎伴炎性唇炎。详细询问了可能接触过敏原的病史，并进行斑贴试验以确定任何此类过敏原。通过血液检查、详细的病史和用药史排除了其他疾病。
牙周病医生和皮肤科医生密切合作对于处理此类病例至关重要。
