Plasma Cell Gingivitis Mimicking Granulomatous Disease: A Diagnostic Dilemma

Plasma Cell Gingivitis Mimicking Granulomatous Disease: A Diagnostic Dilemma

Introduction Plasma cell gingivitis is an uncommon benign inflammatory condition of the gingiva which is considered to arise as a hypersensitivity reaction to certain allergens. The distinguishing feature of this condition is massive infiltration of plasma cells into the subepithelial connective tis...

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Bibliographic Details
Published in:Clinical advances in periodontics Vol. 11; no. 4; pp. 220 - 224
Main Authors: Vishnu, Vidya, Ramesh, Roshni, P. Radhakrishnan, Rekha, Sreelakshmi, Ravindran M.
Format: Journal Article
Language:English
Published: United States 01-12-2021
Subjects:
Adolescent
Female
Gingiva
gingival enlargement
Gingival Hyperplasia
gingivectomy
Gingivitis - diagnosis
Granuloma
granulomatous disease
Humans
plasma cell gingivitis
Plasma Cells
granulomatous disease
gingival enlargement
Gingiva
plasma cells
gingivectomy
plasma cell gingivitis
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Summary:Introduction Plasma cell gingivitis is an uncommon benign inflammatory condition of the gingiva which is considered to arise as a hypersensitivity reaction to certain allergens. The distinguishing feature of this condition is massive infiltration of plasma cells into the subepithelial connective tissue. This case report discusses a case of plasma cell gingivitis which produced a diagnostic dilemma due to its unusual histopathologic appearance. Case Presentation A 13‐year‐old female patient presented with diffuse gingival enlargement in relationship to upper anterior teeth. The case was managed successfully by gingivectomy following phase I therapy. Histopathological examination showed presence of epithelioid granulomas and foreign body giant cells along with plasma cells which is an uncommon finding in plasma cell gingivitis. Further tests conducted excluded granulomatous disease and the diagnosis was confirmed as plasma cell gingivitis. Conclusion Plasma cell gingivitis can present a diagnostic dilemma and should be included in the differential diagnosis of patients presenting with non‐specific gingival enlargements.
Bibliography:ObjectType-Case Study-2
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ISSN:2573-8046
2163-0097
DOI:10.1002/cap.10108