A woman in Iran reported to a dermatology clinic after meet from a painful case of " strawberry mark gums " that had progressively get bad over the course of six workweek .
During this time , the 42 - twelvemonth - previous suffered from repeated nosebleed and developed three necrotic ulcer on her face . She was in pain in the ass as the blood vessels in her gums were very inflamed , gift her lip a " strawberry mark " appearance , Maryam Ghiasi writes in a case report in theNew England Journal of Medicine .
An inspection of the patient ’s mouth revealed an appearance typical of " strawberry gingivitis " , and lab tests and a CAT scan were ordered to substantiate the diagnosing .
A scan unveil several pulmonary nodules ( small masses of tissue in the lung ) , which , fuse with the results of line of descent tests show sublime levels of certain antibody , appropriate doctor to make a diagnosis of strawberry gingivitis because of granulomatosis with polyangiitis ( formerly known as Wegener ’s granulomatosis ) .
" Strawberry gingivitis is a rare manifestation of granulomatosis with polyangiitis , " Ghiasi writes in the eccentric report . " And its clinical demonstration is extremely suggestive of the disease . "
Granulomatosis with polyangiitis ( GPA ) is a rare diseasecaused by inflammation of various tissues , including blood vessels . It ’s a serious and potentially life - threatening condition , but its accurate lawsuit is currently ill-defined .
" This is called ' strawberry gingivitis ' and I think you’re able to figure out why , " Dr Joseph Nemeth , a periodontist , articulate in avideoabout the instance . " However , it ’s a symptom of a very serious vascular disease . Very often this disease , if not caught early , can be fatal .
" This is an extreme case . This is the most severe [ photo ] that I have seen . "
If not handle , GPA can cause permanent damage to component part of the consistency , for good example , it can change the contour of the olfactory organ orstop the kidney from serve properly .
" GPA can be very serious , " notesthe UK ’s National Health Service ( NHS ) . " But , with medication , most people can keep it under ascendency and live largely normal sprightliness . "
The disease is usually treated with steroid tablets and injections , as well ascyclophosphamide , a medicinal drug used in chemotherapy and as an immunosuppressant .
The woman was treat but did not render for her travel along - up naming , so it is unnamed whether the discussion was successful in this case .
