PMC7269271_01
Baseline
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F1
Clinical examination revealed localized gingival enlargement extending from the distal aspect of the right maxillary first premolar to the distal aspect of the left maxillary first premolar, with the appearance simulating "strawberry gingivitis" [Figure 1].
One-month after follow-up
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F2
Follow-up after 1-month revealed only slight reduction in gingival enlargement [Figure 2] and hence, decision was made to perform incisional biopsy on gingival growth under local anesthesia [Figure 3].
Incisional biopsy
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F3
Follow-up after 1-month revealed only slight reduction in gingival enlargement [Figure 2] and hence, decision was made to perform incisional biopsy on gingival growth under local anesthesia [Figure 3].
Histopathological picture showing pseudoepitheliomatous hyperplasia
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F4
Scattered multinucleated giant cells with pronounced vasculitis were evident [Figures 4 and 5].
Histopathological picture showing vasculitis and granulomatous inflammation
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F5
Scattered multinucleated giant cells with pronounced vasculitis were evident [Figures 4 and 5].
Follow-up after 3 months
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F6
The patient's gingival response was rapid, with improvement noted at 1 week and 3-week follow-up appointments [Figure 6].