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Case Reports
. 2013 Jul;23(2):183-7.

Plasma cell gingivitis associated with inflammatory chelitis: a report on a rare case

Kandwal Abhishek  1 , Jindal Rashmi
Affiliations
Case Reports

Plasma cell gingivitis associated with inflammatory chelitis: a report on a rare case

Kandwal Abhishek et al. Ethiop J Health Sci. 2013 Jul.

Abstract

Background: 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.

Case report: 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.

Discussion: 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.

Conclusion: A close collaboration between Periodontist and Dermatologist is essential to manage such a case.

Keywords: Plasma cell gingivitis; inflammatory chelitis.

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Figures

Figure 1
Figure 1
Pre-Op view showing A) chelitis with loss of philtrum and B),C),D gingival enlargement
Figure 2
Figure 2
Histopathology: A) gingival biopsy 10 × Hematoxylin and Eosin stain sheets of plasma cell infiltration B) 40 × 10 X plasma cell cart wheel appearance C) lip biopsy 10 × Hematoxylin and eosin stain showing spinous acanthosis; D) 10×40 X showing chronic lymphocytic infiltrates
Figure 3
Figure 3
Post op view 12 months A) reduction in chelitis with visible philtrum B),C),D) stable gingival contours and health
See this image and copyright information in PMC

References

    1. Macleod RI, Ellis JE. Plasma cell gingivitis related to the use of herbal toothpaste. Br Dent J. 1989;166:375–376. - PubMed
    1. Gargiulo AV, Ladone JA, Ladone PA, Toto PD. Case report: Plasma cell gingivitis A. CDS Rev 1995. 1995;88:22–23. - PubMed
    1. Kerr DA, McClatchey KD, Regezi JA. Allergic gingivostomatitis (due to gum chewing) J Periodontol. 1971;42:709–712. - PubMed
    1. Sugarman MM. Contact allergy due to mint chewing gum. Oral Surg Oral Med Oral Pathol. 1950;3:1145–1147. - PubMed
    1. Lubow RM, Cooley RL, Hartman KS, McDaniel RK. Plasma-cell gingivitis. Report of a case. J Periodontol. 1984;55:235–241. - PubMed

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