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Localized aggressive periodontitis associated with unusual gingival enlargement posing a diagnostic dilemma: a case
Y Jadwat1, C Anagnostopoulos, N H Wood
1Department of Periodontology and Oral Medicine. School of Dentistry, University of Limpopo, Medunsa Campus, South Africa.
Abstract:
This is a case report of localized aggressive periodontitis associated with unusual gingival enlargement. There was difficulty both clinically and histologically in deciding whether the gingival enlargement was a pyogenic granuloma or a Kaposi sarcoma. The diagnosis of Kaposi sarcoma was eventually ruled out by the failure of immunohistopathological examination to demonstrate the presence of HHV-8 DNA markers, and by the clinical response of the lesions to antimicrobial agents. Once a definitive diagnosis was made, the patient was treated conventionally.
