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Plasma cell gingivitis of unusual origin. A case report
F G Serio1, M A Siegel, B E Slade
1Department of Periodontics, Baltimore College of Dental Surgery, University of Maryland, Baltimore.
Journal of Periodontology
|June 1, 1991
Summary
Plasma cell gingivitis, a rare condition causing severe gum inflammation, is an allergic reaction to antigens like spices. Identifying and removing the trigger, such as red peppers, is crucial for treatment.
Area of Science:
- Oral Pathology
- Dermatology
Background:
- Plasma cell gingivitis is a rare, benign gingival condition.
- Characterized by dense plasma cell infiltrates and collagen strands.
- Considered a hypersensitivity reaction to antigens, commonly flavorings or spices.
Observation:
- The lesion can cause significant gingival inflammation, discomfort, and bleeding.
- It may mimic more serious oral conditions, necessitating accurate diagnosis.
- Standard plaque control and periodontal therapy are insufficient for resolution.
Findings:
- This case suggests red peppers as a potential etiological agent.
- Identification and elimination of the causative antigen are paramount.
- Histopathology reveals a dense infiltrate of plasma cells.
Implications:
- Highlights the importance of identifying specific allergens in oral lesions.
- Emphasizes that eliminating the trigger is the primary treatment modality.
- Underscores the need to differentiate from more severe pathologies.