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Crohn's disease: early detection by gingival biopsy
Periodontal Case Reports : a Publication of the Northeastern Society of Periodontists
|January 1, 1989
Summary
A 31-year-old female was diagnosed with Crohn's disease after experiencing oral symptoms like red, burning gums. Giant cells in a gingival biopsy prompted further investigation, confirming the diagnosis.
Area of Science:
- Gastroenterology
- Oral Medicine
Background:
- Crohn's disease is a chronic inflammatory bowel disease.
- Oral manifestations can be early indicators of Crohn's disease.
Observation:
- A patient presented with gingival redness, burning sensation, and palatal itching.
- Microscopic examination of a gingival biopsy revealed multinucleated giant cells.
Findings:
- The presence of multinucleated giant cells in the gingiva was indicative of Crohn's disease.
- A comprehensive gastrointestinal work-up, including upper and lower bowel imaging, confirmed the diagnosis.
Implications:
- This case highlights the importance of considering oral symptoms in the diagnosis of Crohn's disease.
- Early identification of oral manifestations may lead to timely diagnosis and management of inflammatory bowel disease.
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