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Plasma cell gingivitis: A perplexing and rare clinical entity.

Muneesh Joshi1, T Prasanth1, Manab Kosala1

  • 1Department of Periodontology, Armed Forces Medical College, Pune, Maharashtra, India.

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Summary
This summary is machine-generated.

Plasma cell gingivitis (PCG) presents a diagnostic challenge with fiery red, bleeding gums. This article details a rare case managed through comprehensive clinical, radiological, and histopathological analysis.

Keywords:
Allergic gingivostomatitisatypical gingivostomatitisgingival enlargementidiopathic gingivostomatitisimmunohistochemistryplasma cell gingivitis

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Area of Science:

  • Oral Medicine
  • Periodontology
  • Dermatology

Background:

  • Plasma cell gingivitis (PCG) is a rare inflammatory condition of the gingiva.
  • It is characterized by a distinctive bright red appearance and spontaneous bleeding.
  • PCG can be misdiagnosed as other gingival lesions, posing a clinical challenge.

Observation:

  • The article discusses a specific rare case of plasma cell gingivitis.
  • Clinical presentation included bright red, swollen gingiva with easy bleeding.
  • Diagnostic workup involved detailed clinical examination, radiological imaging, histopathology, and immunohistochemistry.

Findings:

  • Histopathological and immunohistochemical analyses confirmed the diagnosis of plasma cell gingivitis.
  • The findings highlighted the characteristic infiltration of plasma cells in the gingival tissue.
  • Exclusion of other potential causes was essential for accurate diagnosis.

Implications:

  • Accurate diagnosis of PCG is vital for appropriate management and patient care.
  • Understanding the distinct features of PCG aids clinicians in differentiating it from more common or serious oral conditions.
  • This case underscores the importance of a multidisciplinary diagnostic approach for rare oral lesions.