Doctors intoxicated by the woman's rare disease that made her gums look like strawberries
- WARNING: GRAPHIC CONTENT
- A 42-year-old woman from Iran visited a dermatological clinic complaining about overgrown and swollen gums
- She said that her gums had grown for six weeks and that she was also bothered by recurrent nosebleeds and sores that were eating away & # 39; on her face
- Doctors noticed a grainy appearance in her gums and diagnosed her with a condition that was nicknamed & # 39; gingivitis strawberry & # 39; received
- The underlying cause was granulomatosis with polyangiitis (GPA), a rare disease in which the immune system attacks the blood vessels
- She was treated with drugs that suppress the immune system and treat inflammation, but she never came back for a follow-up appointment
Doctors were shocked when a woman appeared in a clinic with her teeth surrounded by swollen and overgrown gums that looked like strawberries.
In a case from the New England Journal of Medicine, the 42-year-old Iranian woman visited a dermatologist who complained about worsened oral pain.
She said that her gums were already growing six weeks before her visit and that she was suffering from recurrent nosebleeds and sores that were eating away & # 39; on her face.
At that time, doctors noticed a grainy appearance in her gums and diagnosed her with a condition that was nicknamed & # 39; gingivitis strawberry & # 39; received.
An unnamed 42-year-old woman from Iran visited a dermatologist who complained about overgrown gums. She was diagnosed with a rare condition called & # 39; strawberry gingivitis & # 39;
When the gums grow over the teeth, it is usually known as gingival hyperplasia.
It is usually caused by poor oral hygiene or as a side effect of certain drugs, such as anti-epileptics or immunosuppressants.
In most cases, improved oral hygiene dissolves gingival hyperplasia. But if the underlying cause is due to a medication, surgery may be necessary.
The condition of the unnamed women was, however, so advanced that it had developed into a rare form known as strawberry gingivitis.
Doctors soon discovered that the underlying cause was granulomatosis with polyangiitis (GPA), a rare disease in which the immune system attacks the blood vessels.
Blood flow to some organs – such as the nose, sinuses and kidneys – slows down, creating areas of inflammation called granulomas.
Scientists aren't sure what the cause is, but believe it can be caused by an infection or a virus, according to the National Organization for Rare Diseases.
Treating GPA can cause serious and permanent damage, such as changing the shape of the nose or renal failure.
Dr. Maryam Ghiasi, one of the doctors who treated the woman at Tehran Medical University in Iran, said scans showed no signs of the disease in her sinuses.
However, the team found antibodies characteristic of GPA in her body, as well as various nodules in her lungs.
& # 39; Strawberry rises are a rare manifestation of granulomatosis with polyangiitis and their clinical presentation is very suggestive of the disease, ”she wrote in the case report.
Dr. Ghiasi said the patient has received cyclophosphamide, which suppresses the immune system, and prednisolone, a steroid that treats inflammation.
But the woman never came back for a follow-up appointment, so the team doesn't know if her condition improved or if she received further treatment.
The original report was published in November 2017, but the photo has started viral again.
& # 39; This was a fascinating thing and this photo is the most serious one I have seen, & # 39; said Dr. Joseph Nemeth, a Michigan periodontist who was not involved in the case, in a video.
& # 39; A blood vessel condition can be treated if it is picked up early, but if it is not, it can be fatal. Make sure your mouth is checked, not just for cavities, not just for gum disease, but for a general look, because there are many things that we can be the first to put in the mouth that might otherwise be missed.