Journal of Japanese Society of Oral Medicine
Online ISSN : 2186-6155
Print ISSN : 2186-6147
ISSN-L : 2186-6147
Case Reports
Gingival Swelling as the Initial Manifestation of Crohn’s Disease: A Case Report
Kazuyuki TSUNODAHidekazu SATOShutaro ISHIINatsuo OZAWAHiroyuki TSUNODATaneaki NAKAGAWA
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2017 Volume 23 Issue 2 Pages 84-89

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Abstract
Crohn's disease is a chronic granulomatous inflammatory disorder that is often accompanied by oral symptoms. We herein report a case of Crohn's disease that initially occurred as gingival swelling. A 63-year-old woman complained of gingival swelling and was referred to our clinic. During the disease course, Behcet's disease was denied despite the development aphthous ulcers and erythema nodosum. Thereafter, abdominal pain, diarrhea and weight loss were observed, and Crohn's disease was subsequently diagnosed by endoscopy. Because oral symptoms may precede Crohn's disease, it is important to include this possibility in the differential diagnosis when encountering patients presenting with oral swelling and ulcerative lesions.
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© 2017 Japanese Society of Oral Medicine
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