An oral examination revealed gingival hyperplasia with a granular and hemorrhagic appearance typical of “strawberry gingivitis.” Laboratory test results showed an elevated titer of antineutrophil cytoplasmic antibodies with a cytoplasmic staining pattern (c-ANCA), and an enzyme-linked immunosorbent assay for anti–proteinase 3 antibodies was positive. #Clinical #IM #Rheum #GPA #GranulomatosisWithPolyangiitis #Wegeners #Strawberry #StrawberryGingivitis #GingivalHyperplasia #NEJM
Dr. Gerald Diaz @GeraldMD · 7 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
Related images