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Case Report
 
Idiopathic orofacial granulomatosis: A case report
Dhupar Anita1, Carvalho Karla M.2, Spadigam Anita3, Syed Shaheen4
1MDS, Professor; Department of Oral and Maxillofacial Pathology, Goa Dental College & Hospital, Bambolim, Goa, India.
2MDS, Lecturer; Department of Oral and Maxillofacial Pathology, Goa Dental College & Hospital, Bambolim, Goa, India.
3MDS, Professor and Head; Department of Oral and Maxillofacial Pathology, Goa Dental College & Hospital, Bambolim, Goa, India.
4MDS, Assistant Professor; Department of Oral and Maxillofacial Pathology, Goa Dental College & Hospital, Bambolim, Goa, India.

Article ID: Z01201605CR10641DA
doi:10.5348/ijcri-201653-CR-10641

Address correspondence to:
Dr. Karla Maria Carvalho
Liberty Apartments
Flat No: 202, Feira Alta, Mapusa
Goa
India, 403507

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How to cite this article
Anita D, Carvalho KM, Anita S, Shaheen S. Idiopathic orofacial granulomatosis: A case report. Int J Case Rep Imag 2016;7(5):306–310.


Abstract
Introduction: Orofacial granulomatosis (OFG) is a lesser known disease entity, which presents a confounding spectrum of oral manifestations. It is a non-specific granulomatous inflammation caused by an elusive etiopathogenesis. It usually manifests as persistent and/or recurrent upper and/or lower labial enlargement. The clinical features, both extra-oral and intra-oral, are highly variable and at times, insidious. This disease can be both cosmetically and functionally debilitating.
Case Report: This is a report of an unusual case of orofacial granulomatosis which presented as a persistent severe generalized gingival enlargement in a nine-year-old child. There was no evidence of an underlying allergic or systemic cause. Surgical intervention (i.e., gingivectomy) showed no alleviation of symptoms.
Conclusion: Making a prompt and precise diagnosis of orofacial granulomatosis is often challenging, however complete remission is possible with targeted therapy.

Keywords: Crohn's disease, Diagnosis, Orofacial granulomatosis, Treatment


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Author Contributions
Dhupar Anita – Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Carvalho Karla M. – Conception and design, drafting the article, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Spadigam Anita – Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Syed Shaheen – Acquisition of data, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Dhupar Anita et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.