Acute Myelomonocytic Leukemia with Gingival Enlargement: A Case Report

Laxmi Gurunath Doddamani, Mubeen Khan, Suman R

Abstract


Oral manifestations are the early indicators of many systemic diseases. Leukemia is one among such systemic diseases which shows characteristic oral manifestations. This report describes the case of a 40 year old female who presented with gingival enlargement and bleeding. Initially a provisional diagnosis of generalized inflammatory gingival enlargement was made and based on this oral prophylactic management of the patient was carried out. However, persistent gingival swelling even after periodontal therapy made the clinicians to suspect leukemic enlargement which was confirmed on further investigations. This case outlines the role of dental professionals in identifying such underlying pathology and make early referrals to appropriate health professionals for early diagnosis and intervention reducing the patient morbidity.


Keywords


Leukemia; Acute Myelomonocytic Leukemia; Gingival Enlargement; Oral Manifestations

Full Text:

PDF HTML

References


Reenesh M, Munishwar S, Rath SK. Generalized Leukemic Gingival Enlargement: A case report. J Oral Maxillofac Res 2012;3(3):e5.

Dean AK, Ferguson JW, Marvan ES. Acute Leukemia presenting as oral ulceration to a dental emergency service. Australian Dental Journal 2003;48(3):195-7.

Barrett AP. Gingival lesions in leukemia. A classification. J Periodontol 1984;55:585-8.

Soheylifar S, Vahedi M, Kadkhodazadeh M, Bidgoli MJ. A Case of gingival enlargement in acute myeloid leukemia. Journal of Periodontology and Implant Dentistry 2009;1(1):48-50.

Diagnosis of acute myeloid leukemia in a dental hospital; report of a case with severe gingival hypertrophy. Nigerian Journal of Clinical Practice 2015;18(4):573-6.

Demirer S, Ozdemir H, Sencan M, Marakoglu I. Gingival hyperplasia as an early diagnostic oral manifestation in acute monocytic leukemia: A Case Report. Eur J Dent 2007;1(2):111-4.

Chavan M, Subramanium A, Jhaveri H, Khedkar S, Durkar S, Agrwal A. Acute myeloid leukemia: a case report with palatal and lingual gingival alterations. Braz J Oral Sci2010;9(1):67-9.

Cooper CL, Loewen R, Shore T. Gingival Hyperplasia Complicating Acute Myelomonocytic Leukemia. J Can Dent Assoc 2000;66(2):78-9.

Shamimul H, Nabeel IK, Bhaskar LR. Leukemic gingival enlargement: Report of a rare case with review of literature. Int J Appl Basic Med Res 2015;5(1):65-7.

Dan LL. Malignancies of lymphoid cells. Treatment and prognosis of specific lymphoid malignancies. Harrison’s principles of internal medicine. 18th Ed. McGraw Hill Medical Publishing Division; New York: 2011.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

Indexed In Ebscohost Index Copernicus UlrichsWebOpenJGateGoogle Scholar DOAJ Gale Cengage Learning Research Gate
line
System Developed By Stanford University Arizona State University Simon Fraser University Canadian Centre For Studies In Publishing University of British Columbia - Faculty of Education
W3C XHTML v1.0 Verified W3C verified Valid CSS v2.1 PHP5 Enabled Made On Mac Apache Enabled MySQL Powered
Published by Celesta Software Pvt Ltd