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Diagnosis of a case of ligneous gingivitis in a patient with moderate plasminogen deficiency.
J Stomatol Oral Maxillofac Surg. 2019 Jun; 120(3):270-272.JS

Abstract

Plasminogen deficiency is a rare congenital condition that leads to pseudomembraneous lesions, such as ligneous conjunctivitis and ligneous gingivitis. Because of its rarity, ligneous gingivitis is not a pathology one may easily suspect from its clinical symptoms. We report the case of a 35-year-old Caucasian woman who experienced gum masses with white spots, but no pain. Based on the clinical picture, one could refute a diagnosis of necrotizing ulcerative periodontitis. Several biopsies were taken. The last ones showed an amorphous eosinophilic substance that could be fibrin. Plasmatic dosage of plasminogen (activity level 44%) confirmed the hypothesis of ligneous gingivitis. This report appears to be a very rare diagnosis of a ligneous gingivitis without major conjunctivitis, associated with a moderate plasminogen deficiency.

Authors+Show Affiliations

Service d'odontologie, CHU de Montpellier, 549, avenue du Pr JL-Viala, 34295 Montpellier cedex 5, France. Electronic address: e-malthiery@chu-montpellier.fr.Service d'odontologie, CHU de Montpellier, 549, avenue du Pr JL-Viala, 34295 Montpellier cedex 5, France. Electronic address: j-torres@chu-montpellier.fr.Laboratoire d'anatomie et de cytologie pathologiques, CHU de Montpellier, 80 avenue Augustin-Fliche, 34295 Montpellier cedex 5, France. Electronic address: v-costes_martineau@chu-montpellier.fr.Service d'odontologie, CHU de Montpellier, 549, avenue du Pr JL-Viala, 34295 Montpellier cedex 5, France. Electronic address: ma-fauroux@chu-montpellier.fr.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30513391

Citation

Malthiery, E, et al. "Diagnosis of a Case of Ligneous Gingivitis in a Patient With Moderate Plasminogen Deficiency." Journal of Stomatology, Oral and Maxillofacial Surgery, vol. 120, no. 3, 2019, pp. 270-272.
Malthiery E, Torres JH, Costes-Martineau V, et al. Diagnosis of a case of ligneous gingivitis in a patient with moderate plasminogen deficiency. J Stomatol Oral Maxillofac Surg. 2019;120(3):270-272.
Malthiery, E., Torres, J. H., Costes-Martineau, V., & Fauroux, M. A. (2019). Diagnosis of a case of ligneous gingivitis in a patient with moderate plasminogen deficiency. Journal of Stomatology, Oral and Maxillofacial Surgery, 120(3), 270-272. https://doi.org/10.1016/j.jormas.2018.11.014
Malthiery E, et al. Diagnosis of a Case of Ligneous Gingivitis in a Patient With Moderate Plasminogen Deficiency. J Stomatol Oral Maxillofac Surg. 2019;120(3):270-272. PubMed PMID: 30513391.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis of a case of ligneous gingivitis in a patient with moderate plasminogen deficiency. AU - Malthiery,E, AU - Torres,J-H, AU - Costes-Martineau,V, AU - Fauroux,M-A, Y1 - 2018/12/01/ PY - 2018/08/02/received PY - 2018/10/21/revised PY - 2018/11/25/accepted PY - 2018/12/5/pubmed PY - 2018/12/5/medline PY - 2018/12/5/entrez KW - Congenital plasminogen deficiency KW - Fibrin KW - Gingivitis SP - 270 EP - 272 JF - Journal of stomatology, oral and maxillofacial surgery JO - J Stomatol Oral Maxillofac Surg VL - 120 IS - 3 N2 - Plasminogen deficiency is a rare congenital condition that leads to pseudomembraneous lesions, such as ligneous conjunctivitis and ligneous gingivitis. Because of its rarity, ligneous gingivitis is not a pathology one may easily suspect from its clinical symptoms. We report the case of a 35-year-old Caucasian woman who experienced gum masses with white spots, but no pain. Based on the clinical picture, one could refute a diagnosis of necrotizing ulcerative periodontitis. Several biopsies were taken. The last ones showed an amorphous eosinophilic substance that could be fibrin. Plasmatic dosage of plasminogen (activity level 44%) confirmed the hypothesis of ligneous gingivitis. This report appears to be a very rare diagnosis of a ligneous gingivitis without major conjunctivitis, associated with a moderate plasminogen deficiency. SN - 2468-7855 UR - https://www.unboundmedicine.com/medline/citation/30513391/Diagnosis_of_a_case_of_ligneous_gingivitis_in_a_patient_with_moderate_plasminogen_deficiency L2 - https://linkinghub.elsevier.com/retrieve/pii/S2468-7855(18)30266-0 DB - PRIME DP - Unbound Medicine ER -