Crohnʼs Disease with Gingival Enlargement as the First Sign: A Case Report

Bahareh  Fattahi; Saeedeh  Khalesi; Mohammad Reza  Badi Sanaye; Amir Mohammad  Momeni

doi:10.18502/jcr.v11i2.17032

Bahareh Fattahi Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Saeedeh Khalesi Dental Materials Research Center, Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammad Reza Badi Sanaye School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Amir Mohammad Momeni School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

DOI: https://doi.org/10.18502/jcr.v11i2.17032

Keywords: Pathology, Oral, Crohn’s disease, gingival enlargement

Abstract

Crohn’s disease (CD) is a process of gastrointestinal mucosa inflammation that could be seen in any part of the gastrointestinal tract from oral to anus. Oral lesions could be the first sign in most patients. The lesions in Crohn’s disease are divided to specific and nonspecific lesions. The specific lesions are less common than nonspecific ones. Tag-like lesions and cobblestones are some of the specific lesions and ulcer is a non-specific lesion. The diagnosis of Crohn’s disease is based on a combination of symptoms, enteroscopy, gastroscopy, capsule endoscopy, histopathology and imaging. Oral involvement of CD is also known as oral Crohn’s disease (OCD). Early diagnosis of OCD may be the most influential factor in controlling it. This case report presents a 47-year-old female patient with gingivitis and gingival erythema and enlargement as her chief complaint which was the first sign of CD.