2015
DOI: 10.4103/0972-124x.164761
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Gingival enlargement in myelodysplastic syndrome

Abstract: The myelodysplastic syndrome (MDS) is characterized by peripheral blood cytopenias and increased risk of transformation to acute myeloid leukemia. This syndrome affects blood cell production and behavior. MDS is difficult to diagnose because of the absence of symptoms in the early stage of the disease. Often it is accidentally discovered during a routine physical exam/blood test. Till date, only a few cases of gingival enlargement associated with MDS are reported in the literature. Here is a remarkable case of… Show more

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Cited by 4 publications
(10 citation statements)
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“…Oral manifestations of leukemia include petechiae or spontaneous bleeding in 56% of patients [1,2,5,22], mucosal ulceration in 53% [1][2][3][4][5], and gingival enlargement in 36% [1,6,11,22,23], with or without necrosis [5]. These features are the most common initial diagnostic manifestations of leukemia.…”
Section: Oral Manifestationsmentioning
confidence: 99%
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“…Oral manifestations of leukemia include petechiae or spontaneous bleeding in 56% of patients [1,2,5,22], mucosal ulceration in 53% [1][2][3][4][5], and gingival enlargement in 36% [1,6,11,22,23], with or without necrosis [5]. These features are the most common initial diagnostic manifestations of leukemia.…”
Section: Oral Manifestationsmentioning
confidence: 99%
“…Gingival enlargement and ulcerations may be due to either neutropenia or direct infiltration of immature (blasts) proliferating leukocytes, or be secondary to thrombocytopenia and immunodeficiency [1,5,23]. This infiltration leads to an increase in gingival thickness and formation of pseudo-pockets, resulting in secondary inflammatory infiltration [1].…”
Section: Gingival Alterationsmentioning
confidence: 99%
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“…The presence of an increased number of cells and a buildup of connective tissue characterizes gingiva overgrowth [ 24 ]. As previously stated, gingival infiltration is more common in myelomonocytic and monocytic leukemia, and the proposed hypothesis for gingival involvement is based on the microanatomy of the gingiva and the expression of endothelial adhesion molecules, which allows leukocyte infiltration and leads to a soft overgrowth [ 24 , 28 , 29 ]. As a result of the infiltration, gingival thickness increases, and pseudo-pockets develop, leading to subsequent inflammatory infiltration [ 27 , 28 ].…”
Section: Reviewmentioning
confidence: 99%