Management of hereditary gingival fibromatosis in juvenile idiopathic arthritis patient - A case report

Abstract

Hereditary gingival fibromatosis (HGF) is a rare condition with the prevalence of one per 175000 population and equal distribution in sexes. The onset of gingival enlargement is concurrent with the eruption of permanent teeth or in combination of other symptoms as part of a syndrome. Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease of unknown etiology in childhood and predominantly presents with peripheral arthritis. Enthesitis-related arthritis is a separate disease subtype of JIA, characterized by enthesitis and asymmetric lower-extremity arthritis. A case report of 22-year-old male patient with generalized gingival enlargement involving up to coronal one third of crown was observed clinically and diagnosis was made as HGF based on clinical and histopathological examination. After phase I therapy, laser gingivectomy was performed and good wound healing was observed at 3 months post operatively. Key Words: Juvenile idiopathic arthritis, Hereditary gingival fibromatosis, Enthesitis-related arthritis, laser gingivectomy.