- 期刊
Localized Juvenile Spongiotic Gingival Hyperplasia (LJSGH)—病例報告
Localized Juvenile Spongiotic Gingival Hyperplasia (LJSGH)- Case Report
摘要
Localized juvenile spongiotic gingival hyperplasia（LJSGH）最早是在2007年被提出，有明顯臨床及組織病理學的特徵。最常見出現在年輕患者的上顎前牙牙齦處。LJSGH的病因目前仍然沒有定論，患者通常因為在上顎前牙處發現紅色斑塊而就診，有時會有刷牙容易出血的症狀，經常被誤診為牙菌斑引起的牙齦炎，但LJSGH不會在口腔衛生改善後而好轉。本篇病例報告比較兩個案例，病灶均未在牙菌斑控制治療後改善，因此我們進行了切取式活體檢查以建立診斷，比較在臨床及組織病理學上的發現及診斷，以及討論LJSGH的鑑別診斷及治療方式。
並列摘要
Localized juvenile spongiotic gingival hyperplasia (LJSGH) was first described in 2007, and had unique clinical and histopathological features. LJSGH most commonly affects the anterior maxillary gingiva in young patients. The etiology of LJSGH was still unknown. Patients came to dental department for professional advice due to the finding of a red plaque over maxillary anterior region, sometimes with the symptom of bleeding after brushing tooth. The lesion was often misdiagnosed with plaque-induced gingivitis. However, the lesion did not regress after plaque control therapy. This case report demonstrated 2 cases that the lesions did not regress after plaque control therapy. Therefore, we performed incisional biopsy for establishing the diagnosis, compared the clinical and histopathological findings and diagnosis, as well as discussed the differential diagnosis and treatment options.