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Lingual infarction in Wegener's Granulomatosis: A case report and review of the literature

Lachlan M Carter1 email and Eitan Brizman2 email

1Specialist Registrar, Maxillofacial Surgery, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK

2Senior House Officer, Maxillofacial Surgery, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK

author email corresponding author email

Head & Face Medicine 2008, 4:19doi:10.1186/1746-160X-4-19

Published: 21 August 2008

Abstract

Wegener's granulomatosis (WG) is a multi-system disease, characterised by the triad of necrotising granulomata affecting the upper and lower respiratory tracts, disseminated vasculitis and glomerulonephritis. Oral lesions are associated with up to 50% of cases, although are rare as a presenting feature. The most common oral lesions associated with WG are ulceration and strawberry gingivitis. We review the literature regarding oral manifestations of WG and present a case of lingual infarction, an extremely rare oral lesion associated with WG, in a severe, rapidly progressive and ultimately fatal form of the disease.


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