Lingual infarction in Wegener's Granulomatosis: a case report and review of the literature.
Carter LM, Brizman E.
Maxillofacial Surgery, Leeds Dental Institute, Clarendon Way, Leeds, UK. carter.lachlan@virgin.net
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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PMID: 18718013 [PubMed - indexed for MEDLINE]PMCID: PMC2531096