JUVENILE SPONGIOTIC GINGIVITIS ASSOCIATED WITH IDIOPATHIC GINGIVAL PAPILLOKERATOSIS WITH CRYPT FORMATION

Juvenile spongiotic gingivitis (JSG) is an uncommon entity with a predominance for girls, with the majority of patients in the second decade of life. The idiopathic gingival papillokeratosis with crypt formation (IGPC), described in March of 2017, affects the maxillary attached gingiva of both genders in the second decade of life. A 19-year-old female patient came to our clinic complaining of "red gingiva." Oral examination showed diffuse erythema, edema, and bleeding on the marginal gingiva associated with asymptomatic white plaques involving the anterior maxillary attached gingiva. The clinical differential diagnoses included: plasm cell gingivitis, desquamative gingivitis, and leukemia-associated gingivitis. The complete blood count values were normal. The microscopic pattern was compatible with JSG. The patient was told to replace her toothpaste, and was treated with topical corticosteroid and cryotherapy. It is important that dentists are aware of various etiologies for atypical gingivitis even if it is an infrequent condition like JSG.