Wegener's Granulomatosis With Oral Mucosal Involvement as First Manifestation Granulomatosis de Wegener con afectación de la mucosa oral como primera manifestación

Wegener’s granulomatosis (WG) is an autoimmune disease, which particularly affects the upper respiratory pathways, lungs and kidney. Oral mucosal involvement presents in around 5%--10%1--3 of cases and may be the first disease symptom. Predominant manifestation is granulomatous gingivitis erythematous papules4; mucosal necrosis and non-specific ulcers with or without impact on adjacent structures. Clinically speaking, the most characteristic lesion presents as a gingival hyperplasia of the gum, with hyperaemia and petechias on its surface which bleed when touched. Due to its appearance, it has been called ‘‘Strawberry gingiva’’.5,6 The following is a clinical case in which the granulomatous strawberry gingivitis was the first sign of WG.