Question 312 · LDEK · Periodontal and oral mucosal diseases in children
Oedema, discoloration (from redness to dark purple), idiopathic bleeding, ecchymosis and proliferative lesions of gingiva observed in a 5-year-old child:
- A. require referring the child to oncologist due to suspicion of leukaemia.
- B. indicate long-term neglect in terms of hygiene and phenytoin administration.
- C. suggest hereditary gingival fibromatosis.
- D. are a symptom of puberty gingivitis.
- E. are a first symptom of starting the cyclosporine A treatment in a child subjected to kidney transplant.
Hint
Spontaneous bleeding and petechiae with soft, purplish gingival enlargement suggest a haematological cause rather than drugs or plaque.
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