{'fraction_non_alphanumeric': 0.03597122302158273, 'fraction_numerical': 0.004796163069544364, 'mean_word_length': 5.325757575757576, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Image Gallery: Strawberry gingivitis as first sign of granulomatosis with polyangiitis

DEAR EDITOR, A 40-year-old man presented with (a) erythematous gingival hyperplasia in the lower right premolar-to-incisors region, of 1 months’ duration. He was healthy with good oral hygiene. There was no lesion on his skin. (b) Histopathological examination revealed a mixed inflammatory cellular infiltrate, giant cells, numerous vascular channels and red blood cell extravasation. With a diagnosis of granulomatosis with polyangiitis (GPA; so-called Wegener’s granulomatosis), he was referred for further examination and treatment. Oral manifestation of GPA as the first sign of disease is reported in 2% of cases. Strawberry gingivitis is a classic sign. Early diagnosis of this life-threatening disease is crucial for successful treatment.