dental disorders
Acute Necrotizing Ulcerative Gingivitis (ANUG)
Symptoms and Signs of ANUG
The usually abrupt onset may be accompanied by malaise or fever. The chief manifestations are Acutely painful, bleeding gingivae Excessive salivation Sometimes overwhelmingly foul breath (fetor oris) Ulcerations, which are pathognomonic, are present on the dental papillae and marginal gingiva. These ulcerations have a characteristically punched-out appearance and are covered by a gray pseudomembrane. Similar lesions on the buccal mucosa and tonsils are rare. Swallowing and talking may be painful. Regional lymphadenopathy often is present. Often, ANUG can manifest without a significant odor, and it also may manifest as a localized condition. 