ABSTRACT

Wegener’s granulomatosis is a disease with high mortality if left untreated. Early diagnosis and the initation of proper treatment is of great importance. A 25-years old male patient presented with gingival hyperplasia as the initial presenting lesion of Wegener’s Granulomatosis. This was followed shortly by nasal obstruction and epistaxis. Delay in histological interpretation resulted in progression of the disease into severe systemic vasculitis. Treatment with prednisolone resulted in rapid and dramatic resolution of oral and systemic manifestations. The role of the oral specialist in early diagnosis of systemic diseases with oral manifestations should be emphasized.