[Wegener's granulomatosis with oral mucosal involvement as first manifestation].

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% of cases and may be the first disease symptom. Predominant manifestation is granulomatous gingivitis erythematous papules; 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’’. The following is a clinical case in which the granulomatous strawberry gingivitis was the first sign of WG.