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Pathology · single question

The differential diagnosis for gingival enlargement includes all of the following EXCEPT:

  1. Vitamin C deficiency
  2. Drug-induced gingival hyperplasia
  3. Herpes gingivostomatitis
  4. Pyogenic granuloma
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Correct answer: C. Herpes gingivostomatitis

  • A. Vitamin C deficiency causes gingival swelling and bleeding — part of DD for gingival enlargement.
  • B. Drug-induced gingival hyperplasia is a primary differential — part of DD.
  • C. Correct. Herpes gingivostomatitis causes erythema and ulceration of gingiva, NOT true enlargement/hyperplasia. It should NOT be in the DD for gingival enlargement.
  • D. Pyogenic granuloma can present as a localized gingival swelling — part of DD.

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