Crohnʼs Disease with Gingival Enlargement as the First Sign: A Case Report

Crohn’s disease (CD) is a process of gastrointestinal mucosa inflammation that could be seen in any part of the gastrointestinal tract from oral to anus. Oral lesions could be the first sign in most patients. The lesions in Crohn’s disease are divided to specific and nonspecific lesions. The specific lesions are less common than nonspecific ones. Tag-like lesions and cobblestones are some of the specific lesions and ulcer is a non-specific lesion. The diagnosis of Crohn’s disease is based on a combination of symptoms, enteroscopy, gastroscopy, capsule endoscopy, histopathology and imaging. Oral involvement of CD is also known as oral Crohn’s disease (OCD). Early diagnosis of OCD may be the most influential factor in controlling it. This case report presents a 47-year-old female patient with gingivitis and gingival erythema and enlargement as her chief complaint which was the first sign of CD.