Wegener's granulomatosis: Report of a case involving the gingiva

A case of documented Wegener's granulomatosis which first manifested itself as a painful, infiltrative granulomatous lesion of the gingiva has been presented. Because of the nonspecific character that the granulomatous lesions manifested, the diagnosis in this case was in doubt until an autopsy had been performed. However, as has been described in other cases of Wegener's granulomatosis, there was a rapid fulminating downhill course which ended in death due to acute renal failure.