Abstract
A 23-year-old man was referred to our clinic on suspicion of gingivitis from dentistry. He presented with malaise, weakness, generalized musculoskeletal pain and complaint of gingival pain. He had no history of tobacco or drug use. He did not recall any bleeding from the gums. On examination, oral hygiene was fair and no ulcer was seen. Gingival hypertrophy (Figure 1) with mild tenderness, two small, non-tender, firm lymph nodes in the left posterior cervical chain and splenomegaly were noted. His temperature was 38° C, and other examinations were unremarkable. White cell count was 20,000 per cubic millimeter. Hemoglobin was 10 milligrams per deciliter, and platelet count was 100,000 per cubic millimeter.