Central giant cell granuloma (CGCG) was classified as rarely aggressive idiopathic benign intraosseous lesion that occurs mostly exclusively in the jaws. It occurs most frequently in young women. It is usually slow growing and non neoplastic lesion which exhibits a spectrum of clinical behavior ranging from non aggressive to aggressive variants. The striking feature of this case is its aggressive nature and presence of this lesion in the anterior part of maxilla which considers being a rare finding as the lesion commonly occurs in the mandibular region anterior to first molar.
Psoriasis is a common multisystem inflammatory chronic disease with predominantly skin and joint manifestations manifesting with remissions and exacerbations. It is a common skin disorder characterized by focal formation of raised plaques that constantly shed scales derived from excessive growth of skin epithelial cells. It is believed to be genetically linked but can also be triggered by mechanical, ultraviolet and chemical injury, various infections, drugs, psychological stress, and smoking. Oral manifestations of psoriasis are rare and are often difficult to diagnose. Oral psoriasis is a rare entity and geographic tongue is significantly more frequent in psoriatic patients but only a limited data is available so psoriatic patients should be encouraged to undergo routine dental checkups.
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