Background: In paediatric population of modern developed countries, vitamin C deficiency has become very rare, especially in individuals with no underlying medical conditions. Case Report: This paper aims to report a case of scurvy in a healthy 6-year-old girl who was referred to the Department of Paediatric Dentistry for managing her hypertrophic, spongy, and erythematous gingiva for one week duration. She initially presented with a complaint of pain in her lower limbs and inability to walk. A series of investigations and radiographic examinations were carried out. Malignancy was highly suspicious hence biopsy of the gingiva was performed to confirm the diagnosis. The histopathological examination (HPE), however, interpreted the lesion as gingivitis. The gingival hypertrophy became more progressively worsening clinically. A clinical diagnosis of scurvy was then made after a literature review of her clinical presentations and investigation findings. Empirical vitamin C supplementation was started, and the patient’s condition remarkably improved within 4 days. Conclusion: The clinical manifestation of scurvy can be variable and non-specific. Early recognition is paramount to avoid unnecessary investigations and to initiate vitamin C supplementation.
Background: This paper aims to report a rare case of congenital giant cell fibroma (GCF). To the best of our knowledge, this is the first reported case of GCF in new-born. Case Report: A healthy one-month-old baby boy was referred to Department of Paediatric Dentistry for management of swelling on the upper left alveolar region which presented since birth. Clinical examination demonstrated a well define firm swelling over the upper left alveolar ridge, otherwise the swelling was asymptomatic. Patient was monitored periodically. At 1 year and 9 months of age, there were episodes of ulcerations and bleeding from the lesion as a result of trauma from eruption of opposing teeth. Surgical excision of the lesion was carried out under general anaesthesia. The histopathological examination (HPE) report interpreted the lesion as GCF. Conclusion: GCF is rare fibrous lesion that could be diagnosed only on HPE. Although it is an uncommon congenital lesion, GCF should be considered as one of differential diagnosis of swelling over the gingiva.
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