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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

GINGIVAL HYPERPLASIA
233
Schneiderman page 200-300.qxd 5/16/2006 6:49 PM Page 233


Hyperkeratosis palmoplantaris and attached gingival
hyperkeratosis 
Arch Int Med 113:866–871, 1974
I-cell disease (mucolipidosis II) – puffy eyelids; small orbits,
prominent eyes, fullness of lower cheeks; small telangiectasias;
fish-mouth appearance, short neck; gingival hypertrophy
Int J Paediatr Dent 13:41–45, 2003; Textbook of Neonatal
Dermatology, p.446, 2001; Clin Genet 23:155–159, 1983;
Birth Defects 5:174–185, 1969
Ichthyosis follicularis with atrichia and photophobia (IFAP) –
gingical hyperplasia; collodion membrane and erythema at
birth; ichthyosis; palmoplantar erythema; generalized follicular
keratoses, non-scarring alopecia of scalp, eyebrows, and
eyelashes, keratotic spiny follicular papules of elbows, knees,
fingers, extensor surfaces, xerosis; angular cheilitis, recurrent
cutaneous infections; punctate keratitis; ocular
revascularizations; growth retardation; atopic dermatitis,
urticaria; X-linked recessive 
Ped Derm 20:48–51, 2003;
JAAD 46:S156–158, 2002; Am J Med Genet 85:365–368, 1999;
AD 125:103–106, 1989; Dermatologica 177:341–347, 1988
Idiopathic fibrous hyperplasia 
Cutis 56:46–48, 1995
Julia Pastrana syndrome – congenital generalized
hypertrichosis terminali – facial deformities and gingival
hyperplasia 
Am J Med Genet 47:198–212, 1993
Juvenile hyaline fibromatosis (infantile systemic hyalinosis)
(Murray–Puretic–Drescher syndrome) – autosomal recessive;
gingival fibromatosis with hypertrophy, focal skin nodularity with
multiple subcutaneous tumors (nodular perianal lesions, facial
red or pearly papules (paranasal, periauricular), dusky red
plaques of buttocks, ears, lips), synophrys, thickened skin with
sclerodermiform atrophy, osteolytic (osteoporotic) skeletal
lesions, stiff muscles with massive stiffness, flexural joint
contractures, hyperpigmentation, flexion contractures of joints,
juxta-articular nodules (knuckle pads), diarrhea, recurrent
suppurative infections failure to thrive with stunted growth
(growth failure) and death in infancy; CMG2 (capillary
morphogenesis protein 2) mutation (chromosome 4q21) 
Ped
Derm 21:154–159, 2004; JAAD 50:S61–64, 2004; Ped Derm
18:534–536, 2001; Ped Derm 18:400–402, 2001; Dermatology
198:18–25, 1999; Int J Paediatr Dent 6:39–43, 1996; J
Periodontol 67:451–453, 1996; Dermatology 190:148–151,
1995; Ped Derm 11:52–60, 1994; Ped Derm 6:68–75, 1989;
Oral Surg 63:71–77, 1987
Laband syndrome (hereditary gingival fibromatosis)
(Zimmermann–Laband syndrome) – autosomal dominant; soft,
large floppy ears; bulbous soft nose, gingival fibromatosis;
dysplastic/absent nails; atrophic distal phalanges (short terminal
phalanges), hyperextensible metacarpophalangeal joints,
hepatosplenomegaly, hypertrichosis, mental retardation 
Ped
Derm 18:534–536, 2001; Ped Derm 10:263–266, 1993; J Otol
Pathol Med 19:385–387, 1990; Oral Surg Oral Med Oral Pathol
17:339–351, 1964
Leprechaunism (Donohue syndrome) 
AD 117:531–535, 1981
Lipoid proteinosis 
J Oral Pathol Med 27:233–237, 1998; Rook
p.3055–3056, 1998, Sixth Edition
Melkersson–Rosenthal syndrome
Menke’s kinky hair disease
Mucopolysaccaridoses I-H 
JAAD 52:491–499, 2005
Multicentric reticulohistiocytosis – digital papule; knuckle pads
yellow papules and plaques 
Rook p.2325–2326, 1998,
Sixth Edition; AD 126:251–252, 1990; Oral Surg Oral Med Oral
Pathol 65:721–725, 1988; Pathology 17:601–608, 1985; JAAD
11:713–723, 1984; AD 97:543–547, 1968
Multiple endocrine neoplasia syndrome type I – gingival papules
JAAD 42:939–969, 2000
Neurofibromatosis – unilateral gingival enlargement 
J Clin
Periodontol 27:361–365, 2000
Nevus sebaceus syndrome
(Schimmelpenning–Feuerstein–Mims syndrome) – gingival
hyperplasia, papillomas of tongue, thickened mucosa,
anodontia, dysodontia 
JAAD 52:S62–64, 2005; Ped Derm
13:22–24, 1996; Int J Oral Maxillofac Surg 12:437–443, 1983
Pfeiffer’s syndrome 
JAAD 52:491–499, 2005
Proteus syndrome 
AD 140:947–953, 2004; Int J Dermatol
42:826–828, 2003
Rutherfurd syndrome (gingival fibromatosis and corneal
dystrophy) – autosomal dominant; gum hypertrophy, failure of
tooth eruption, corneal opacities, mental retardation, aggressive
behavior 
Ped Derm 18:534–536, 2001; Acta Paediatr Scand
55:233–238, 1966
Sturge–Weber syndrome 
Indian J Dent Res 9:140–144, 1998
Sweet’s syndrome 
Ann Hematol 81:397–398, 2002
Trichothiodystrophy syndromes – BIDS, IBIDS, PIBIDS –
gingival hyperplasia, poikiloderma, sparse or absent eyelashes
and eyebrows, brittle hair, premature aging, sexual immaturity,
ichthyosis, dysmyelination, bird-like facies, dental caries;
trichothiodystrophy with ichthyosis, urologic malformations,
hypercalciuria and mental and physical retardation 
JAAD
44:891–920, 2001; Ped Derm 14:441–445, 1997
Tuberous sclerosis – gingival fibromatosis 
JAAD 52: 491–499,
2005; Rook p.3122, 1998, Sixth Edition; BJD 135:1–5, 1996
Winchester syndrome – annular and serpiginous thickenings of
skin; arthropathy, gargoyle-like face, gingival hypertrophy,
macroglossia, osteolysis (multilayered symmetric restrictive
banding), generalized hypertrichosis, very short stature,
thickening and stiffness of skin with annular and serpiginous
thickenings of skin, multiple subcutaneous nodules
JAAD 50:S53–56, 2004; J Pediatr 84:701–709, 1974;
Pediatrics 47:360–369, 1971
TRAUMA
Epulis fissuratum – inflammatory fibrous hyperplasia due to
ill-fitting dentures 
Ghatan p.177, 2002, Second Edition
Irritation, chronic
Mechanical trauma – ill-fitting dentures and implants 
Clin
Oral Implants Res 12:179–187, 2001; ill-fitting scuba-diving
mouthpiece 
Ned Tijdschr Tandheelkd 110:403–405, 2003
Mouth breathing – hyperplastic gingivitis

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