A 14-year-old female patient residing in Bangalore Rural , India, reported with a complaint of enlarged upper and lower gingivae, which was diffuse type predominant on the right side. It started 1 year back as a small swelling that increased to present size. The growth is non painful. The patient is from low-socioeconomic strata; both the parents are daily wageworkers. No family history of similar condition in the family was evident.
            The patient has not attained menarche. The patient’s oral hygiene regimen is fair. Provisionally the case was diagnosed as inflammatory enlargement and gingivoplasty was performed and the tissue was sent for histopathology examination. Histopathology reveals multiple granuloma with Langerhan's gaint cell. So case was suspected as tuberculosis gingival enlargement .Chest x-ray revealed to be normal. Family history was non contributory. No family members were affected with tuberculosis. No history of weight loss, evening fever or loss of appetite. OPG showed no bone loss.

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