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Epulis of Pregnancy in a 25-Year-Old Primipara
A 25-year-old primipara had her first prenatal visit at 12 weeks' gestation. She said that her gums had recently become irritated and bled easily.
A 25-year-old primipara had her first prenatal visit at 12 weeks' gestation. She said that her gums had recently become irritated and bled easily.
Robert P. Blereau, MD of Morgan City, La, diagnosed epulis of pregnancy. This gingival hypertrophy is caused by the growth of gum capillaries; symptoms may worsen as gestation progresses. Even slight trauma, such as toothbrushing, causes the gums to bleed. Treatment consists of proper dental hygiene and avoidance of trauma.
In most patients, this condition regresses spontaneously after delivery. Epulis of pregnancy may be confused with pyogenic granulomas of pregnancy (granuloma gravidarum), which arise from gingival papillae.
Duration of Use Guidance Published for Systemic Corticosteroids in Atopic Dermatitis Treatment
September 12th 2025The new position paper faults the absence of a clearly defined, evidence-based ceiling on duration of use for the persistent overuse of systemic corticosteroids for AD management.
