Abstract
The objective of the present study was to report the case of a pregnant woman with severe gingival enlargement for 3 months with undiagnosed acute leukaemia. The pregnant woman presented with anemia and generalized gingival enlargement. A provisional diagnosis of gingival enlargement in pregancy was made. Twelve days after the initial treatment, the patient was referred and admitted to the hematology department of a local hospital with clinical signs of anemia and thrombocytopenia. Blood count showed a WBC count of 9.68×109/L, with a hemoglobin of 64.0 g/L and a platelet count of 17×109/L. The bone marrow aspiration showed 94.5% monoblasts, and the morphological diagnosis was made as acute monocytic leukaemia. One day after admission, the patient delivered a male infant by cesarean section. Ten days after the cesarean section, the patient was started on a course of chemotherapy. Pulmonary infection, hypokalemia, and respiratory failure developed, and the patient died 23 days after the cesarean section. The present case shows the importance of awareness of severe gingival enlargement as an initial oral signs of acute leukaemia.
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