A patient with a rare manifestation of phenytoin-induced hyperplasia is reported. Severe maxillary and mandibular gingival hyperplasia occurred prior to the eruption of the dentition and without evidence of any predisposing local irritation factors.

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http://dx.doi.org/10.1016/0030-4220(83)90344-4DOI Listing

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Article Synopsis
  • Drug-induced gingival overgrowth (DIGO) is a common condition caused by long-term use of phenytoin for seizures, often improving after stopping the medication.
  • Typically, this overgrowth appears in the upper and lower jaw, especially in the front areas that are more exposed.
  • This report highlights a unique case of phenytoin-induced gingival overgrowth predominantly affecting the hard palate and floor of the mouth, which is not found in existing English literature.
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Phenytoin is an anticonvulsant which is also a Class IB antiarrhythmic. Its common adverse drug reactions (ADRs) include gastrointestinal symptoms, psychiatric disorders, gingival hyperplasia, and rash. Bradycardia and hypotension following intravenous (IV) phenytoin are rare ADRs.

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Antiphospholipid antibody (APLA) syndrome is a noninflammatory autoimmune disease, with innumerable clinical manifestations ranging from recurrent thrombosis and pregnancy morbidity to valvular lesions, transverse myelitis, thrombocytopenia, and hemolytic anemia. APLAs in antiphospholipid syndrome (APS) are well-known risk factors for cerebrovascular accidents. Stroke is the most common manifestation of APS in the central nervous system.

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Velopharyngeal Incoordination Caused by Phenytoin-Induced Toxicity.

Am J Phys Med Rehabil

February 2017

From the Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.

Phenytoin induces lymphoid proliferation, resulting in complications that can range from tissue hyperplasia to lymphoma. Some of the complications resolve spontaneously after drug discontinuation. This report describes for the first time a case of dysphagia with lack of velopharyngeal coordination and nasopharyngeal reflux combined with massive palatine tonsillar hypertrophy.

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Nonsurgical Management of Phenytoin-induced Gingival Hyperplasia.

J Contemp Dent Pract

April 2015

Assistant Professor, Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia, Phone: +966500655550, e-mail:

Introduction: The aim of this report is to present a severe case of phenytoin (PHT)-induced gingival hyperplasia in a Saudi patient.

Materials And Methods: A 12-year-old male epileptic patient, undergoing PHT therapy, was diagnosed clinically with severe gingival hyperplasia. His treatment consisted meticulous oral care and weekly professional prophylaxis.

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