Strawberry gingivitis and salivary gland enlargement as Debut symptoms of Pediatric granulomatosis with polyangiitis, using a multimodality and comprehensive diagnosis work up - A case report

Granulomatosis with Polyangiitis previously called Wegener's granulomatosis is quite a rare condition that affects multiple organs. It's a serious disorder marked by inflammation that causes tissue damage in the upper and lower respiratory tract, glomerulonephritis, and vasculitis, which can be fatal. This illness can present in either a limited or generalized form. The limited version tends to progress slowly, while the more widespread form can rapidly lead to failure of multiple organs. One of the challenges in diagnosing is that its early symptoms are nonspecific.

We are presenting a case of 16-year-old girl come in with a rather unusual presentation. Her symptoms kicked off with strawberry gingivitis and swelling of the salivary glands. In our report, we delve into the details of her clinical signs, what we found on the radiological scans, and how we approached treatment.