CASE REPORT
A 65-year-old man was referred to the Oral Medicine Department by his General Dental Practitioner for investigation of a swelling in the anterior maxilla, which had been present for 6 weeks and associated with mobility in the upper central incisors. There was no resolution of the lesion following extraction of the central incisors and three courses of antibiotics.
The patient’s medical history was significant for HIV which was managed with a combination antiretroviral and Co-trimoxazole. He was a never smoker and consumed 10 units of alcohol per week.
Extra orally, there was no lymphadenopathy. On intra oral examination a firm, nodular, exophytic soft tissue swelling was noted in the upper anterior maxilla extending to involve the labial sulcus (Figure 1).