A systemic vasculitis such as juvenile dermatomyositis may affect the gingiva. It occurs when there are significant capillary involvement.

Clinical features of gingival vasculopathy:

(1) gingival edema

(2) gingival hypertrophy

(3) ulceration

(4) telangiectasia


The presence of gingival vasculopathy is associated with:

(1) more severe disease activity

(2) widespread capillary involvement in the gastrointestinal tract

(3) significant periungual involvement


For a patient on corticosteroids or immunosuppressives, there is also the risk of periodontitis.

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