Bleeding gums

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saumya Easaw, M.B.B.S.[2],Jyostna Chouturi, M.B.B.S [3]


Common Causes

Causes by Organ System

Cardiovascular Bothrops venom, hereditary hemorrhagic telangiectasia, tuberous sclerosis
Chemical / poisoning

Radium jaw, arsenic poisoning, lead poisoning, mercury poisoning


Lichen planus (oral), linear immunoglobulin A dermatosis, pemphigus, hereditary hemorrhagic telangiectasia, idiopathic thrombocytopenic purpura,thrombocytopenia, tuberous sclerosis, bothrops venom, scurvy, haemophilia, Systemic lupus erythematosus, kaposi's sarcoma, ebola hemorrhagic fever

Drug Side Effect Acitretin , aspirin, Bevacizumab Injection, Cholestyramine Resin, clofarabine injection, co-codamol, colestipol, coumatetralyl,cyclosporine, cytotoxic chemotherapy, Efalizumab Injection, Heparin Injection, itraconazole , mercury(II) chloride poisoning, methotrexate, mycophenolate ,pamidronate injection , paracetamol, phenytoin (oral), pregabalin , protiodide, Trimethadione, venlafaxine, Zoledronic Acid Injection
Ear Nose Throat Dry mouth, Vincent's angina, hereditary hemorrhagic telangiectasia
Endocrine No underlying causes
Environmental Diabetes, progesterone, arsenic poisoning, bothrops venom, radium jaw, lead poisoning
Gastroenterologic Cholestyramine Resin, essential thrombocytosis , ebola hemorrhagic fever, waldenstrom macroglobulinemia, hereditary hemorrhagic telangiectasia
Genetic Hemophilia, hereditary hemorrhagic telangiectasia
Hematologic Aplastic anemia, essential thrombocytosis, idiopathic thrombocytopenic purpura, lead poisoning, thrombocytopenia, vitamin K deficiency, Von Willebrand's disease, waldenstrom macroglobulinemia, coumatetralyl, hemophilia, bolivian hemorrhagic fever, ebola hemorrhagic fever,rift valley fever, acute myeloid leukemia, Systemic lupus erythematosus
Iatrogenic No underlying causes
Infectious Disease Bolivian hemorrhagic fever, ebola hemorrhagic fever, ehrlichiosis (canine), herpes simplex virus, rift valley fever, MMR vaccine
Musculoskeletal / Ortho Systemic lupus erythematosus
Neurologic Tuberous sclerosis, phenytoin (oral), pregabalin , waldenstrom macroglobulinemia, rift valley fever, ebola hemorrhagic fever, bothrops venom
Nutritional / Metabolic Scurvy, diabetes, vitamin K deficiency
Obstetric/Gynecologic Pregnancy, progesterone, Von Willebrand's disease
Oncologic Acute myeloid leukemia, kaposi's sarcoma, oral cancer, cytotoxic chemotherapy
Opthalmologic Rift valley fever
Overdose / Toxicity Chronic alcoholism, arsenic poisoning, lead poisoning
Psychiatric Stress
Pulmonary No underlying causes
Renal / Electrolyte Tuberous sclerosis, bothrops venom, Systemic lupus erythematosus
Rheum / Immune / Allergy Systemic lupus erythematosus, linear immunoglobulin A dermatosis, pemphigus, mycophenolate , hemophilia
Sexual Fellatio, herpes simplex virus, kaposi's sarcoma
Trauma Rough teeth brushing, wisdom teeth
Urologic No underlying causes
Dental Dental implant, epulis, extraction (dental), gingivitis, Ludwig's angina, periodontitis, poor oral hygiene, rough teeth brushing,wisdom teeth, radium jaw, lead poisoning, scurvy
Miscellaneous Body piercing, MMR vaccine, stress

Causes in Alphabetical Order

Differential Diagnosis

In alphabetical order. [1] [2]


  1. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X


The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [4]

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