This is a 47-year-old male who was referred from the emergency department with left facial swelling. He complained of occasional oral bleeding in the past month, swelling for 5 days, bitter taste in his mouth and fevers of up to “99.0 F” for which he took aspirin. Past medical history He has been human immunodeficiency virus (HIV) positive since 1993 and had been taking Videx, Epivir, Viread and occasionally Diflucan. He reported not seeing a dentist in 4 years because everyone was afraid of his HIV status.
His past medical history is otherwise unremarkable. Clinical and radiographic findings Clinical examination revealed mild trismus and a 2.0 x 1.5 x 1.5 cm purplish-blue exophytic, sessile mass involving the gingival margin of tooth #14 resembling a reactive gingival swelling such as peripheral giant cell granuloma or Kaposi sarcoma. What can be the probable diagnosis for this…
