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A provisional diagnosis of gingival enlargement in pregnancy was made. Twelve days after the initial treatment, the patient was referred and admitted to the haematology department of a local hospital with clinical signs of anaemia and thrombocytopenia. Blood count showed a white blood cell count of 9.68 \u00d7 10<jats:sup>9<\/jats:sup>\/L, with a haemoglobin count of 64.0 g\/L and a platelet count of 17 \u00d7 10<jats:sup>9<\/jats:sup>\/L. Bone marrow aspiration showed 94.5% monoblasts, and the morphological diagnosis was acute monocytic leukaemia. One day after admission, the patient delivered a male infant by Caesarean section. Ten days after the Caesarean section, the patient was started on a course of chemotherapy. Pulmonary infection, hypokalaemia, and respiratory failure developed, and the patient died 23 days after the Caesarean section. The present case shows the importance of awareness of severe gingival enlargement as an initial oral sign of acute leukaemia.<\/jats:p>","DOI":"10.1111\/adj.12525","type":"journal-article","created":{"date-parts":[[2017,5,3]],"date-time":"2017-05-03T08:26:41Z","timestamp":1493800001000},"page":"386-389","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Gingival enlargement in a pregnant woman with acute monocytic leukaemia: a case report"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0045-2843","authenticated-orcid":false,"given":"Y\u2010W","family":"Fu","sequence":"first","affiliation":[{"name":"Department of Stomatology The First People's Hospital of Lianyungang Lianyungang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u2010Z","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Stomatology The First People's Hospital of 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