Acute myeloid leukemia presenting with gingival enlargement masked by a normal complete blood count: A case of delayed diagnosis and literature review

This case underscores the notion that gingival enlargement can serve as an initial indicator of AML, even in the absence of conventional hematological abnormalities. Dentists are required to exercise a high level of suspicion regarding systemic etiologies when confronted with severe, refractory, or rapidly progressive gingival enlargement that is disproportionate to local irritants. It is imperative that patients consult with hematologists at the earliest opportunity, and that repeated hematological evaluations are carried out in order to prevent misdiagnosis and delays in life-saving treatment.