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Gingival manifestation is seen maximum with:

 # Gingival manifestation is seen maximum with:
 A. AML
B. CLL
C. CML
D. ALL



The correct answer is A. AML.

Gum hypertrophy due to leukemic infiltration of the gingiva is a frequent finding in:
- M4: Acute myelomonocytic leukemia (Naegeli type)
- M5: Acute monocytic leukemia (Schilling type)

Incidence of gingival enlargement is highest in acute monocytic leukemia (66.7%), followed by acute myelocytic monocytic leukemia (18.7%) and myelocytic leukemia (3.7%). Leukemic gingival enlargements are not found in edentulous patients or in chronic leukemia.

Leukemic gingival enlargement occurs only in acute type and not in chronic leukemia. It occurs mostly in acute monocytic leukemia. The gingival connective tissue is infiltrated with immature leukocytes.

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