The New England Journal of Medicine - New NEJM Image Challenge: A 48-year-old woman presented to the emergency department with a 1-week history of fatigue and painful, swollen gums. What is the
![had braces for a few months and there was no problem up until recently. My gums have become swollen and you can be barely see my bottom row teeth because of how had braces for a few months and there was no problem up until recently. My gums have become swollen and you can be barely see my bottom row teeth because of how](https://preview.redd.it/66o6q5z1ktr71.jpg?width=640&crop=smart&auto=webp&s=261b107f0a96be1be4249aacb621513f24a73657)
had braces for a few months and there was no problem up until recently. My gums have become swollen and you can be barely see my bottom row teeth because of how
![Detail of gum tree bark peeling off, Stock Photo, Picture And Royalty Free Image. Pic. TET-TI76000241 | agefotostock Detail of gum tree bark peeling off, Stock Photo, Picture And Royalty Free Image. Pic. TET-TI76000241 | agefotostock](https://previews.agefotostock.com/previewimage/medibigoff/09533a6996ee6aa0ab37d5738a663fd7/tet-ti76000241.jpg)