A 22-year-old woman with acute gingival hypertrophy and spontaneous bleeding is most likely diagnosed with?

In the scenario presented, acute gingival hypertrophy along with spontaneous bleeding is particularly indicative of myelogenous leukaemia. This condition, which is a type of cancer affecting the blood and bone marrow, often leads to abnormalities in the blood cells, particularly the platelets and leukocytes. These abnormalities can cause issues with clotting and lead to symptoms such as excessive bleeding and hypertrophy of the gums due to infiltration of leukemic cells.

Gingival hyperplasia can also occur with certain medications or due to other conditions, but the context of acute symptoms combined with the demographic of a young adult woman leans more towards hematological malignancies such as myelogenous leukaemia. In individuals with this type of leukaemia, there is a proliferation of myeloid cells, which can result in oral manifestations including gingival enlargement and increased bleeding due to the lack of platelets.

Other options present different conditions that do not typically cause the specific combination of acute gingival hypertrophy and spontaneous bleeding. Infectious mononucleosis, for instance, might produce symptoms like lymphadenopathy and fatigue, but is less specific to gingival issues. Gingivitis of local aetiological origin would suggest localized irritation and inflammation, typically presenting with less severe