Suarez-Cunqueiro Maria M, Duker Jürgen, Liebehenschel Niels, Schön Ralf, Schmelzeisen Rainer
Department of Oral and Craniomaxillofacial Surgery, University Hospital Freiburg, Albert-Ludwigs-University, Freiburg, Germany.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Nov;94(5):636-40. doi: 10.1067/moe.2002.127165.
Atherosclerosis, a progressive inflammatory disease, may lead to stroke, coronary artery disease, or peripheral artery disease. The prevalence of atherosclerosis associated with morbidity and mortality is very high in industrialized countries. This report describes the case of a 49-year-old male patient whose panoramic radiograph taken as part of a dental examination showed calcification in the branches of the external carotid artery. The right facial artery and left maxillary, facial, and lingual arteries were also calcified. The patient had a history of thrombosis in the right axillary and brachial veins with extension to half of the brachiocephalic trunk. In addition, selective lesions were found in the aorta and mitral valve. The patient's medical history also included hypertriglyceridemia, essential arterial hypertonia, terminal renal insufficiency, renal anemia, neurogen disturbance micturition, secondary hyperparathyroidism, hyperuricemia, lymphatic edema, polyneuropathy, tachyarrhythmia absoluta, and erysipelas. The case presented reports on the possibility of detecting signs of atherosclerosis in arteries of the maxillofacial region by use of panoramic radiography.
动脉粥样硬化是一种进行性炎症性疾病,可导致中风、冠状动脉疾病或外周动脉疾病。在工业化国家,与发病率和死亡率相关的动脉粥样硬化患病率非常高。本报告描述了一名49岁男性患者的病例,其作为牙科检查一部分拍摄的全景X线片显示颈外动脉分支钙化。右侧面动脉以及左侧上颌动脉、面动脉和舌动脉也有钙化。该患者有右腋窝和肱静脉血栓形成病史,血栓延伸至头臂干的一半。此外,在主动脉和二尖瓣发现了选择性病变。患者的病史还包括高甘油三酯血症、原发性动脉高血压、终末期肾功能不全、肾性贫血、神经性排尿障碍、继发性甲状旁腺功能亢进、高尿酸血症、淋巴水肿、多发性神经病、绝对快速性心律失常和丹毒。该病例报告了通过全景X线摄影检测颌面部区域动脉粥样硬化迹象的可能性。