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伴有上颌复合性牙瘤和青少年血管纤维瘤的脑颅皮肤脂肪瘤病:一例报告

Encephalocraniocutaneous lipomatosis accompanied by maxillary compound odontoma and juvenile angiofibroma: report of a case.

作者信息

Andreadis Dimitrios A, Rizos Christos B, Belazi Maria, Peneva Milena, Antoniades Demetrios Z

机构信息

School of Dental Medicine, Department of Oral Medicine and Maxillofacial Pathology, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

Birth Defects Res A Clin Mol Teratol. 2004 Nov;70(11):889-91. doi: 10.1002/bdra.20080.

Abstract

BACKGROUND

Encephalocraniocutaneous lipomatosis (ECCL) is a rare neurocutaneous syndrome characterized by congenital cutaneous, ocular, and neurologic abnormalities, which may be pronounced in the head and neck.

CASE

In this article we present a well-documented case of a six-year-old boy with ECCL associated with oral manifestations. In this case, typical features such as large lipomatous brown pigmented plaques of the top of the skull with overlying alopecia, ptotic eyelid with decreased function, bulbar conjunctiva lipodermoid, microcalcifications and atrophy of cerebral parenchyma, and the widening of the frontal subarachnoid space and the fissure of Sylvius were accompanied by intraoral lesions, maxillary compound odontoma, and juvenile extranasopharyngeal angiofibroma of the gingiva.

CONCLUSIONS

Although cases of odontomas have already been described and angiofibromas are a quite common extraoral finding, to our knowledge this is the first case of intraoral evaluation of both extranasopharyngeal juvenile angiofibroma and maxillary compound odontoma in ECCL syndrome.

摘要

背景

脑颜面皮肤脂肪瘤病(ECCL)是一种罕见的神经皮肤综合征,其特征为先天性皮肤、眼部和神经异常,这些异常在头颈部可能较为明显。

病例

在本文中,我们展示了一例记录详尽的6岁男孩患ECCL并伴有口腔表现的病例。在此病例中,典型特征如颅骨顶部有大的脂肪瘤样褐色色素沉着斑块且伴有脱发、上睑下垂且功能减退、球结膜皮样脂肪瘤、脑实质微钙化和萎缩,以及额叶蛛网膜下腔和外侧裂增宽,同时伴有口腔内病变、上颌复合牙瘤和牙龈部青少年鼻咽外血管纤维瘤。

结论

尽管牙瘤病例已有报道,且血管纤维瘤是一种相当常见的口腔外表现,但据我们所知,这是首例对ECCL综合征中的鼻咽外青少年血管纤维瘤和上颌复合牙瘤进行口腔内评估的病例。

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