Royal Derby Hospital, Derby, UK.
Dentomaxillofac Radiol. 2011 Dec;40(8):531-3. doi: 10.1259/dmfr/71865631.
This case report presents an unusual incidental radiographic finding on a dental panoramic radiograph that caused diagnostic confusion. A 46-year-old female presented with symmetrical sclerotic cortical thickening of the anterior mandible visible on radiograph, with no other major clinical examination findings. The patient subsequently showed no change in radiographic appearance over a 6 year period. Based on this evidence, and the benign nature of the history, we propose a diagnosis of Worth syndrome. This report aims to clarify the difference in terminology and presentation of two conditions known to produce mandibular osteosclerosis: Worth syndrome and Van Buchem disease, both of which are often quoted synonymously in the literature.
本病例报告介绍了牙科全景片上一种不常见的偶然放射学发现，该发现导致了诊断混淆。一名 46 岁女性因下颌前骨对称性硬化性皮质增厚而就诊，影像学可见，其他主要临床检查未见异常。患者在 6 年期间，影像学表现无变化。根据这些证据以及良性的病史，我们提出 Worth 综合征的诊断。本报告旨在阐明两种已知引起下颌骨骨硬化的病症在术语和表现上的差异：Worth 综合征和 Van Buchem 病，这两种病症在文献中常被同义引用。
