Ellis D J, Winslow J R, Indovina A A
Oral Surg Oral Med Oral Pathol. 1977 Aug;44(2):183-9. doi: 10.1016/0030-4220(77)90266-3.
A case of Garré's disease has been reported. This case is atypical in that the patient presented with only a periosteal bone mass and a negative history of toothache, abscess, or trauma to the area. Because of this, diagnosis was not possible without microscopic examination. Atypical cases of this nature cause diagnostic problems, and several disease states must be considered in a differential diagnosis. These include the following: 1. Ewing's sarcoma, which also occurs in this age group and may show cortical reduplication on radiographic examination. The prognosis in cases of Ewing's sarcoma is poor, and death may occur in a matter of weeks. 2. Infantile cortical hyperostosis (Caffey's disease), which is characterized by development of soft-tissue swelling and cortical thickening of the mandible. The disease runs a benign course and regresses without treatment. 3. Osteogenic sarcoma, which occurs in slightly older age groups but presents as a cortical expansion with facial deformity. The disease is highly malignant and carries a poor prognosis.
已报告1例加雷氏病病例。该病例不典型，因为患者仅表现为骨膜骨块，且该区域无牙痛、脓肿或外伤史。因此，未经显微镜检查无法确诊。这种性质的非典型病例会导致诊断问题，在鉴别诊断中必须考虑几种疾病状态。这些包括：1. 尤因肉瘤，也发生在这个年龄组，在影像学检查中可能显示皮质重复。尤因肉瘤病例的预后很差，可能在几周内死亡。2. 婴儿皮质增生症（卡菲氏病），其特征是下颌骨软组织肿胀和皮质增厚。该病病程良性，无需治疗即可消退。3. 骨肉瘤，发生在稍大年龄组，但表现为皮质扩张伴面部畸形。该病高度恶性，预后不良。
