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颌骨和颅骨的多灶性嗜酸性肉芽肿伴典型及不寻常的放射学/影像学表现

Multifocal Eosinophilic Granuloma of Jaws and Skull with Classical and Unusual Radiographic/Imaging Findings.

作者信息

Raviraj Jayam, Venkata Suman, Shaik Sameulla, Kodadala Amrutha, Kakarla Prashanti

机构信息

Professor, Department of Oral Medicine and Radiology, CKS Teja Institute of Dental Sciences and Research , Tirupati, Andhra Pradesh, India .

Reader, Department of Oral Medicine and Radiology, CKS Teja Institute of Dental Sciences and Research , Tirupati, Andhra Pradesh, India .

出版信息

J Clin Diagn Res. 2017 Jan;11(1):ZD09-ZD11. doi: 10.7860/JCDR/2017/23732.9154. Epub 2017 Jan 1.

Abstract

Eosinophilic granuloma is basically a disorder of reticuloendothelial system and is one of the variants of langerhans cell histiocytosis. Multifocal eosinophilic granuloma affecting jaws and skull is relatively a rare disorder. We hereby report a case of multifocal eosinophilic granuloma involving mandible, maxilla and several skull bones. The present case has mixture of classical floating teeth appearance and an unusual radiographic/imaging finding of periosteal remodeling, which is rarely seen in adult patients of eosinophilic granuloma and pseudo-multilocular appearance in anterior mandibular region in coronal sections and moth-eaten appearance of skull was appreciated in axial slices of Computed Tomography (CT).

摘要

嗜酸性肉芽肿本质上是一种网状内皮系统疾病,是朗格汉斯细胞组织细胞增多症的一种变体。累及颌骨和颅骨的多灶性嗜酸性肉芽肿相对罕见。我们在此报告一例累及下颌骨、上颌骨和几块颅骨的多灶性嗜酸性肉芽肿病例。该病例既有典型的浮牙表现,又有罕见的骨膜重塑影像学表现,这在成年嗜酸性肉芽肿患者中很少见,冠状面扫描显示下颌前部区域呈假多房性表现,计算机断层扫描(CT)轴位片显示颅骨呈虫蚀样表现。

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引用本文的文献

本文引用的文献

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Eosinophilic granuloma of the jaws.颌骨嗜酸性肉芽肿
Br J Oral Maxillofac Surg. 1998 Oct;36(5):380-3. doi: 10.1016/s0266-4356(98)90651-9.
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Radiographic findings in Langerhans' cell disease affecting the mandible.影响下颌骨的朗格汉斯细胞组织细胞增多症的影像学表现。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995 Feb;79(2):251-4. doi: 10.1016/s1079-2104(05)80292-6.

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