Raviraj Jayam, Venkata Suman, Shaik Sameulla, Kodadala Amrutha, Kakarla Prashanti
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 .
J Clin Diagn Res. 2017 Jan;11(1):ZD09-ZD11. doi: 10.7860/JCDR/2017/23732.9154. Epub 2017 Jan 1.
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).
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。