Patil Deepa Jatti, Konidena Aravinda
Dept of Oral Medicine and Radiology, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, 391760 Gujarat, India.
Dept of Oral Medicine and Radiology, Swami Devi Dyal Dental College and Hospital, Panchkula, Haryana, India.
Radiol Case Rep. 2021 May 1;16(7):1754-1759. doi: 10.1016/j.radcr.2021.04.027. eCollection 2021 Jul.
Gorham's disease is a rare condition characterized by progressive osteolysis of bone ultimately resulting in the total disappearance of bone. The etiology is unknown and the disease predominantly affects the pelvis, humerus, and axial skeleton. Because of its unusual, ambiguous presentation and rare occurrence, the disorder goes unrecognized and is often masqueraded by other disorders. The diagnosis of this disorder is by exclusion. About 50 cases of Gorham's disease involving the maxillofacial region are reported to date and most of them involve the mandible. Exclusive involvement of maxilla is documented in only 4 cases. We report an exceptional case of Gorham's disease of the maxilla in a 68-year-old male patient presenting with chronic pain and masquerading as an odontogenic infection.
戈勒姆病是一种罕见疾病,其特征为骨组织进行性骨质溶解,最终导致骨质完全消失。病因不明,该疾病主要累及骨盆、肱骨和中轴骨骼。由于其表现异常、不明确且发病率低,这种疾病常未被识别,且常被其他疾病所掩盖。该疾病的诊断是排除性诊断。迄今为止,据报道约有50例累及颌面区域的戈勒姆病,其中大多数累及下颌骨。仅有4例记录显示上颌骨单独受累。我们报告一例68岁男性患者上颌骨戈勒姆病的特殊病例,该患者表现为慢性疼痛,且被误诊为牙源性感染。