Oral Diagnosis Section-Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, São Paulo, Brazil.
Oral Radiol. 2022 Oct;38(4):645-650. doi: 10.1007/s11282-022-00624-z. Epub 2022 Jun 3.
To report radiographic characteristics of a case of a patient with neurofibromatosis involving the maxillomandibular complex and to point out other dental radiographic characteristics that are found in the scientific literature to help the dentist when faced with a case of neurofibromatosis.
Male, 31 years old, referred for radiographic examination. During anamnesis and physical examination, lesions were noted, which were papules and café-au-lait patches larger than 1 cm on the trunk and upper limbs, further to Lisch nodules (brown spots on the iris) and axillary and inguinal ephelides. When investigating the history of the disease, the patient reported the presence of such skin atlterations since birth and mentioned that his mother had been diagnosed with neurofibromatosis. During radiographic evaluation, a significant increase in the caliber of the mandibular canal and mental foramen was observed, bilaterally.
Completing the combination of skin characteristics present in the patient, anamnesis data and current history of the disease with interpretation of radiographic alterations, it was possible to arrive at the diagnostic hypothesis of Neurofibromatosis type 1 and correct clinical management. Therefore, it is extremely important for the dentist to be aware of the clinical, physical and radiographic characteristics that this condition presents for the correct management and success of dental treatment.
报告一例涉及上下颌骨的神经纤维瘤病患者的影像学特征，并指出其他在科学文献中发现的牙科影像学特征，以帮助牙医在面对神经纤维瘤病病例时提供参考。
男性，31 岁，因影像学检查就诊。在病史询问和体格检查中，发现患者躯干和上肢有丘疹和咖啡牛奶斑，大于 1 厘米，进一步有神经纤维瘤病的李希结节（虹膜上的棕色斑点）和腋窝和腹股沟的雀斑。在调查疾病史时，患者报告说自出生以来就有这种皮肤改变，并提到他的母亲被诊断为神经纤维瘤病。在影像学评估中，双侧下颌管和颏孔的口径明显增大。
结合患者存在的皮肤特征、病史数据和目前的疾病情况，以及对影像学改变的解读，我们可以做出神经纤维瘤病 1 型的诊断假设，并进行正确的临床管理。因此，牙医非常有必要了解这种疾病的临床、物理和影像学特征，以便进行正确的管理和成功的牙科治疗。
