Johannsen A
Acta Radiol Diagn (Stockh). 1977 May;18(3):360-8. doi: 10.1177/028418517701800313.
Among 13 patients with chronic osteomyelitis of the lower jaw, clinical, radiologic and histologic difficulties were encountered in 5 cases, in the differential diagnosis from fibrous dysplasia. The radiologic, and in some measure the clinical and histologic features typical of the two diseases are described. Variations in the bone structure during the course of the disease, as well as periosteal new-bone formation, are characteristics of chronic osteomyelitis. When problems are encountered in differentiating between fibrous dysplasia with periodical pain and swelling, and osteomyelitis, repeated radiologic examinations are to be recommended.
在13例下颌骨慢性骨髓炎患者中,有5例在与骨纤维异常增殖症的鉴别诊断中遇到了临床、放射学及组织学方面的困难。文中描述了这两种疾病典型的放射学特征,以及在一定程度上典型的临床和组织学特征。疾病过程中骨结构的变化以及骨膜新生骨形成是慢性骨髓炎的特点。当在鉴别伴有周期性疼痛和肿胀的骨纤维异常增殖症与骨髓炎时遇到问题,建议进行多次放射学检查。