Saunders J G, Eveson J W, Addy M, Bell C N
Department of Oral and Dental Science, University of Bristol, England.
J Clin Periodontol. 1998 Apr;25(4):340-2. doi: 10.1111/j.1600-051x.1998.tb02451.x.
Eosinophilic granuloma represents one of a triad of lesions encompassing a disease under the generic name, histiocytosis X or Langerhans cell histiocytosis. Localised eosinophilic granuloma, multifocal eosinophilic granuloma, Hand-Schüller-Christian disease, and the most malignant form of histiocytosis, Letterer-Siwe disease, can all present as destructive bony lesions of the jaws. The present case was a 30-year-old man who presented with almost total destruction of the periodontal support to the left and right mandibular, 1st and 2nd molars. Whereas the radiographic features were typical of eosinophilic granuloma, the clinical appearance and mirror image presentation were unusual.
嗜酸性肉芽肿是一组病变中的一种，这些病变统称为组织细胞增多症X或朗格汉斯细胞组织细胞增多症。局限性嗜酸性肉芽肿、多灶性嗜酸性肉芽肿、汉-许-克病以及组织细胞增多症最恶性的形式——勒-雪病，都可表现为颌骨的破坏性骨病变。本病例为一名30岁男性，其左右下颌第一和第二磨牙的牙周支持组织几乎完全破坏。虽然影像学特征典型的嗜酸性肉芽肿，但临床表现和镜像表现并不常见。
