Eosinophilic granuloma, a rare disease, has various clinical manifestations and no specific X-rays features and is thus easily misdiagnosed. This paper reports a case of multifocal eosinophilic granuloma of jaw with long-term follow-up. The patient initially presented with periodontal tissue destruction.The diagnosis, treatment and prognosis of multifocal eosinophilic granuloma of jaw were discussed in combination with the literature to alert this disease in clinical practice.
Diagnosis, Differential ; Eosinophilic Granuloma/diagnostic imaging* ; Humans ; Jaw ; Periodontium ; Radiography

OBJECTIVETo explore the imaging diagnosis of pelvic eosinophilic granuloma and improve diagnosis accuracy.

METHODSA retrospective analysis of the plain film, CT and MRI was conducted in 24 cases of pathologically confirmed eosinophilic granuloma. All the patients received radiography, CT scan was performed in 17 cases and MRI was done 9 cases.

RESULTSIn the 24 cases of eosinophilic granuloma, 6 lesions were located in the pubis, 5 in the ischium and 13 in the iliac region. The lesion showed bony destruction or irregular bony destruction, with periosteal reaction and soft tissue mass.

CONCLUSIONPelvic eosinophilic granuloma has characteristic imaging features, and combination of the imaging findings can improve the diagnosing accuracy.

Adolescent ; Adult ; Bone Diseases ; diagnosis ; diagnostic imaging ; Child ; Child, Preschool ; Diagnostic Errors ; Eosinophilic Granuloma ; diagnosis ; diagnostic imaging ; Female ; Humans ; Infant ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Pelvis ; Retrospective Studies ; Tomography, X-Ray Computed ; Young Adult