Eosinophilic granuloma in the anterior mandible mimicking radicular cyst.
10.5624/isd.2013.43.2.117
- Author:
Byung Do LEE
1
;
Wan LEE
;
Jun LEE
;
Hyun Jin SON
Author Information
1. Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University, Iksan, Korea. eebydo@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Eosinophilic Granuloma;
Histiocytosis, Langerhans-Cell;
Mandible;
Radicular Cyst
- MeSH:
Diagnosis, Differential;
Eosinophilic Granuloma;
Eosinophils;
Histiocytosis, Langerhans-Cell;
Humans;
Jaw;
Male;
Mandible;
Odontogenic Cysts;
Periodontitis;
Radicular Cyst;
Tooth
- From:Imaging Science in Dentistry
2013;43(2):117-122
- CountryRepublic of Korea
- Language:English
-
Abstract:
Eosinophilic granuloma is a common expression of Langerhans cell histiocytosis and corresponds with typical bone lesions. The radiographic appearance of eosinophilic granuloma in the jaw is variable and not specific. It may resemble periodontitis, radicular cyst, or malignancies. The purpose of this report is to describe the characteristic radiographic features of eosinophilic granuloma of a 39-year-old male. The lesion in the anterior mandible was first diagnosed as radicular cyst because the radiographic findings were ovoid radiolucent lesion with well-defined border. However, careful interpretation revealed a non-corticated border and floating tooth appearance that were the characteristic radiographic features for the differential diagnosis. Early clinical signs of eosinophilic granuloma can occur in the jaw and a bony destructive lesion might be mistaken for periodontitis or an odontogenic cystic lesion; therefore, careful interpretation of radiographs should be emphasized.
