Cases reported "Eosinophilic Granuloma"

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11/16. Treatment of recurrent eosinophilic granuloma of the mandible following radiation therapy.

    A case of recurrent eosinophilic granuloma of the mandible following radiation therapy is presented. The lesion was curetted and immediately reconstructed with autogenous bone for strength and lower border continuity. Since radiation therapy in low doses is normally curative for this disease, few recurrences have been reported. It is emphasized that polyostotic disease may have a greater propensity for recurrence and that patients presenting with multiple lesions should be followed up closely, regardless of the mode of therapy.
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keywords = mandible
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12/16. Multiple progressive eosinophilic granuloma of the jaws.

    A case of eosinophilic granuloma occurring in the jaws is reported, and the clinical and microscopic features of this entity are discussed. In this case, the lesions were progressive and ultimately involved large areas of the mandible and a small area in the maxilla. Early manifestations of the disorder were believed to be inflammatory, and consequently there was a significant delay in treatment. curettage of the mandibular lesions followed by low-dose radiation therapy has apparently been effective. Twenty-four months after treatment, there is no evidence of soft tissue involvement or recurrent lesions in bone.
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keywords = mandible
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13/16. eosinophilic granuloma of the mandible involving the periodontal tissues. A case report.

    This case reports on a 14-year-old boy with multiple radiolucent lesions widely distributed in the mandible, particularly in the right side (body-angle-ascending ramus). The lesion was first diagnosed as early-onset periodontitis and treated accordingly. It continued to grow very quickly, however, over a 6-month period, resulting in involvement of the entire mandible, with complete destruction of the lingual cortical bone, erosion of the external cortex with expansion in the neighboring soft tissues, and with a periosteal reaction in some areas. This case may serve to illustrate the rapid progress of eosinophilic granuloma, the importance and the difficulties of an early diagnosis, and the consequences of late diagnosis and treatment.
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keywords = mandible
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14/16. eosinophilic granuloma of the hand.

    The first reported case of eosinophilic granuloma of the hand is presented. A slowly expanding lesion of the right third metacarpal shaft was treated by biopsy and curettage. Histological examination confirmed the presence of eosinophilic granuloma. A bone scan showed that it was a solitary lesion. There has been no evidence of recurrence of the lesion during follow-up. eosinophilic granuloma is a rare disease of the mononuclear phagocyte system, representing one of the clinical manifestations of Langerhans-cell histiocytosis. The lesions are usually associated with the skull, femur, mandible and ribs; this condition has not been previously reported in the hand.
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keywords = mandible
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15/16. erdheim-chester disease with prominent pulmonary involvement associated with eosinophilic granuloma of mandibular bone.

    We report a patient with eosinophilic granuloma localized to the left mandible who was subsequently shown to have erdheim-chester disease involving the lower extremities, omentum and lung. The diagnosis of eosinophilic granuloma was based on the presence of typical CD1a Langerhans' cell granulomas in a biopsy of mandible. The diagnosis of erdheim-chester disease was established on the basis of the pattern of radioisotopic uptake by long bones, seen on a technetium bone scan, and the presence of characteristic histopathological features in biopsies of lung and peritoneum. The pathological findings in lung were compatible with the abnormalities observed by tomodensitometry, but strikingly different from those seen in Langerhans' cell granulomatosis. The differences in the histological features of pulmonary involvement seen in the two diseases, and the possible relationship between Langerhans' cell granulomatosis and erdheim-chester disease, are discussed.
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keywords = mandible
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16/16. Langerhans cell histiocytosis presenting as bilateral eosinophilic granulomata in the molar region of the mandible. A case report.

    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-Schuller-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.
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ranking = 0.8
keywords = mandible
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