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A boy with recurrent swelling of the jaw

Lien Haverals, Marjolein Mattheij, Esther Hoppenreijs, Stefaan Bergé, Annemieke van der Weij
  • Marjolein Mattheij
    Emergency Department, Antwerp University Hospital, Belgium; Department of Pediatrics, Jeroen Bosch Hospital, ‘s-Hertogenbosch, Netherlands
  • Esther Hoppenreijs
    Department of Pediatric Rheumatology, University Medical Centre Nijmegen, Netherlands
  • Stefaan Bergé
    Department of Oral Surgery, University Medical Centre Nijmegen, Netherlands
  • Annemieke van der Weij
    Department of Pediatrics, Jeroen Bosch Hospital, ‘s-Hertogenbosch,, Netherlands

Abstract

We present a 10-year old boy with recurrent swelling of the right mandibular region. Based on the diagnosis of chronic recurrent parotitis, he received only supportive treatment. Because of frequent relapses, the diagnosis was reconsidered. Magnetic resonance imaging, scintigraphy and biopsy were compatible with chronic osteomyelitis. This lead to a diagnosis of mandibular primary chronic osteomyelitis, an uncommon non-suppurative inflammatory disease of unknown origin. After decortication of the mandible, the patient recovered well. Because there were no further complaints, the follow-up was ended 18 months after the operation.

Keywords

Chronic osteomyelitis; mandibular primary chronic osteomyelitis (MPCO); chronic recurrent parotitis

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Submitted: 2017-11-11 21:23:49
Published: 2018-01-04 10:45:33
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Copyright (c) 2017 Lien Haverals, Marjolein Mattheij, Esther Hoppenreijs, Stefaan Bergé, Annemieke van der Weij

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