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Differenzialdiagnosen einer granulomatösen Entzündung im anterioren Oberkiefer

Differential diagnosis of granulomatous inflammation of the anterior maxilla

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Zusammenfassung

Geschildert wird der Fall eines 36-jährigen Patienten, der sich mit einer ausgedehnten Osteolyse des anterioren Oberkiefers vorstellte, die zunächst als chronische apikale Parodontitis imponierte. Histologisch zeigte sich eine epitheloidzellhaltige granulomatöse Entzündung, die nach weiterführender Diagnostik als solitärer Knochenbefall im Rahmen einer pulmonalen Sarkoidose eingestuft wurde. Anhand des Fallbeispiels wird ein Überblick zu Differenzialdiagnosen und Therapie sowie der notwendigen interdisziplinären Behandlungsstrategie gegeben.

Abstract

This article presents an unusual case of a 36-year-old male patient who presented with an extensive osteolytic lesion in the anterior maxilla which mimicked a periapical lesion. Histological examination showed non-caseating granulomatous inflammation. Further radiographic and biochemical examinations revealed pulmonary sarcoidosis and solitary involvement of sarcoidosis in the anterior maxilla. On the basis of the case presented the differential diagnosis, therapy and the need for interdisciplinary co-operation are discussed.

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Authors and Affiliations

  1. Gemeinschaftspraxis Lürkens/Kettner/Erbe/Gerner, Theaterstr. 61, 52062, Aachen, Deutschland

    M. Erbe, H. Lürkens, R. Kettner & A.-D. Gerner

  2. Belegabteilung für Mund-, Kiefer- und Plastische Gesichtschirurgie, Marienhospital Aachen, Aachen, Deutschland

    M. Erbe, H. Lürkens, R. Kettner & A.-D. Gerner

  3. Institut für Pathologie, Universitätsklinikums Aachen, Aachen, Deutschland

    R. Knüchel-Clarke

Authors
  1. M. Erbe
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  2. R. Knüchel-Clarke
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  3. H. Lürkens
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  4. R. Kettner
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  5. A.-D. Gerner
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Correspondence to M. Erbe.

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Erbe, M., Knüchel-Clarke, R., Lürkens, H. et al. Differenzialdiagnosen einer granulomatösen Entzündung im anterioren Oberkiefer. MKG-Chirurg 3, 130–135 (2010). https://doi.org/10.1007/s12285-010-0147-5

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  • DOI: https://doi.org/10.1007/s12285-010-0147-5

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