Osteopetrosis and mandibular infection

Case contributed by RMH Report Writing

Presentation

Tooth decay and right hip pain.

Patient Data

Age: 55-year-old
Gender: Male

Panoramic radiograph (OPG)

Modality: X-ray

Dense bones in keeping with osteopetrosis.

There are multiple areas of bone lysis and destruction related to the teeth most likely due to areas of ulceration and infection.

Pelvis and Hips X-ray

Modality: X-ray

Images of the pelvis and dedicated views of the hips obtained without prior imaging for comparison.

Bones demonstrate dense sclerosis in keeping with the history of osteopetrosis. There are extensive degenerative changes of the right hip where there is the distortion of the acetabulum and superior displacement of the femoral head. There is thinning of the articular surface, and the femoral head is abnormally flattened and square shaped. The femoral neck is foreshortened. There appears to be a lucent line through the shaft of the upper femur which may be in keeping with old fixation across a fracture in this location. The left hip demonstrates only minor degenerative changes with early osteophytic lipping noted. Comparison with previous films would be helpful to assess the degree of progression of the degenerative changes involving the right hip.

Case Discussion

This patient has osteopetrosis from birth. This condition is also known as marble bone disease.

His main complaints have been recurrent dental infections and chest infections difficult to eradicate.

His OPG shows evidence of long-standing and recurring apical abscess formation.

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Case Information

rID: 39085
Case created: 19th Aug 2015
Last edited: 12th Nov 2016
System: Head & Neck
Tag: rmh
Inclusion in quiz mode: Included

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