| Case #:7 |
Case profile:
| Patient: One year old girl |
Case record:
|
Chief Complaint: Patient referred for evaluation of mobile teeth and gingival swelling.
Medical History: Alert, ill-appearing girl. The patient has a history of intermittent malaise, fever and irritability during the past two months. The patient has recently been evaluated by the University of Iowa Hospitals. Examination there revealed axillary lymphadenopathy and marked hepatosplenomegaly. Radiographic examination of the skull revealed numerous, well-demarcated radiolucent lesions of the cranium. Bone marrow biopsy did not reveal abnormal cellular infiltrates. No other abnormalities are identified.
Dental History: No abnormalities are identified.
Clinical Findings: The gingival surrounding the erupting deciduous first molars is enlarged, erythematous, nontender and spongy to palpation. The erupting teeth exhibit marked mobility. Panoramic radiograph reveals diffuse horizontal alveolar bone loss. |
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