| Diagnosis and classification of mandibular osteomyelitis. | |
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MedLine Citation:
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PMID: 16037779 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To establish a unified classification system for mandibular osteomyelitis, various diagnostic terms were critically assessed and clinicopathologic findings of the lesions were carefully reviewed. We recommend classifying mandibular osteomyelitis into bacterial osteomyelitis and osteomyelitis associated with the synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome. Other diagnostic terms were excluded because they were not appropriate for classification. Diagnostic criteria for bacterial osteomyelitis are suppuration and osteolytic change. The lesions are easily cured by antibiotic treatments. Mandibular osteomyelitis in SAPHO syndrome is characterized by nonsuppuration and a mixed pattern on radiography, with solid type periosteal reaction, external bone resorption, and bone enlargement. The presence of osteomyelitis in other bones, arthritis, or skin diseases (palmoplantar pustulosis, pustular psoriasis, and acne) strongly suggests this syndrome. Antibiotic therapy is usually ineffective and the symptoms of SAPHO syndrome are often persistent. |
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Authors:
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Yoshikazu Suei; Akira Taguchi; Keiji Tanimoto |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics Volume: 100 ISSN: 1528-395X ISO Abbreviation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-07-22 Completed Date: 2006-02-10 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9508562 Medline TA: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Country: United States |
Other Details:
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Languages: eng Pagination: 207-14 Citation Subset: D; IM |
Affiliation:
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Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical Sciences, Hiroshima University Hospital, Hiroshima, Japan. suei@hiroshima-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acquired Hyperostosis Syndrome
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diagnosis Bacterial Infections / diagnosis Humans Mandibular Diseases / classification*, diagnosis*, microbiology, radiography Osteomyelitis / classification*, diagnosis*, microbiology, radiography Terminology as Topic |
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