ORAL MANIFESTATIONS OF HURLER-PFAUNDLER AND PIERRE-ROBIN SYNDROMES.
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Described is the case of a healthy 30-year-old Caucasian man who presented with marked unilateral loss of alveolar bone and tooth mobility on the left side. The history and clinical signs and symptoms were consistent with the diagnosis of congenital arteriovenous anastomosis.
A 52-year-old woman with advanced cancer of the breast also suffered from pemphigoid eruptions on the skin, in the mucous membranes of the oropharynx, and in the conjunctivae. The pemphigoid lesions were suppressed by treatment with steroid hormones and disappeared after surgical removal of the malignant breast tumor. With regard to its clinical course, the disease entity described is justifiably classified as a "paraneoplastic bullosis". The literature on this subject is briefly reviewed.
Subcutaneous and mucosal calcifications are rare lesions which present problems in diagnosis. A large bony mass is presented, with dermal and mucosal findings. The literature is reviewed on this non-neoplastic bony lesion and differential diagnosis is discussed.
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The case of a 35-year-old female patient with primary mandibular manifestation of myelosarcoma (chloroma) is reported. The clinical course and diagnostic and therapeutic measures are described. Myelosarcomas are rare and are considered specific lesions of an acute myeloid leukemia. In addition to systemic leukemia therapy, myelosarcomas frequently have to be treated surgically or by irradiation because of their specific tumor localizations.
An unusual case is reported in which sarcoidosis presented originally as a cheek mass unrelated to the parotid or submandibular glands. The clinical findings were highly suggestive of a neoplastic process. A general review of sarcoidosis follows the case report.
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