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Diagnosis and classification of mandibular osteomyelitis.

Abstract

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.

Authors+Show Affiliations

Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical Sciences, Hiroshima University Hospital, Hiroshima, Japan. suei@hiroshima-u.ac.jpNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16037779

Citation

Suei, Yoshikazu, et al. "Diagnosis and Classification of Mandibular Osteomyelitis." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, vol. 100, no. 2, 2005, pp. 207-14.
Suei Y, Taguchi A, Tanimoto K. Diagnosis and classification of mandibular osteomyelitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(2):207-14.
Suei, Y., Taguchi, A., & Tanimoto, K. (2005). Diagnosis and classification of mandibular osteomyelitis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 100(2), pp. 207-14.
Suei Y, Taguchi A, Tanimoto K. Diagnosis and Classification of Mandibular Osteomyelitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(2):207-14. PubMed PMID: 16037779.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and classification of mandibular osteomyelitis. AU - Suei,Yoshikazu, AU - Taguchi,Akira, AU - Tanimoto,Keiji, PY - 2005/7/23/pubmed PY - 2006/2/14/medline PY - 2005/7/23/entrez SP - 207 EP - 14 JF - Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics JO - Oral Surg Oral Med Oral Pathol Oral Radiol Endod VL - 100 IS - 2 N2 - 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. SN - 1528-395X UR - https://www.unboundmedicine.com/medline/citation/16037779/Diagnosis_and_classification_of_mandibular_osteomyelitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1079210404007784 DB - PRIME DP - Unbound Medicine ER -