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嗜酸性肉芽肿临床少见,在基层医院容易误诊。现将我科误诊的一例报告如下: 王某某,男,32岁。因左下牙经常胀痛数月。于1981年元月在当地卫生院拔除67后,创口久不愈合于4月初来我科就诊,体检:左下颌稍肿胀,67缺失,牙槽嵴低平,创内肉芽不新鲜,有臭味,8极度松动,5松动Ⅲ°,轻叩痛。白血球4500/mm~3,中性67％,淋巴29％,嗜酸4％。初诊:左下颌骨骨髓炎。拔除8,广泛搔刮创口后填碘仿纱条。摄下颌骨左侧位片,见磨牙区骨质呈大小不等的囊状透光区,X线片诊断:左下颌骨造釉细胞瘤(图1)。换药一次后见5松动Ⅲ°,另诉右下颌牙胀痛。体检:876松动Ⅲ°,轻叩痛。局部压痛不明
Eosinophilic granulomatous clinical rare, easily misdiagnosed in the primary hospital. My family is now misdiagnosed as a case report is as follows: Wang Moumou, male, 32 years old. Due to the left lower quadrant often pain for several months. In January 1981 in the local hospital after the removal of 67, the wound for a long time in early April to our department for medical examination: a slight swelling of the left lower jaw, 67 missing, low alveolar ridge, intramuscular granulation is not fresh, stinky , 8 extremely loose, 5 loose Ⅲ °, light tapping pain. White blood cells 4500 / mm ~ 3, 67% neutral, lymphatic 29%, 4% eosinophilic. New diagnosis: left mandibular osteomyelitis. Removal of 8, a wide range of scraping wound filling iodized gauze. Photograph of the left mandibular disc, see the molar area of the bone was cystic translucent area of varying sizes, X-ray diagnosis: left mandibular ameloblastoma (Figure 1). After dressing see 5 loose Ⅲ °, another right jaw mandibular teeth pain. Physical examination: 876 loose Ⅲ °, light tapping pain. Local tenderness unknown