Worth syndrome as a diagnosis for mandibular osteosclerosis.

Abstract

This case report presents an unusual incidental radiographic finding on a dental panoramic radiograph that caused diagnostic confusion. A 46-year-old female presented with symmetrical sclerotic cortical thickening of the anterior mandible visible on radiograph, with no other major clinical examination findings. The patient subsequently showed no change in radiographic appearance over a 6 year period. Based on this evidence, and the benign nature of the history, we propose a diagnosis of Worth syndrome. This report aims to clarify the difference in terminology and presentation of two conditions known to produce mandibular osteosclerosis: Worth syndrome and Van Buchem disease, both of which are often quoted synonymously in the literature.

• Authors: K Payne, A Dickenson
• Journal: Dento maxillo facial radiology (Dentomaxillofac Radiol) Vol. 40 Issue 8 Pg. 531-3 (Dec 2011) ISSN: 0250-832X [Print] England
• PMID: 22065804 (Publication Type: Case Reports, Journal Article)

Topics

• Craniofacial Abnormalities (diagnostic imaging)
• Diagnosis, Differential
• Female
• Humans
• Hyperostosis, Cortical, Congenital (diagnostic imaging)
• Incidental Findings
• Mandible (abnormalities, diagnostic imaging)
• Mandibular Diseases (diagnostic imaging)
• Middle Aged
• Osteochondrodysplasias
• Osteopetrosis (diagnostic imaging)
• Osteosclerosis (diagnostic imaging)
• Radiography, Panoramic
• Skull (abnormalities, diagnostic imaging)