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What is the diagnosis of this rare case doctors? A 58-year-old male patient reported to the dental hospital with the complaint of difficulty in chewing food as his teeth were not in contact during mastication. History revealed that, there were swellings in the maxillary right and left posterior teeth region, which started 6 years back. Similar swellings were also seen bilaterally in the malar region and in the forehead of the right side. All swellings gradually increased in size. On examination, extra-orally bilateral diffuse swellings were seen in the malar and zygomatic region bilaterally, obliterating the nasolabial sulcus and in the right frontal region, which were bony hard in consistency on palpation. The swellings were immobile and attached to the underlying bone. Intra-orally, diffuse swelling of the maxillary alveolus was seen bilaterally, extending from 18 to 28 region with obliteration of the buccal sulcus. Bicortical expansion was seen in the maxillary premolar-molar region, which were non-tender and hard in consistency, attached to the underlying bone. The occlusion was deranged and on occluding, the teeth were not in contact. Source- Internet
Santhosh Sharma1 Like9 Answers - Login to View the image
What is the most likely diagnosis? Hypophosphatasia Osteosarcoma Paget's disease Rickets Tuberculosis
Sheik Ameerun4 Likes23 Answers - Login to View the image
42/M Pain in lower back, radiates to rt thigh x 6months
Dr. Anwer N Jamali2 Likes14 Answers - Login to View the image
What is the most likely diagnosis? A) Hypophosphatasia B) Osteosarcoma C) Paget's disease D) Rickets E) Tuberculosis
Dr. Raj Sharma2 Likes10 Answers - Login to View the image
5yr old pt, 15.8kg, 87cm came frfollow up. visited previously in september with c/o constipation. noticed coarse facies, anemia, abd distension, umblical hernia, short stature, delayed bone age. usg revealed minimal pericardial effusion. thyroid profile with TSH 750 attached pt was put on Rx, continued frm local practitioners and since then returned now. current thyroid profile with TSH 100 also attached. pt is taking 50mcg levothyroxin so far... discuss any further investigation & rx...
Dr. Manish Verma2 Likes9 Answers