This week I have a case with two interesting findings. The first is hyperparathyroidism which typically presents with a ground-glass appearance in the jaws instead of normal bone trabeculation. This appearance is visible in all bones of the body and not just the jaws. In some cases (~10%) there is absence of lamina dura surrounding the teeth.
This case shows the decreased bone trabeculation giving it a ‘ground-glass’ or granular appearance. There is also a well-defined, multilocular radiolucent entity in the right/anterior mandible that is consistent with a brown tumor. Brown tumors occur in patients who have had the disease for a long period of time. They present radiographically similar to a central giant cell granuloma and histologically are the same as well.
Due to the two findings of this radiograph, I have two videos to share with you on hyperparathyroidism and central giant cell granuloma.
If you have any questions or comments, please leave them below. Thanks and enjoy!
Dr. G…I love you. Thanks for helping me pass NBDE 2
I’m happy to hear you passed! 🙂 Congratulations and also glad to hear you are finding this site useful.