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Infected florid osseous dysplasia: clinical and imaging follow-up

Abdulla Mufeed1, Ummar Mangalath1, Antony George2

  • 1Department of Oral Medicine & Radiology, MES Dental College, Perinthalmanna, Kerala, India.

BMJ Case Reports
|March 11, 2015
PubMed

Insights

Florid osseous dysplasia (FOD) is a rare jaw lesion. This case highlights FOD mimicking osteomyelitis, emphasizing diagnosis via radiography to avoid infection-prone biopsies.

Area of Science:

  • Oral and Maxillofacial Pathology
  • Radiology
  • Dental Surgery

Background:

  • Florid osseous dysplasia (FOD) is an uncommon fibro-osseous lesion affecting the jaw.
  • Typically, FOD is asymptomatic and discovered incidentally during routine radiographic examination.
  • Distinguishing FOD from other jaw pathologies can be challenging.

Observation:

  • This report details a rare case of florid osseous dysplasia presenting with clinical symptoms mimicking osteomyelitis.
  • The patient's presentation required careful diagnostic consideration.
  • Radiographic findings were crucial in the diagnostic process.

Findings:

  • The primary diagnostic tool for FOD in this case was radiographic interpretation.
  • Biopsy or surgical intervention was deemed unnecessary and potentially harmful.
  • The lesion's presentation mimicked infectious processes like osteomyelitis.

Implications:

  • Accurate radiographic diagnosis of FOD can prevent unnecessary invasive procedures.
  • Avoiding biopsy in suspected FOD cases reduces the risk of secondary infection.
  • This case underscores the importance of considering rare differential diagnoses in oral pathology.

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