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Ramon Syndrome- A Rare Form of Cherubism
L K Surej Kumar1, D S Deepa1, S Dilna1
1Department of Oral and Maxillofacial Surgery, KIMS Hospital, Thiruvananthapuram, Kerala, India.
Insights
Cherubism, a rare genetic jaw disorder, can present with significant facial deformities. This case highlights Ramon syndrome, a rare variant, and its successful treatment in a child.
Area of Science:
- Genetics and Developmental Biology
- Pediatric Dentistry and Oral Surgery
- Rare Diseases and Syndromes
Background:
- Cherubism is an autosomal dominant inherited disorder characterized by painless, bilateral jaw swelling due to bone replacement with fibrous tissue.
- Typically manifesting between 2-7 years of age, cherubism can lead to facial deformities and malocclusion.
- Microscopic examination of cherubism lesions is indistinguishable from other giant cell lesions.
Observation:
- Ramon syndrome is a rare condition associating cherubism with gingival fibromatosis, epilepsy, mental retardation, stunted growth, and hypertrichosis.
- This report details a 6-year-old girl diagnosed with Ramon syndrome exhibiting extraordinary tissue enlargement over the teeth.
- Clinical and radiographic features of the patient were meticulously documented.
Findings:
- The patient presented with clinical and radiographic characteristics consistent with Ramon syndrome.
- The case involved significant, unusual tissue enlargement impacting the teeth.
- Successful treatment outcomes were achieved for the presented case.
Implications:
- This case contributes to the understanding of rare genetic disorders affecting craniofacial development.
- Successful management strategies for Ramon syndrome can inform future clinical practice.
- Further research into the genetic and clinical spectrum of Ramon syndrome is warranted.
Abstract:
Cherubism is an inherited, autosomal dominant disorder that affects the jaws of children. The disease is usually obvious as a painless bilateral swelling in which bone is replaced with fibrous tissue. Affected children appear normal at birth. Swelling of the jaws usually occurs between 2 and 7 years of age and relapses as age progresses leaving a few facial deformities and malocclusion. The disease is microscopically indistinguishable from other giant cell lesions. The association of cherubism with gingival fibromatosis, epilepsy, mental retardation, stunted growth, and hypertrichosis is referred to as a rare case of possible Ramon syndrome with extraordinary tissue enlargement over the teeth. Here, we present a case of Ramon syndrome in a 6-year-old girl describing the clinical and radiographic features successfully treated with a brief review of literature.
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