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Proliferative Periostitis: Often Overlooked Onion-Skinning
Reed A McKinney1, Caitlyn A Menicucci2, Logan C Helquist3
1Department of Pathology, Brooke Army Medical Center, Joint Base San Antonio, Fort Sam Houston, San Antonio, TX, 78234, USA. reedamckin@gmail.com.
Background:
Proliferative periostitis, also known as Garré osteomyelitis, is an uncommon periosteal reaction characterized by reactive bone formation secondary to chronic low-grade inflammation or infection, most often in pediatric patients.
Case Presentation:
This image report describes a 6-year-old female who presented with a two-week history of right cheek swelling along the buccal aspect of tooth #30 and the lateral border of the mandible.
Diagnosis:
Correlation of the clinical, radiographic, and histologic findings supported the diagnosis of proliferative periostitis.
Conclusion:
Familiarity with radiographic and histologic findings help to ensure an accurate diagnosis.
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