Williams Robert Gareth Michael
Department of Oral and Maxillofacial, Aintree University Hospital, Liverpool, UK.
BMJ Case Rep. 2015 Feb 26;2015:bcr2014209011. doi: 10.1136/bcr-2014-209011.
McCune-Albright syndrome is a rare fibro-osseous syndrome characterised by a classic triad of fibrous dysplasia (FD), café-au-lait macules and various underlying endocrinopathies. This case report describes how a patient was rediagnosed by a general dental practitioner following attendance for a routine dental examination. The patient had been previously diagnosed with the condition 28 years earlier but no follow-up or monitoring of her condition had taken place. As a result, she was found to have several undiagnosed and untreated complications of the disease including FD of the mandible, optic neuropathy and potential thyroid involvement.
McCune-Albright综合征是一种罕见的纤维性骨综合征,其特征为纤维发育不良(FD)、咖啡斑和各种潜在的内分泌病变这一经典三联征。本病例报告描述了一名患者在进行常规牙科检查时,如何被一名普通牙科医生重新诊断。该患者28年前曾被诊断出患有此病,但此后未对其病情进行随访或监测。结果发现她患有该疾病的几种未被诊断和未治疗的并发症,包括下颌骨纤维发育不良、视神经病变和可能的甲状腺受累。