Langerhans Cell Histiocytosis: A Diagnostic Challenge in the Oral Cavity

Figure 1

(a) Intraoral view of the patient after extraction of teeth with severe mobility, prior to initiation of chemotherapy. Extensive gingival lesions are observed on the palatal surface of the maxilla. (b) Intraoral view of the patient after extraction of teeth with severe mobility, prior to initiation of chemotherapy. Diffuse, erythematous, and ulcerated gingival hyperplasia is observed in the mandible. (c) Panoramic radiograph of the patient at initial presentation. Generalized alveolar bone loss is observed. (d) Axial sections of the computed tomography scan obtained at initial presentation. Diffuse involvement of both maxilla and the mandible is observed.

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