Localized Jaw Enlargement Caused by Renal Osteodystrophy in An Adolescent Patient

Abstract

A common complication of chronic renal disease is renal
osteodystrophy and involvement of the jaws is frequent. However,
localized enlargement of the jaws is a rare complication of renal
osteodystrophy in adolescent patients. An asymptomatic
enlargement of the maxilla in an adolescent patient with chronic
renal disease is presented.

Keywords

• jaw enlargement; osteitis fibrosa; renal osteodystrophy

References

1. Kalyvas D, Tosios KI, Leventis MD, Tsiklakis K, Angelopoulos AP. Localized jaw enlargement in renal osteodystrophy: Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97: 68-74.
2. Marmara Dental Journal (2013) 2: 87-89
3. Mathias R, Salusky I, Harman W, Paredes A, Emans J, Segre G, et al. Renal bone disease in pediatric and young adult patients on hemodialysis in a children’s hospital. J Am Soc Nephrol 1993; 3: 1938-46.
4. Fatahzadeh M. The spectrum of orofacial manifestations in renalosteodystrophy: Diagnostic challenges of an uncommon presentation. Quintessence Int 2011; 42: e78-e88.
5. Lund RJ, Davies MR, Mathew S, Hruska KA. New discoveries in the pathogenesis of renal osteodysttrophy. J Bone Miner Metab 2006; 24: 169-71.
6. Chang JI, Som PM, Lawson W. Unique imaging findings in the facial bones of renal osteodystrophy. Am J Neuroradiol 2007; 28: 608-09.
7. Adachi PLG, Santos PSS, Magalhaes MHCG, Martins MT. Renal osteodystrophy manifesting as localized enlargement of the jaw. Nephrol Dial Transplant 2007; 22: 2398-99.
8. Throndson RR, Sexton SB. A mandibular central lesion with unusually rapid growth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 4-9.

9. Tarras F, Benjelloun M, Bensaha T. Severe jaw enlargement associated with uremic hyperparathyroidism. Hemodial Int 2008; 12: 316-18.
10. Triantafilllidou K, Zouloumis L, Karakinaris G, Kalimeras E, Iordanidis F. Brown tumors of the jaws associated with primary or secondary hyperparathyroidism. A clinical study and review of the literature. Am J Otolaryngol 2006; 27: 281- 86.
11. Merz MN, Massich DD, Marsh W, Schuller DE. Hyperparathyroidism presenting as brown tumor of the maxilla. Am J Otolarygol 2002; 23: 173-76.
12. Phelps KR, Bansal M, Twersky J. Jaw enlargement complicating secondary hyperparathyroidism in three hemodialysis patients. Clin Nephrol 1994; 41: 173-79.
13. Asaumi J, Aiga H, Hisatomi M, Shigehara H, Kishi K. Advanced imaging in renal osteodystrophy of the oral and maxillofacial region. Dentomaxillofac Radiol 2001; 30: 59-62.
14. Damm DD, Neville BW, McKenna S, Jones AC, Freedman PD, Anderson WR, et al. Macrognathia of renal osteodystrophy in dialysis patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83: 489-95.