title: Chronic sclerosing osteomyelitis of the mandible in monozygotic twins.
abstract: Identical female twins with chronic sclerosing osteomyelitis of the mandible are presented. The diagnoses of both at the age of 12 years were based on typical history, and on clinical, radiographic, and histologic findings. High concentrations of IgA and IgG were detected in the serum of both patients, but deviations were not observed in other immunologic variables. The normally commensal organism, Propionibacterium acnes grew from a bone biopsy specimen from the mandible of one twin. No oral focus of the disease was confirmed in either case. We suggest that hereditary factors must have played a role in the pathogenesis of these cases of chronic osteomyelitis.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Oulu, Finland.
authors.forename: L
authors.initials: L
authors.lastname: Ylikontiola
authors.forename: M
authors.initials: M
authors.lastname: Altonen
authors.forename: M
authors.initials: M
authors.lastname: Uhari
authors.forename: A
authors.initials: A
authors.lastname: Tiilikainen
authors.forename: K
authors.initials: K
authors.lastname: Oikarinen
mesh_terms: D002648:Child; D002908:Chronic Disease; D004200:Diseases in Twins; D005260:Female; D006801:Humans; D007070:Immunoglobulin A / Q000097:blood; D007074:Immunoglobulin G / Q000097:blood; D008336:Mandibular Diseases / Q000235:genetics* / Q000276:immunology / Q000473:pathology; D010019:Osteomyelitis / Q000235:genetics* / Q000276:immunology / Q000473:pathology; D014430:Twins, Monozygotic
chemical_list: D007070:Immunoglobulin A; D007074:Immunoglobulin G