title: [Partsch's chronic granulomatous inflammation, the cutaneous manifestation of a dental cause].
abstract: Dentogenous inflammatory diseases can lead to typical dermatological facial symptoms with formation of cutaneous sinuses. Partsch's chronic granulomatous inflammation can result from conducted inflammation of a nonvital tooth via a chronic apical inflammation. In this rare disease, the granulomatous tissue perforates the bone, channels through the overlying skin, and drains via cutaneous or oral sinuses. A frequent localization of the cutaneous sinus is the skin inferior to the body of the mandible, and it is caused by an inflammation of the lower molars. Treatment consists of identifying the responsible teeth and eliminating the focus of infection. Chronically progressive periradicular granuloma and/or radicular cysts can be present with impressive dermatological symptoms. Therefore, X-ray examinations are necessary to exclude possible dentogenic causes in cases of badly healing processes of the face or neck.
authors.affiliation: Klinik und Poliklinik fur Mund-, Kiefer- und Gesichtschirurgie, Klinikum der Johannes-Gutenberg-Universitat, Mainz. buch@mkg.klinik.uni-mainz.de
authors.forename: R S R
authors.initials: RS
authors.lastname: Buch
authors.forename: B
authors.initials: B
authors.lastname: Fischer
authors.forename: W K G
authors.initials: WK
authors.lastname: Kleis
authors.forename: T E
authors.initials: TE
authors.lastname: Reichert
mesh_terms: D000328:Adult; D002908:Chronic Disease; D017577:Cutaneous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003751:Dental Fistula / Q000150:complications; D003803:Dentigerous Cyst / Q000150:complications; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006099:Granuloma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007249:Inflammation; D008297:Male; D010482:Periapical Abscess / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D010484:Periapical Granuloma / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D010485:Periapical Periodontitis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D011842:Radicular Cyst / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D011862:Radiography, Panoramic; D012008:Recurrence; D013577:Syndrome; D014076:Tooth Diseases / Q000150:complications; D014081:Tooth Extraction