Recurrent ectopic calcification involving the maxillofacial skeleton: A potential harbinger of Albright's osteodystrophy.
We present a case of osteoma cutis as the initial presenting sign of Albright's osteodystrophy. Albright's osteodystrophy represents a challenge in both diagnosis and treatment because the phenotype manifests as a broad spectrum of biochemical and physical findings. The syndrome may be overlooked, particularly in the early phases when serum calcium and phosphorous levels may be normal. Although surgery is the treatment of osteoma cutis, recurrence is common, creating frustration for the patient's family and the surgeon. In the present case, a girl 4 months and 2 years of age presented with refractory ectopic calcification emanating from the maxilla and demonstrated repeated recurrence after surgical resection. This ectopic calcification was not adequately controlled until Albright's osteodystrophy was properly diagnosed and treated. A differential diagnosis and surgical approach to deal with recurrent ectopic calcification of the facial skeleton is outlined.
Cortes
Wilberto
W
Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
Gosain
Arun K
AK
D002610:Cheek / Q000473:pathology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000175:diagnosis*; D005260:Female; D005359:Fibrous Dysplasia, Polyostotic / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008439:Maxillary Diseases / Q000175:diagnosis; D009059:Mouth Diseases / Q000175:diagnosis; D009061:Mouth Mucosa / Q000473:pathology; D009999:Ossification, Heterotopic / Q000175:diagnosis*; D010641:Phenotype; D012008:Recurrence; D012871:Skin Diseases / Q000175:diagnosis