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Department of Pathology
Case of the Month April 2007
A 68-year-old Female with Jaw Pain
Nathanael Bailey M.D., Kay Skitarelic M.D.
Patient History
A 68-year-old female presented to her dentist with complaints of tooth pain. On examination, one of her right mandibular premolars was split. The tooth was extracted without any complications. Five weeks later, she returned to the dentist, and stated that her tooth pain had returned, and that she thought her “jaw felt funny” to her tongue. On exam, the patient had a 1.2 cm area of exposed, yellow-white bone on the lingual mandible, near the prior extraction site. The surrounding mucosa was erythematous. The patient’s history was notable for multiple myeloma. The patient was being treated with thalidomide, dexamethasone, melphalan, pamidronate, and epoetin-alpha
PICTURES
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H & E, 4 x |
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H & E, 10 x |
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H & E, 20 x |
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Gram Stain, 40 x |
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