Abstract
A radiographic picture of mixed bone destruction and osteosclerosis indicates inflammation compatible with a chronic granulomatous infection. If ischemia is sufficiently severe, a rubbery grayish-white or grayish-yellow necrosis develops and persists, surrounded by new bone formation. This area of necrosis, the gumma, is the chief localized tertiary lesion of syphilis (lues). The large lytic lesion and sclerosis distinguish the resulting luetic osteomyelitis from such similar granulomatous diseases as tuberculosis and actinomycosis. Differential diagnoses included osteosarcoma, chondrosarcoma, ameloblastoma, fibrous dysplasia, ossifying fibroma, and granulomatous inflammation.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
