case_images: PMC5406796_01
case_images: Extraoral photograph of patient
case_images: JOMFP-21-140-g001.jpg
case_images: PMC5406796_01_JOMFP-21-140-g001.jpg
case_images: F1
case_images: Clinical photograph showing (a) gingival swelling on palatal aspect of 54.55 and 64.65 (b) diffused, erythematous ulcerated gingival swelling covered with necrotic slough over buccal aspect of 64.65 (c) and (d) gingival swelling with tiny bleeding spots over buccal aspect of 75 and 85
case_images: JOMFP-21-140-g002.jpg
case_images: PMC5406796_01_JOMFP-21-140-g002.jpg
case_images: F2
case_images: Mucosa over the swelling was ulcerated covered with necrotic slough with tiny bleeding spots with 55, 65, 75 and 85 [Figure 2a-d].
case_images: (a and b) Intraoral radiograph showing radiolucent lesion surrounding root of 55, 74 and 75
case_images: JOMFP-21-140-g003.jpg
case_images: PMC5406796_01_JOMFP-21-140-g003.jpg
case_images: F3
case_images: II mobility was recorded with 55, 65, 75 and 85. Intraoral periapical radiograph of 55, 74 and 75 revealed a mild radiolucent lesion surrounding the root of 55, 74 and 75 [Figure 3a and b].
case_images: Orthopantomogram revealed multiple areas of bone loss in the left mandibular region
case_images: JOMFP-21-140-g004.jpg
case_images: PMC5406796_01_JOMFP-21-140-g004.jpg
case_images: F4
case_images: Orthopantogram [Figure 4] revealed multiple areas of bone loss in the left mandibular region.
case_images: (a and b) Axial and coronal computed tomography revealed multiple soft tissue density lesions with irregular and punched out bony destruction noted involving left mandibular, left side of occiput, right maxillary and right temporal bone
case_images: JOMFP-21-140-g005.jpg
case_images: PMC5406796_01_JOMFP-21-140-g005.jpg
case_images: F5
case_images: Axial and coronal computed tomography [CT] [Figure 5a and b] revealed multiple soft tissue density lesions with irregular and punched out bony destruction noted involving left mandibular, left side of occiput, right maxillary and right temporal bone.
case_images: Three-dimensional computed tomography revealed multiple osteolytic lesions in relation to maxillary alveolar process, body and ramus of left side of mandible
case_images: JOMFP-21-140-g006.jpg
case_images: PMC5406796_01_JOMFP-21-140-g006.jpg
case_images: F6
case_images: Three-dimensional CT [Figure 6] revealed multiple osteolytic lesions in relation to maxillary alveolar process, body and ramus of the left side of the mandible.
case_images: Histopathological picture showing diffuse infiltrate of Langerhans cell with eosinophils (H&E stain, x40)
case_images: JOMFP-21-140-g007.jpg
case_images: PMC5406796_01_JOMFP-21-140-g007.jpg
case_images: F7
case_images: Background is showing a variable number of lymphocyte, eosinophils and plasma cells and occasional mitosis [Figure 7].