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    A rare multilocular cystic disease of the mandible: Cherubism
    (Turkish Society of Plastic Reconstructive, and Aesthetic Surgery, 2014) Gümüş, Nazim; Yilmaz, Sarper
    Cherubism is a rare skeletal dysplasia located to the maxilla and mandible which is characterized by bilateral, symmetric, fibro-osseous and multilocular cystic lesions. In most of the cases, dominant mutations are detected in the SH3BP2 gene on chromosome 4p. While affected children seem to be clinically normal at birth, whose jaws start swelling and enlargement between 2 and 7 years of age. Full round cheek and upward tilting of the eyes consist of typical appearance of children. Apart from various cystic lesions of mandible, cherubism is a tumor which regresses spontaneously, ossifies over time and has a likelihood for leaving unrecognizable remnants after years, although radiologically, extensive bone involvement appears. Presented here was a patient who suffered from this rare disease and his clinical findings.
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    Traumatic hair bearing skin wound combined with kerion celsi: A rare case
    (2011) Yilmaz, Sarper; Gümüş, Nazim; Erin, Omer Faruk; Çelik, U?ur Recep; Erçöçen, Ali Riza
    Traumatic hair bearing skin wound combined with kerion celsi: a rare case Introduction: Kerion celsi is a hypersensitivity reaction to a dermatophytic infection in hair bearing skin which is caused by dermatophyte species such as T mentagrophytes, T verrucosum, T rosaceum (T megninii), T tonsurans, T violaceum, and T soudanense in children who have hypersensitivity againist the components of dermatophytes. Differential diagnosis is very difficult when a scalp wound is associated with the history of traumatic scalp injury. Presented here was a rare case of kerion celsi who had traumatic scalp wound. Material and Methods: A 7-year-old boy presented to our clinic, complaining of a head wound which caused from hitting it to a heater 15 days ago. On the examination, a 5 × 5 cm wound on the vertex of the scalp was diagnosed with painful draining scalp abscesses, purulent discharge, itchy plaques, hair loss, pruritus and scaling. It seemed to be an infected and traumatic wound of hair bearing skin. For the treatment, wound care and a parenteral antibiotic were initiated, and then a surgical debridement was performed to take out necrotic tissues and drain abscess formations. However, any evident for healing didn't appear. Results: After considering kerion celsi, by using fungal cultures, examination of scalp brush samples under microscope and histopathologic investigation of the debridement materials, diagnosis was achieved. Systemic and topical antifungal treatment healed the wound completely. Conclusions: Although association of a traumatic scalp wound with a dermatophytic infection is a rare instance, if there is a scalp wound with crusting, serious ooze, pus, and keratin debris in childhood, and especially if there is a resistant againist usual treatment modalities, kerion celsi should be considered in differential diagnosis.