CC BY 4.0 · Journal of Health and Allied Sciences NU 2024; 14(04): 570-574
DOI: 10.1055/s-0043-1777282
Case Report

Gardner's Syndrome—A Case Report and Brief Literature

Mukul Shetty
1   Department of Orthodontics and Dentofacial Orthopaedics, AB Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be) University, Mangaluru, Karnataka, India
,
Shrivya Saloni Mahaveeran
2   Department of Pediatric and Preventive Dentistry, Yenepoya Dental College, Yenepoya Deemed to be University, Mangaluru, Karnataka, India
,
Arathi K.
3   Department of Oral Pathology, AJ Institute of Dental Sciences, Mangaluru, Karnataka, India
,
Akhil Shetty
4   Oral Pathologist, Private Dental Clinic, Mangalore, Karnataka, India
› Institutsangaben

Abstract

Gardner's syndrome has been recognized as a hereditary affliction that is autosomal in nature. This disorder is known to exhibit characteristics of familial adenomatous polyposis, of which it is also considered a variation. The features of this syndrome include the gradual development of osteomas and epidermoid cysts, including a characteristic feature that is the noted presence of intestinal polyps, which are generally multiple in number. Additionally, dental anomalies have been observed and recorded in a sizeable ratio of cases encompassing an increased frequency of multiple odontomas that are benign tumors linked to the development of a tooth and tooth agenesis/hypodontia that refers to developmental absence of one or more teeth. The other dental ascertainment includes abnormal morphology of the tooth/teeth as well as the presence of supernumerary teeth and impacted or unerupted teeth. This case report outlines the case of a 59-year-old male patient who had reported to the clinic, and was then diagnosed with Gardner's syndrome post a thorough examination. On radiographic examination, the manifestation of multiple osteomas in the frontal bone was revealed. The presence of a motley of diffused benign lesions of the bone in both the upper and lower jaw as well as the presence of an epidermoid cyst on the scalp was suggestive of an exemplar presentation of Gardner's syndrome.

Declaration of Patient Consent

The authors certify that they have obtained all appropriate patient consent forms. The patient has given his consent for his images and other clinical information to be reported in the journal. The patient has been informed that his name and initials will not be published and due efforts will be made to conceal the identity, but anonymity cannot be guaranteed.


Financial Support and Sponsorship

None.




Publikationsverlauf

Artikel online veröffentlicht:
01. Dezember 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Gardner EJ, Richards RC. Multiple cutaneous and subcutaneous lesions occurring simultaneously with hereditary polyposis and osteomatosis. Am J Hum Genet 1953; 5 (02) 139-147
  • 2 Wijn MA, Keller JJ, Giardiello FM, Brand HS. Oral and maxillofacial manifestations of familial adenomatous polyposis. Oral Dis 2007; 13 (04) 360-365
  • 3 Buch B, Noffke C, de Kock S. Gardner's syndrome–the importance of early diagnosis: a case report and a review. SADJ 2001; 56 (05) 242-245
  • 4 Dolan KD, Seibert J, Seibert RW. Gardner's syndrome. A model for correlative radiology. Am J Roentgenol Radium Ther Nucl Med 1973; 119 (02) 359-364
  • 5 Madani M, Madani F. Gardner's syndrome presenting with dental complaints. Arch Iran Med 2007; 10 (04) 535-539
  • 6 Herford AS, Stoffella E, Tandon R. Osteomas involving the facial skeleton: a report of 2 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115 (02) e1-e6
  • 7 Chimenos-Küstner E, Pascual M, Blanco I, Finestres F. Hereditary familial polyposis and Gardner's syndrome: contribution of the odonto-stomatology examination in its diagnosis and a case description. Med Oral Patol Oral Cir Bucal 2005; 10 (05) 402-409
  • 8 Ida M, Nakamura T, Utsunomiya J. Osteomatous changes and tooth abnormalities found in the jaw of patients with adenomatosis coli. Oral Surg Oral Med Oral Pathol 1981; 52 (01) 2-11
  • 9 Herrmann SM, Adler YD, Schmidt-Petersen K. et al. The concomitant occurrence of multiple epidermal cysts, osteomas and thyroid gland nodules is not diagnostic for Gardner syndrome in the absence of intestinal polyposis: a clinical and genetic report. Br J Dermatol 2003; 149 (04) 877-883
  • 10 Butler J, Healy C, Toner M, Flint S. Gardner syndrome – review and report of a case. Oral Oncology Extra. 2005; 41: 89-92
  • 11 Small IA, Shandler H, Husain M, David H. Gardner's syndrome with an unusual fibro-osseous lesion of the mandible. Oral Surg Oral Med Oral Pathol 1980; 49 (06) 477-486
  • 12 Verma P, Surya V, Kadam S, Umarji HR. Classical presentation of Gardner's syndrome in an Indian patient: a case report. Contemp Clin Dent 2016; 7 (02) 277-280
  • 13 Basaran G, Erkan M. One of the rarest syndromes in dentistry: Gardner syndrome. Eur J Dent 2008; 2 (03) 208-212