A 30 year old female patient with Pachyonychia Congenita from birth reported to our department with poor periodontal status .Patient had most of the classical features of the disease which includes hyperkeratosis of nails, hyperhidrosis, leukokeratosis of right half of tongue, buccal mucosa. Patient also had oral candidiasis, hoarseness of voice and Molluscum Contagiosum on her arms and back. Heamogram revealed a raised ESR(87mm/hr) but serum calcium, phosphorous and urea creatinine were all within normal limits. On routine radiological examination revealed an interesting finding of multiple hyperostotic areas between  premolars and molars in all quadrants except upper left quadrant. Patient also had talons cusp on all her upper anterior teeth. I would kindly request your opinion regarding the diagnosis of the radiological finding in this case.
 

                 Post your comments of possible histopathological diagnosis here :
             (If you are not yet a member of Teleoralpathology.com, please get registered.
                  Click here for Free Registration Now)