Craniofacial fibrous dysplasia associated with McCune-Albright syndrome: challenges in diagnosis and treatment: case reports

• Main Authors: Theodora Miti Kabali, Jeremiah Robert Moshy, Sira Stanslaus Owibingire, Karpal Singh Sohal, Elison N. M. Simon
• Format: Article
• Language: English
• Published: BMC 2019-08-01
• Series: BMC Oral Health
• Subjects: Craniofacial fibrous dysplasia; McCune-Albright syndrome; Morbidity; Case report
• Online Access: http://link.springer.com/article/10.1186/s12903-019-0872-8

Abstract Background McCune-Albright syndrome (MAS) is a rare multisystem disorder that classically was defined by the triad of polyostotic fibrous dysplasia of bone, café-au-lait skin pigmentation, and precocious puberty. It is a condition that has a gradual onset, slow growth rate and remain painless throughout. The clinical phenotype of MAS is highly variable and no definite treatment is available. Case presentation This article describes two cases, a 10-year-old girl and an 11-year-old boy, both with MAS comprising deforming craniofacial FD. Challenges related to diagnosis and management included late reporting with big lesions, involvement of multiple craniofacial bones, mutilating surgeries and ultimately high degree of morbidity. Conclusion Delayed diagnosis and management of MAS results in devastating physical disabilities and severe morbidity after treatment.