Evidence map›Paper›PMID 40760942›Full record

ArticleOral diseases2026

New Insights Into Diffuse Sclerosing Osteomyelitis: Is There a Role of ANA and Vitamin B6?

Katharina Theresa Obermeier, Tim Hildebrandt, Ina Dewenter, Wenko Smolka, Eric Hesse, Philipp Poxleitner, Sven Otto

Abstract read
In one paragraph

Article in Oral diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Katharina Theresa ObermeierDepartment Oral & Maxillofacial Surgery and Facial Plastic Surgery, Ludwig Maximilians University, Munich, Germany.ORCID https://orcid.org/0009-0002-2679-2379
Tim HildebrandtDepartment Oral & Maxillofacial Surgery and Facial Plastic Surgery, Ludwig Maximilians University, Munich, Germany.
Ina DewenterDepartment Oral & Maxillofacial Surgery and Facial Plastic Surgery, Ludwig Maximilians University, Munich, Germany.ORCID https://orcid.org/0000-0002-1089-5632
Wenko SmolkaDepartment Oral & Maxillofacial Surgery and Facial Plastic Surgery, Ludwig Maximilians University, Munich, Germany.
Eric HesseInstitute of Musculoskeletal Medicine, University Hospital, LMU Munich, Martinsried, Germany.
Philipp PoxleitnerDepartment Oral & Maxillofacial Surgery and Facial Plastic Surgery, Ludwig Maximilians University, Munich, Germany.
Sven OttoDepartment Oral & Maxillofacial Surgery and Facial Plastic Surgery, Ludwig Maximilians University, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectDiffuse sclerosing osteomyelitis is a poorly understood chronic disease, which appears predominantly in the mandible. Female patients are more often affected than men. DSO is an ultra-rare disease and incidence is unknown; diagnosis can be very challenging; pathogenesis is poorly understood. SUBJECTS AND

methodsIn this prospective study, blood samples were collected from a total of 25 patients and analyzed to detect altered laboratory values to have insight into possible pathomechanism. Patients were divided into three groups: Group A: patients with DSO, Group B: patients with osteomyelitis and medication-related osteonecrosis, and Group C: healthy control group.

results44% of all patients in group A had elevated Vitamin B6 levels. Compared to groups B and C, these levels were statistically significantly higher (p = 0.011, p = 0.015). 23 patients had increased (92%) antinuclear-antibody-titer (ANA-Titer); in group B, 52% of all patients, and in the healthy control group, 44%.

conclusionsElevated ANA titers and elevated vitamin B6 levels provide a possible insight into the pathomechanisms of DSO. Therefore, in the search for the pathogenesis and etiology of DSO, autoimmune processes should also be considered.

Indexed as

Antibodies, AntinuclearOsteomyelitisVitamin B 6AdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedProspective StudiesSclerosisAntibodies, AntinuclearVitamin B 6ANA‐titerautoimmunic diseasediffuse sclerosing osteomyelitisjawosteomyelitisvitamin B6

Identifiers

PMID40760942
PMCPMC13364960

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.