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A 56-year-old patient with idiopathic CD4+ lymphocytopenia (ICL) is described. In addition to a complex medical history and clinical course, he presented with oral manifestations including episodic erythematous candidiasis, persistent angular cheilitis, lingua exfoliativa areata, and teleangiectasia of facial skin and buccal mucosa. Light microscopy and transmission electron microscopy (TEM) revealed vascular structures similar to findings in clinically uninvolved oral mucosa of patients with HIV infection. Further observations of patients with ICL are warranted to clarify the significance of oral findings made in the present case.

An osteosarcoma, occurring in the maxillary alveolar ridge of a 17-year-old girl is presented. The tumor consisted predominantly of pleomorphic, mainly osteoblast-like and anaplastic cells. At the ultrastructural level the osteoblast-like cells were characterised by excentrically situated lobed nuclei, extensively swollen, dilated and rough endoplasmic reticulum (RER), polymorphism of mitochondria and sparse Golgi-systems. The undifferentiated cells were characterized by large, electron-lucent nuclei and paucity of non-dilated RER and mitochondria. The intercellular matrix contained collagen fibers with areas of focal collections of calcification.