一名肾病综合征患者在接受加洛韦-莫瓦特综合征检查时进行了尿道切除术:病例报告。

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Special Care in Dentistry Pub Date : 2024-07-01 Epub Date: 2024-02-06 DOI:10.1111/scd.12971
Gabriela Reis Alves, Julia Biliato Javaroni, Ana Paula Gomes E Moura, Alberto Consolaro, Raquel Assed Bezerra Segato
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引用次数: 0

摘要

本研究旨在报告一例肾病综合征患者接受手术切除纤维牙龈组织(尿道切除术)的病例。一名 8 岁的患者因 NUP107 基因突变被诊断为早发性肾病综合征,曾接受过肾移植手术,因此正在服用包括免疫抑制剂在内的各种药物。口腔检查发现,患者的牙龈纤维化,阻碍了上恒中切牙的萌出。患者接受了牙槽骨切除术,牙龈组织被送去进行组织病理学分析,结果显示一切正常。术后 15 天,在口腔中看到了右上中切牙。为了促进左上切牙的萌出,进行了第二次手术,30 天后在口腔中看到了这颗切牙。此外,还观察到上颌闭锁、腭咽畸形和口呼吸等口腔表现。因此,牙科医生在移植儿童的生活中扮演着重要的角色,因为他们经常服用各种药物,这些药物可能会影响他们的口腔健康。因此,早期诊断和有效治疗对于预防未来的畸形从而改善这些患者的生活质量至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ulectomy in a patient with nephrotic syndrome under investigation for Galloway-Mowat syndrome: a case report.

The aim of this study is to report a case in which a patient with nephrotic syndrome underwent surgery to remove fibrous gum tissue (ulectomy). An 8-year-old patient, diagnosed with early onset nephrotic syndrome due to a mutation in the NUP107 gene, had received a kidney transplant and was therefore taking various medications, including immunosuppressants. On oral examination, the patient was found to have a fibrous gingiva that was preventing the eruption of the upper permanent central incisors. A ulectomy was performed and the gingival tissue was sent for histopathological analysis, which showed normal aspects. The upper right central incisor was seen in the oral cavity 15 days after surgery. A second procedure was carried out to facilitate the eruption of the upper left incisor, which was visualized in the oral cavity 30 days later. In addition, oral manifestations such as maxillary atresia, ogival palate and mouth breathing were observed. Therefore, the role of the dental surgeon in the lives of transplanted children is considered important, as they often take various medications that can affect their oral health. Thus, early diagnosis and effective treatment will be essential to prevent future malocclusions and thus improve the quality of life of these patients.

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来源期刊
Special Care in Dentistry
Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.40
自引率
14.30%
发文量
120
期刊介绍: Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.
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