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Traumatic lesions from congenital insensitivity to pain with anhidrosis in a pediatric patient: dental management

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Traumatic lesions from congenital insensitivity to pain with anhidrosis in a pediatric patient: dental management

Auteurs : Beatriz Gonçalves Neves [Brésil] ; Rosemere Teixeira Roza [Brésil] ; Gloria Fernanda Castro [Brésil]

Source :

Dental Traumatology [ 1600-4469 ] ; 2009-10.

RBID : ISTEX:EE65610212437D41A4CFB59BBE2CED4596E6005D

English descriptors

Abstract

Abstract – Congenital insensitivity to pain with anhidrosis is a rare autosomal‐recessive disorder characterized by unexplained fever episodes, anhidrosis, pain insensitivity, self‐mutilating behavior, and mental retardation. The lack of sensitivity to pain results in traumatic lesions, such as ulcers, fractures, burns, bites, scars, and digital amputations. Several methods have been suggested to treat these patients; however, appropriate management is difficult, especially when the mutilation is particularly severe. This report describes the case of a 2‐year‐old female patient who had severe self‐mutilating injuries to her tongue, hands, lips, and oral mucosa caused by biting. The patient presented digital amputation and also a premature loss of a permanent tooth germ during the treatment. The dental management is described and discussed. It is important to include the dentist on the multidisciplinary team to reduce the frequency and severity of the self‐inflicted lesions in these patients, also to prevent complications.

Url:

https://api.istex.fr/document/EE65610212437D41A4CFB59BBE2CED4596E6005D/fulltext/pdf

DOI: 10.1111/j.1600-9657.2009.00810.x

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ISTEX:EE65610212437D41A4CFB59BBE2CED4596E6005D

Le document en format XML

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<author><name sortKey="Roza, Rosemere Teixeira" sort="Roza, Rosemere Teixeira" uniqKey="Roza R" first="Rosemere Teixeira" last="Roza">Rosemere Teixeira Roza</name>
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<term>Amputation</term>
<term>Anesthesia</term>
<term>Anhidrosis</term>
<term>Appropriate management</term>
<term>Autonomic neuropathy</term>
<term>Autonomic neuropathy type</term>
<term>Bers</term>
<term>Case report</term>
<term>Cipa</term>
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<term>Deep ulcers</term>
<term>Dental implications</term>
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<term>Federal university</term>
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<term>Multidisciplinary team</term>
<term>Neurol</term>
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<term>Ngers</term>
<term>Oral mucosa</term>
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<term>Paediatr dent</term>
<term>Pain insensitivity</term>
<term>Pain sensation</term>
<term>Pediatr</term>
<term>Pediatr neurol</term>
<term>Permanent dentition</term>
<term>Permanent tooth germ</term>
<term>Premature loss</term>
<term>Pressure sensitivity</term>
<term>Protective plates</term>
<term>Radiol endod</term>
<term>Selfmutilating behavior</term>
<term>Several methods</term>
<term>Severe injuries</term>
<term>Sharp edges</term>
<term>Speech therapist</term>
<term>Sweat glands</term>
<term>Traumatic lesions</term>
<term>Treatment plan</term>
<term>Weekly intervals</term>
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<term>Case report</term>
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<front><div type="abstract">Abstract –  Congenital insensitivity to pain with anhidrosis is a rare autosomal‐recessive disorder characterized by unexplained fever episodes, anhidrosis, pain insensitivity, self‐mutilating behavior, and mental retardation. The lack of sensitivity to pain results in traumatic lesions, such as ulcers, fractures, burns, bites, scars, and digital amputations. Several methods have been suggested to treat these patients; however, appropriate management is difficult, especially when the mutilation is particularly severe. This report describes the case of a 2‐year‐old female patient who had severe self‐mutilating injuries to her tongue, hands, lips, and oral mucosa caused by biting. The patient presented digital amputation and also a premature loss of a permanent tooth germ during the treatment. The dental management is described and discussed. It is important to include the dentist on the multidisciplinary team to reduce the frequency and severity of the self‐inflicted lesions in these patients, also to prevent complications.</div>
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Traumatic lesions from congenital insensitivity to pain with anhidrosis in a pediatric patient: dental management

Traumatic lesions from congenital insensitivity to pain with anhidrosis in a pediatric patient: dental management

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri