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Hurler syndrome: a case report of a 5-year follow-up of dental findings after bone marrow transplantation.

Identifieur interne : 000332 ( Main/Exploration ); précédent : 000331; suivant : 000333

Hurler syndrome: a case report of a 5-year follow-up of dental findings after bone marrow transplantation.

Auteurs : Rose O. Wadenya [États-Unis] ; Angela M. Stout ; Avin Gupta ; Janet Monge

Source :

RBID : pubmed:20051069

Descripteurs français

English descriptors

Abstract

Hurler syndrome is a rare autosomal recessive disorder of mucopolysaccharide metabolism. It results from a deficiency in lysosomal enzymes responsible for the breakdown of glycosaminoglycans. Affected individuals may show progressive physical and mental deterioration as glycosaminoglycans are deposited in the organs of the body. Bone marrow transplantation (BMT) is effective in improving some of the clinical manifestations of Hurler syndrome. Death is caused by cardiorespiratory failure and usually occurs before the second decade of life. In this case report, the course of dental development was followed over 5 years, from the primary dentition into the permanent dentition, of a child who was successfully treated with a bone marrow transplant in infancy. The timing of bone marrow therapy has significant and variable effect on the stages of tooth development with implications for the long-term maintenance of the dentition.

DOI: 10.1111/j.1754-4505.2009.00115.x
PubMed: 20051069


Affiliations:


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Le document en format XML

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<title xml:lang="en">Hurler syndrome: a case report of a 5-year follow-up of dental findings after bone marrow transplantation.</title>
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<name sortKey="Wadenya, Rose O" sort="Wadenya, Rose O" uniqKey="Wadenya R" first="Rose O" last="Wadenya">Rose O. Wadenya</name>
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<nlm:affiliation>Department of Preventive and Restorative Sciences, Division of Pediatric and Community Oral Health, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA. wadenya@dental.upenn.edu</nlm:affiliation>
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<term>Bone Marrow Transplantation (MeSH)</term>
<term>Cuspid (abnormalities)</term>
<term>Dental Enamel Hypoplasia (etiology)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Molar (abnormalities)</term>
<term>Mucopolysaccharidosis I (complications)</term>
<term>Mucopolysaccharidosis I (surgery)</term>
<term>Odontogenesis (physiology)</term>
<term>Tooth Diseases (etiology)</term>
<term>Tooth Eruption (MeSH)</term>
<term>Tooth Eruption, Ectopic (etiology)</term>
<term>Tooth Root (abnormalities)</term>
<term>Tooth, Deciduous (abnormalities)</term>
<term>Tooth, Unerupted (etiology)</term>
<term>Transplantation Conditioning (MeSH)</term>
<term>Whole-Body Irradiation (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Canine (malformations)</term>
<term>Conditionnement pour greffe (MeSH)</term>
<term>Dent de lait (malformations)</term>
<term>Dent incluse (étiologie)</term>
<term>Humains (MeSH)</term>
<term>Hypoplasie de l'émail dentaire (étiologie)</term>
<term>Irradiation corporelle totale (MeSH)</term>
<term>Maladies des dents (étiologie)</term>
<term>Molaire (malformations)</term>
<term>Mucopolysaccharidose de type I (chirurgie)</term>
<term>Mucopolysaccharidose de type I (complications)</term>
<term>Nourrisson (MeSH)</term>
<term>Odontogenèse (physiologie)</term>
<term>Racine dentaire (malformations)</term>
<term>Transplantation de moelle osseuse (MeSH)</term>
<term>Éruption dentaire (MeSH)</term>
<term>Éruption dentaire ectopique (étiologie)</term>
<term>Études de suivi (MeSH)</term>
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<term>Cuspid</term>
<term>Molar</term>
<term>Tooth Root</term>
<term>Tooth, Deciduous</term>
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<term>Mucopolysaccharidose de type I</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Mucopolysaccharidosis I</term>
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<term>Dental Enamel Hypoplasia</term>
<term>Tooth Diseases</term>
<term>Tooth Eruption, Ectopic</term>
<term>Tooth, Unerupted</term>
</keywords>
<keywords scheme="MESH" qualifier="malformations" xml:lang="fr">
<term>Canine</term>
<term>Dent de lait</term>
<term>Molaire</term>
<term>Mucopolysaccharidose de type I</term>
<term>Racine dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Odontogenèse</term>
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<term>Odontogenesis</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Mucopolysaccharidosis I</term>
</keywords>
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<term>Dent incluse</term>
<term>Hypoplasie de l'émail dentaire</term>
<term>Maladies des dents</term>
<term>Éruption dentaire ectopique</term>
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<term>Bone Marrow Transplantation</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infant</term>
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<term>Whole-Body Irradiation</term>
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<term>Conditionnement pour greffe</term>
<term>Humains</term>
<term>Irradiation corporelle totale</term>
<term>Nourrisson</term>
<term>Transplantation de moelle osseuse</term>
<term>Éruption dentaire</term>
<term>Études de suivi</term>
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<div type="abstract" xml:lang="en">Hurler syndrome is a rare autosomal recessive disorder of mucopolysaccharide metabolism. It results from a deficiency in lysosomal enzymes responsible for the breakdown of glycosaminoglycans. Affected individuals may show progressive physical and mental deterioration as glycosaminoglycans are deposited in the organs of the body. Bone marrow transplantation (BMT) is effective in improving some of the clinical manifestations of Hurler syndrome. Death is caused by cardiorespiratory failure and usually occurs before the second decade of life. In this case report, the course of dental development was followed over 5 years, from the primary dentition into the permanent dentition, of a child who was successfully treated with a bone marrow transplant in infancy. The timing of bone marrow therapy has significant and variable effect on the stages of tooth development with implications for the long-term maintenance of the dentition.</div>
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