Valdez I H, Patton L L
Clinical Investigations and Patient Care Branch, National Institute of Dental Research, National Institutes of Health, Bethesda, MD 20892, USA.
Spec Care Dentist. 1990 Nov-Dec;10(6):185-9. doi: 10.1111/j.1754-4505.1990.tb00794.x.
Aplastic anemia (AA) is a rare blood dyscrasia in which the peripheral blood cells are decreased because of bone marrow failure. The clinical course reflects the severity of pancytopenia and is unpredictable for the individual. Hemorrhage and infection remain the major threats to these patients. Recent advances in transfusion medicine, infection management, bone marrow transplantation, and immunosuppressive therapy have improved survival of patients with AA. Oral manifestations of AA are common and may have serious sequelae. Two cases of acute periodontal infection associated with AA are presented. Dental management guidelines are presented in the context of interdisciplinary care.
再生障碍性贫血(AA)是一种罕见的血液系统疾病,由于骨髓衰竭导致外周血细胞减少。临床病程反映全血细胞减少的严重程度,且个体情况不可预测。出血和感染仍然是这些患者的主要威胁。输血医学、感染管理、骨髓移植和免疫抑制治疗的最新进展提高了再生障碍性贫血患者的生存率。再生障碍性贫血的口腔表现很常见,可能会产生严重的后遗症。本文介绍了两例与再生障碍性贫血相关的急性牙周感染病例。在多学科护理的背景下提出了牙科管理指南。