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津瑟-科尔-恩格曼综合征:一例罕见病例报告并文献复习

Zinsser-Cole-Engmann syndrome: A rare case report with literature review.

作者信息

Chalkoo Altaf H, Kaul Vibhuti, Wani Lateef A

机构信息

Professor and Head of Department. Department of Oral Medicine and Radiology, Government Dental College and Hospital, Srinagar.

Post Graduate Student. Department of Oral Medicine and Radiology, Government Dental College and Hospital, Srinagar.

出版信息

J Clin Exp Dent. 2014 Jul 1;6(3):e303-6. doi: 10.4317/jced.51274. eCollection 2014 Jul.

Abstract

Zinsser-Cole-Engmann syndrome, more commonly known as Dyskeratosis Congenita, is a heritable genodermatosis having an estimated incidence of 1 in 1 million people. It is important for an oral physician to be aware of this condition as oral leukoplakia occurs in this condition as part of a classic triad along with reticulate skin pigmentation and nail dystrophy. Besides these, there may be myriad multisystem involvement as well. These individuals have a high predilection for developing malignancies as well as other grave life-threatening conditions. Timely diagnosis and management of these cases may help improve their morbidity and mortality, for which oral physicians can play a major role in recognizing the cases. This will only be possible when more of such cases are reported in dental literature. Here we present a case report of a 30 year old male patient who reported to our department with all the characteristic features of the triad and a few additional findings concordant to the disease as well. Key words:Zinsser-Cole-Engmann syndrome, Dyskeratosis Congenita, leukoplakia, genodermatosis, skin pigmentation, nail dystrophy, progeria, hematological disturbances.

摘要

津瑟-科尔-恩格曼综合征,更常见的名称是先天性角化不良,是一种遗传性皮肤病,估计发病率为百万分之一。口腔医生了解这种疾病很重要,因为在这种疾病中会出现口腔白斑,它是经典三联征的一部分,另外两个特征是网状皮肤色素沉着和甲营养不良。除此之外,还可能有多种多系统受累情况。这些个体患恶性肿瘤以及其他严重危及生命疾病的倾向很高。及时诊断和处理这些病例可能有助于改善其发病率和死亡率,而口腔医生在识别这些病例方面可以发挥主要作用。只有当牙科文献中报道更多此类病例时才有可能做到这一点。在此,我们报告一例30岁男性患者的病例,该患者前来我科就诊,具有三联征的所有特征,以及一些与该疾病相符的其他表现。关键词:津瑟-科尔-恩格曼综合征、先天性角化不良、白斑、遗传性皮肤病、皮肤色素沉着、甲营养不良、早老症、血液学紊乱

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33b7/4134864/0940c6ee5e69/jced-6-e303-g001.jpg

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