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[肾上腺生殖器综合征患者正畸治疗的问题及特点]

[Problems and characteristics of the orthodontic treatment of a patient with adrenogenital syndrome].

作者信息

Schlupper-Beckmann J W, Lücke M, Mallmann R

出版信息

Fortschr Kieferorthop. 1989 Oct;50(5):423-39. doi: 10.1007/BF02171177.

DOI:10.1007/BF02171177
PMID:2583625
Abstract

This article describes biochemical relationships accompanying pathological symptoms of C-21-hydroxylase deficiency (adrenogenital syndrome). Disturbances of bone growth and development have been observed, even during medical treatment. A discrepancy of 2 1/2 years was noted between the patients chronological age and his bone development. The patient reaches a maximum height of 155 to 160 cm. Supernumeraries and delayed mineralisation are to be expected. Surgical procedures require an increase in cortisone dosage. When considering orthodontic treatment, one must determine the most appropriate time to start, take into account the long retention period and pay particular attention to oral hygiene.

摘要

本文描述了伴有21-羟化酶缺乏(肾上腺生殖器综合征)病理症状的生化关系。即使在药物治疗期间,也观察到了骨骼生长和发育的紊乱。患者的实际年龄与其骨骼发育之间存在2.5年的差异。患者的最大身高为155至160厘米。预计会出现多余牙齿和矿化延迟。外科手术需要增加可的松剂量。在考虑正畸治疗时,必须确定最合适的开始时间,考虑到较长的保持期,并特别注意口腔卫生。

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1
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引用本文的文献

1
Congenital adrenal hyperplasia. Role of dentist in early diagnosis.先天性肾上腺增生症。牙医在早期诊断中的作用。
Open Med (Wars). 2022 Oct 27;17(1):1699-1704. doi: 10.1515/med-2022-0524. eCollection 2022.

本文引用的文献

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Variations in the growth pattern of the human mandible: longitudinal radiographic study by the implant method.人类下颌骨生长模式的变异:通过种植体方法进行的纵向影像学研究
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Postpubertal adrenal virilism with biochemical disturbance of the congenital type of adrenal hyperplasia.青春期后肾上腺男性化伴先天性肾上腺皮质增生类型的生化紊乱。
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3
17-hydroxyprogesterone, androstenedione, and testosterone in normal children and in prepubertal patients with congenital adrenal hyperplasia.
正常儿童及青春期前先天性肾上腺皮质增生症患者体内的17-羟孕酮、雄烯二酮和睾酮
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Current approaches to the treatment of congenital adrenal hyperplasia.先天性肾上腺增生症的当前治疗方法。
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5
Circadian patterns of plasma cortisol, 17-hydroxyprogesterone, and testosterone in congenital adrenal hyperplasia.先天性肾上腺皮质增生症患者血浆皮质醇、17-羟孕酮和睾酮的昼夜节律模式。
Arch Dis Child. 1981 Mar;56(3):208-13. doi: 10.1136/adc.56.3.208.
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An update of congenital adrenal hyperplasia.
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[Optimal time to begin orthodontic treatment].[开始正畸治疗的最佳时机]
Quintessenz. 1981 Nov;32(11):2077-89.
8
[Significance of skeletal and dental age on the selection of orthodontic treatment systems].[骨骼和牙齿年龄在正畸治疗系统选择中的意义]
Fortschr Kieferorthop. 1984 Feb;45(1):24-32. doi: 10.1007/BF02167032.
9
Genotyping steroid 21-hydroxylase deficiency: hormonal reference data.类固醇21-羟化酶缺乏症的基因分型:激素参考数据。
J Clin Endocrinol Metab. 1983 Aug;57(2):320-6. doi: 10.1210/jcem-57-2-320.
10
Detection of heterozygotes for congenital adrenal hyperplasia: 21-hydroxylase deficiency-a comparison of HLA typing and 17-OH progesterone response to ACTH infusion.先天性肾上腺皮质增生症杂合子的检测:21-羟化酶缺乏症——HLA分型与促肾上腺皮质激素输注后17-羟孕酮反应的比较
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