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[分析国家罕见病名录,明确口腔医生的诊断作用]

[Analyze the national directory of rare diseases, define the diagnostic role of the stomatologists].

作者信息

Liu T N, Chen Q M, Zeng X

机构信息

Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2019 Oct 9;54(10):699-706. doi: 10.3760/cma.j.issn.1002-0098.2019.10.011.

Abstract

A rare disease, also referred to as an orphan disease, is defined as the disease with a low prevalence or that affects a small percentage of the population. It is a well model of human disease, which can facilitate the in-depth study and understanding of related diseases. Therefore, five Chinese governmental authorities, including the National Health Commission of the People's Republic of China, jointly issued the "First National Directory of Rare Diseases" (the First List) on May 11, 2018. The First List covers 121 rare indications. In the analysis of the directory, we found that among the 121 diseases, there are 51 (42.2%) with oral characterization. Oral manifestations mainly include craniofacial abnormalities, dentition (dental) abnormalities, oral soft tissue lesions, jaw bone lesions, salivary gland related diseases, etc., even some of them are the first, earliest and inevitable clinical manifestations of some patients with rare diseases. In order to strengthen the understanding of stomatological counterparts on the importance of the national directory of rare diseases and deeply understand the important and irreplaceable role of stomatologists in the diagnosis and treatment of rare diseases, the present review article is specifically written to introduce the oral characterization of the rare diseases listed in the catalogue, aiming at improving the diagnosis and treatment capabilities of these diseases by peers and benefiting the public.

摘要

罕见病,也被称为孤儿病,被定义为患病率低或仅影响一小部分人口的疾病。它是人类疾病的一个典型范例,有助于深入研究和理解相关疾病。因此,包括中华人民共和国国家卫生健康委员会在内的五个中国政府部门于2018年5月11日联合发布了《第一批罕见病目录》(第一版清单)。第一版清单涵盖了121种罕见病症。在对该目录的分析中,我们发现,在这121种疾病中,有51种(42.2%)具有口腔表征。口腔表现主要包括颅面异常、牙列(牙齿)异常、口腔软组织病变、颌骨病变、唾液腺相关疾病等,甚至其中一些是部分罕见病患者最早出现、不可避免的临床表现。为了加强口腔医学同行对国家罕见病目录重要性的认识,并深入了解口腔医学专家在罕见病诊断和治疗中的重要且不可替代的作用,撰写本综述文章专门介绍目录中列出的罕见病的口腔表征,旨在提高同行对这些疾病的诊断和治疗能力,造福公众。

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