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以麻木性下巴综合征为表现的急性髓系白血病:一例报告并文献复习

Acute Myeloid Leukemia Presenting with Numb Chin Syndrome: A Case Report and Review of Literature.

作者信息

Babikir Mona M, Mohamed Shehab F, Nashwan Abdulqadir J, Mudawi Deena S, Purayil Saleema C, Abdelrazek Mohamed Talaat, Ahmed Khalid E, Yassin Mohamed A

机构信息

Department of Medical Education, Hamad Medical Corporation, Doha, Qatar.

Department of Medical Oncology, Hematology Section, National Center for Cancer Care and Research (NCCCR), Hamad Medical Corporation, Doha, Qatar.

出版信息

Am J Case Rep. 2020 Mar 3;21:e920117. doi: 10.12659/AJCR.920117.

DOI:10.12659/AJCR.920117
PMID:32123152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7069330/
Abstract

BACKGROUND Numb chin syndrome is a rare and under diagnosed neuropathy of the inferior alveolar branch of the trigeminal nerve usually causing a lower lip and chin anesthesia or paresthesia. The syndrome is commonly associated with broad-spectrum malignant and non-malignant conditions. CASE REPORT Here we report a case of a 30-year-old male who presented with numb chin syndrome in the form of jaw pain, paresthesia, and hypoesthesia of the mental area as the presenting symptoms of acute of myeloid leukemia with t(8;21) treated with (3+7) protocol (3 days anthracycline+7 days cytarabine). The pain and paresthesia improved but hypothesia persisted. CONCLUSIONS Acute myeloid leukemia is one of the most serious causes of numb chin syndrome which should not be overlooked.

摘要

背景

颏部麻木综合征是一种罕见且诊断不足的三叉神经下颌支神经病变,通常导致下唇和颏部麻木或感觉异常。该综合征常与多种恶性和非恶性疾病相关。病例报告:我们在此报告一例30岁男性,以颌部疼痛、感觉异常和颏部感觉减退为表现形式的颏部麻木综合征,这是急性髓系白血病伴t(8;21)采用(3+7)方案(3天蒽环类药物+7天阿糖胞苷)治疗的首发症状。疼痛和感觉异常有所改善,但感觉减退仍持续存在。结论:急性髓系白血病是颏部麻木综合征最严重的病因之一,不应被忽视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e61/7069330/4fc8a5d936cf/amjcaserep-21-e920117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e61/7069330/2418b088c279/amjcaserep-21-e920117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e61/7069330/4fc8a5d936cf/amjcaserep-21-e920117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e61/7069330/2418b088c279/amjcaserep-21-e920117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e61/7069330/4fc8a5d936cf/amjcaserep-21-e920117-g002.jpg

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Bilateral Numb Chin Syndrome as the Initial Presentation of Burkitt's Lymphoma/Leukemia: A Report of Two Cases and Review of the Literature.双侧颏部麻木综合征作为伯基特淋巴瘤/白血病的首发表现:两例报告并文献复习
Case Rep Hematol. 2016;2016:3791045. doi: 10.1155/2016/3791045. Epub 2016 Nov 1.
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Numb chin syndrome as first symptom of diffuse large B-cell lymphoma.
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Case Rep Dent. 2014;2014:413162. doi: 10.1155/2014/413162. Epub 2014 Dec 16.
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Numb chin syndrome by precursor B acute lymphoblastic leukemia.前驱B淋巴细胞急性淋巴细胞白血病所致的麻木性下巴综合征
Am J Hematol. 2014 Aug;89(8):860-1. doi: 10.1002/ajh.23766. Epub 2014 Jun 19.
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