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釉质-肾综合征:牙髓、牙龈、齿槽骨和肾脏钙化病例报告。

Enamel renal syndrome: A case report with calcifications in pulp, gingivae, dental follicle and kidneys.

机构信息

Laboratory of Histology and Embryology, Faculty of Dental Medicine of Monastir, University of Monastir, Monastir, Tunisia.

ABCDF Laboratory for Biological Clinical and Dento-Facial Approach, University of Monastir, Avicenna Avenue, Monastir, Tunisia.

出版信息

Spec Care Dentist. 2024 May-Jun;44(3):722-728. doi: 10.1111/scd.12915. Epub 2023 Aug 9.

Abstract

BACKGROUND

Enamel renal syndrome is a rare genetic disorder transmitted through an autosomal recessive mode. It is featured by a hypoplastic amelogenesis imperfecta, delayed tooth eruption, gingival fibromatosis, and nephrocalcinosis. The aim of this study was to describe clinically, radiologically, and histologically the main features of enamel renal syndrome and to point out the role of dentists in early diagnosing this genetic disease.

MATERIALS AND METHODS

Our case of enamel renal syndrome was initially described by clinical, radiographic, and genealogic data, then complemented by ultrasound examination of the kidneys and microscopic observation of gingivae.

RESULTS

The study showed the presence of amelogenesis imperfecta (AI), several teeth impaction, gingival hyperplasia, bilateral nephrocalcinosis, and multiple calcifications in pulp, gingiva, dental follicle, and kidneys.

CONCLUSION

The patient was followed for a full mouth rehabilitation and also referred to a nephrology for global medical checkup. The dentist plays a key role in diagnosing genetic diseases and in referring patients for medical comprehensive care.

摘要

背景

釉质-肾综合征是一种罕见的遗传性疾病,通过常染色体隐性模式遗传。其特征为牙釉质发育不全、牙齿萌出延迟、牙龈纤维瘤病和肾钙质沉着症。本研究旨在描述釉质-肾综合征的主要临床、放射学和组织学特征,并指出牙医在早期诊断这种遗传性疾病中的作用。

材料与方法

我们通过临床、放射学和系谱数据对釉质-肾综合征的病例进行了初步描述,然后通过肾脏超声检查和牙龈组织学观察进行了补充。

结果

研究显示存在牙釉质发育不全(AI)、多颗牙齿阻生、牙龈增生、双侧肾钙质沉着症以及牙髓、牙龈、齿槽和肾脏中的多个钙化灶。

结论

对该患者进行了全口修复治疗,并转诊至肾病科进行全面体检。牙医在诊断遗传性疾病和为患者提供全面医疗护理方面发挥着关键作用。

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