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一名9岁儿童牙科治疗后发生血管性水肿:通过病例报告探讨一种罕见并发症

Angioedema in a 9-year-old Child after Dental Treatment: A Rare Complication Explored through a Case Report.

作者信息

Barman Katherina S, Ephraim Rena, Shivashankarappa Prathima G, Chonat Anagha

机构信息

Department of Pediatric and Preventive Dentistry, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Puducherry, India.

Department of Pediatrics and Preventive Dentistry, Mahe Institute of Dental Sciences and Hospitals, Puducherry, India.

出版信息

Int J Clin Pediatr Dent. 2024 Nov;17(11):1285-1288. doi: 10.5005/jp-journals-10005-2955. Epub 2024 Dec 19.

Abstract

AIM AND BACKGROUND

Angioedema is a nonpruritic swelling that typically affects the skin, mucous membranes of the face, and perioral soft tissues. It can be life-threatening, but it is usually not and can be treated conservatively unless the airway is compromised. This paper seeks to illuminate a rare case of hereditary angioedema (HAE) onset following dental procedures in a 9-year-old Indian boy.

CASE DESCRIPTION

A 9-year-old male patient reported a chief complaint of spacing in the upper anterior region, which was diagnosed to be due to impacted supernumeraries. Two days after the oral surgical procedure, the child developed symptoms of periorbital edema with facial swelling. A second episode occurred a day after the delivery of the orthodontic appliance. This was also associated with facial swelling, respiratory distress, and gastrointestinal (GI) symptoms. A diagnosis of angioedema was confirmed and was treated appropriately.

CONCLUSION

Dental professionals must be aware of the possibility of triggering AE, a potentially fatal condition in patients. This case highlights the importance of comprehensive medical history intake and timely physician collaboration when confronting unexpected symptoms following a dental procedure.

CLINICAL SIGNIFICANCE

Awareness of rare conditions like HAE can aid dental professionals in early identification and appropriate management, preventing dangerous exacerbations and contributing to safer dental care.

HOW TO CITE THIS ARTICLE

Barman KS, Ephraim R, Shivashankarappa PG, Angioedema in a 9-year-old Child after Dental Treatment: A Rare Complication Explored through a Case Report. Int J Clin Pediatr Dent 2024;17(11):1285-1288.

摘要

目的与背景

血管性水肿是一种非瘙痒性肿胀,通常影响皮肤、面部黏膜和口周软组织。它可能危及生命,但通常并非如此,除非气道受到影响,否则可采用保守治疗。本文旨在阐明一名9岁印度男孩在牙科手术后发生遗传性血管性水肿(HAE)的罕见病例。

病例描述

一名9岁男性患者主诉上前牙区牙间隙,诊断为多生牙阻生所致。口腔手术后两天,患儿出现眶周水肿伴面部肿胀症状。在佩戴正畸矫治器一天后又发生了一次。这也伴有面部肿胀、呼吸窘迫和胃肠道症状。血管性水肿的诊断得到证实并得到了适当治疗。

结论

牙科专业人员必须意识到引发血管性水肿(AE)的可能性,这对患者来说是一种潜在的致命疾病。该病例突出了在牙科手术后出现意外症状时,全面采集病史和及时与医生合作的重要性。

临床意义

了解像HAE这样的罕见疾病有助于牙科专业人员早期识别和适当管理,预防危险的病情加重,促进更安全的牙科护理。

如何引用本文

巴尔曼KS、以法莲R、希瓦尚卡拉帕PG,《一名9岁儿童牙科治疗后发生的血管性水肿:通过病例报告探讨一种罕见并发症》。《国际临床儿科牙科学杂志》2024年;17(11):1285 - 1288。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a1/11703765/3a94ed0e5727/ijcpd-17-1285-g001.jpg

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