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一名患者因主诉开颌而被诊断为肢端肥大症的病例。

A case of acromegaly identified after patient complaint of apertognathia.

作者信息

Cohen R B, Wilcox C W

机构信息

Keesler Medical Center, Miss.

出版信息

Oral Surg Oral Med Oral Pathol. 1993 May;75(5):583-6. doi: 10.1016/0030-4220(93)90229-w.

DOI:10.1016/0030-4220(93)90229-w
PMID:8488025
Abstract

Acromegaly results from the over production of growth hormone after the age at which the epiphyses of the bones have fused. The most common cause is an adenoma of the anterior pituitary gland. Early signs and symptoms are subtle and delayed diagnosis is common. The health consequences of untreated acromegaly are considerable. A brief description of the condition is given and a case report is included. The condition of the patient was first diagnosed after a dental examination at which he voiced a complaint of the inability to incise and a progressive open bite that he attributed to prosthetic treatment. On the basis of his intraoral radiograph history, it is probable that he developed the disease more than 5 years before its diagnosis.

摘要

肢端肥大症是由于骨骼骨骺融合后生长激素分泌过多所致。最常见的病因是垂体前叶腺瘤。早期症状不明显,诊断往往延迟。未经治疗的肢端肥大症对健康的影响相当大。本文对该病症进行了简要描述,并包含一个病例报告。该患者的病情最初是在一次牙科检查后被诊断出来的,当时他主诉无法切割食物,且有逐渐加重的开颌畸形,他认为这是假牙治疗导致的。根据他的口腔X光片病史,很可能在确诊该病5年多以前他就已患病。

相似文献

1
A case of acromegaly identified after patient complaint of apertognathia.一名患者因主诉开颌而被诊断为肢端肥大症的病例。
Oral Surg Oral Med Oral Pathol. 1993 May;75(5):583-6. doi: 10.1016/0030-4220(93)90229-w.
2
Acromegaly identified in a patient with a complaint of malocclusion.在一名主诉错牙合畸形的患者中发现肢端肥大症。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998 Jan;85(1):44-6. doi: 10.1016/s1079-2104(98)90396-1.
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GH-secreting pituitary macroadenoma (acromegaly) associated with progressive dental malocclusion and refractory CPAP treatment.生长激素分泌型垂体大腺瘤(肢端肥大症)伴进行性牙列不齐及持续气道正压通气治疗无效
Head Face Med. 2017 May 10;13(1):7. doi: 10.1186/s13005-017-0140-6.
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Acromegaly in an orthodontic patient.一名正畸患者的肢端肥大症
Am J Orthod Dentofacial Orthop. 2006 Sep;130(3):388-90. doi: 10.1016/j.ajodo.2004.11.038.
5
Malocclusion secondary to acromegaly: a case report.
Compendium. 1993 Jul;14(7):950-2.
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Transphenoidal microsurgery for acromegaly. Successful treatment with preservation of pituitary function.经蝶窦显微手术治疗肢端肥大症。垂体功能得以保留的成功治疗。
Confin Neurol. 1974;36(2):101-5.
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Chromophobe pituitary adenoma with acromegaly and TSH-induced hyperthyroidism associated with parathyroid adenoma. Acromegaly and parathyroid adenoma.伴有肢端肥大症和促甲状腺激素诱导的甲状腺功能亢进及甲状旁腺腺瘤的嫌色细胞垂体腺瘤。肢端肥大症和甲状旁腺腺瘤。
Acta Endocrinol (Copenh). 1969 Jan;60(1):157-72. doi: 10.1530/acta.0.0600157.
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The treatment of acromegaly by transsphenoidal surgery.经蝶窦手术治疗肢端肥大症
Arch Intern Med. 1980 Jun;140(6):795-802.
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[Levels of growth hormone and prolactin in the blood before, during, and after selective transsphenoidal adenectomy in patients with acromegaly and hypophyseal prolactin-producing tumors].[肢端肥大症和垂体泌乳素瘤患者选择性经蝶窦腺瘤切除术前、术中和术后血液中生长激素和泌乳素水平]
Acta Med Iugosl. 1987;41(4):229-44.
10
The importance of dentistry in the differential diagnosis of a medical disorder.
Compend Contin Educ Dent. 1998 Feb;19(2):124-6, 128-9.

引用本文的文献

1
Oro-dental pathologies in acromegaly.肢端肥大症的口腔-牙科病变。
Endocrine. 2018 May;60(2):323-328. doi: 10.1007/s12020-018-1571-y. Epub 2018 Mar 8.
2
What the mind knows but the eyes may still miss: reducing the 'Acromegalic Window'.大脑已知但眼睛仍可能遗漏的:缩小“肢端肥大症窗口”。
BMJ Case Rep. 2014 May 26;2014:bcr2013202622. doi: 10.1136/bcr-2013-202622.
3
Oral manifestations in growth hormone disorders.生长激素紊乱的口腔表现。
Indian J Endocrinol Metab. 2012 May;16(3):381-3. doi: 10.4103/2230-8210.95678.
4
Mandibular prognathism caused by acromegaly - a surgical orthodontic case.肢端肥大症所致下颌前突——一例外科正畸病例
Head Face Med. 2009 Aug 6;5:16. doi: 10.1186/1746-160X-5-16.