Neha K Sethi, Evelina Kratunova, Brittaney Hill, Paige Reilly
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引用次数: 0
摘要
维生素 C 缺乏症,俗称坏血病,由于富含抗坏血酸的食物的广泛供应,在现代已经很少见了。尽管如此,在某些高危人群中,维生素 C 缺乏症仍然是一个令人担忧的问题。本报告旨在描述一个两岁女孩的病例,她最初到一家儿童牙科诊所就诊时,主诉是牙龈肥厚和出血。牙科团队怀疑是全身性疾病引起的,于是将患者转到血液科诊所做进一步评估。随后的评估和实验室检查证实了与饮食有关的维生素 C 缺乏症的诊断。通过补充剂的治疗,患者的口腔症状得到缓解,实验室数值也趋于正常。本报告详细介绍了维生素 C 缺乏症的临床表现和病理生理学,以帮助医疗服务提供者识别体征和症状,确保及时转诊并促进适当的治疗。此外,报告还强调了儿童牙科医生的重要性,因为他们可能是最先遇到此类病例的临床医生,也强调了他们在这些儿童患者的多学科管理中的作用。
Oral Manifestations of Vitamin C Deficiency in a Toddler.
Vitamin C deficiency, colloquially known as scurvy, has become rare in modern times due to the widespread availability of ascorbic acid-rich foods. Despite this, it continues to be a concern in certain at-risk populations. The purpose of this report is to describe the case of a two-year-old girl who initially presented to a pediatric dental clinic with the chief complaint of hypertrophic gingiva and bleeding. Suspecting a systemic cause, the dental team referred the patient to a hematology clinic for further evaluation. Subsequent assessments and laboratory work confirmed a diagnosis of diet-related vitamin C deficiency. Management with supplements led to the resolution of the oral manifestations and normalization of laboratory values. This report details the clinical presentation and pathophysiology of vitamin C deficiency to assist healthcare providers in recognizing signs and symptoms, ensuring timely referral and facilitating appropriate treatment. Additionally, it underscores the importance of pediatric dentists as potentially the first clinicians to encounter such cases and their role in the multidisciplinary management of these pediatric patients.
期刊介绍:
Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.