1例9岁儿童牙科治疗后血管性水肿:一罕见并发症。

Q3 Dentistry International Journal of Clinical Pediatric Dentistry Pub Date : 2024-11-01 Epub Date: 2024-12-19 DOI:10.5005/jp-journals-10005-2955
Katherina S Barman, Rena Ephraim, Prathima G Shivashankarappa, Anagha Chonat
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引用次数: 0

摘要

目的和背景:血管性水肿是一种非瘙痒性肿胀,通常影响皮肤、面部粘膜和口周软组织。它可能危及生命,但通常不会危及生命,除非呼吸道受到损害,否则可以保守治疗。本文旨在阐明一个罕见的遗传性血管性水肿(HAE)发病后,牙科手术在一个9岁的印度男孩。病例描述:一名9岁的男性患者报告了上前区间距的主诉,这是由于被诊断为影响多余的。口腔手术后2天,患儿出现眼眶周围水肿及面部肿胀症状。第二次发作发生在正畸矫治器交付后一天。这也与面部肿胀、呼吸窘迫和胃肠道(GI)症状有关。确诊为血管性水肿,并给予适当治疗。结论:牙科专业人员必须意识到可能引发AE,这是一种潜在的致命疾病。本病例强调了在牙科手术后遇到意外症状时,全面的病史摄入和及时的医生合作的重要性。临床意义:意识到像HAE这样的罕见疾病可以帮助牙科专业人员早期识别和适当管理,防止危险的恶化,并有助于更安全的牙科保健。如何引用本文:Barman KS, Ephraim R, Shivashankarappa PG等。1例9岁儿童牙科治疗后血管性水肿:一罕见并发症。中华临床儿科杂志;2009;17(11):1285-1288。
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Angioedema in a 9-year-old Child after Dental Treatment: A Rare Complication Explored through a Case Report.

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, et al. 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.

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