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  1. 260 大学院医歯学総合研究科(歯)
  2. 20 紀要
  3. 01 新潟歯学会雑誌
  4. 第37巻第1号
  1. 0 資料タイプ別
  2. 03 紀要論文

下唇への自傷行為を認めたLesch-Nyhan syndromeの1例

http://hdl.handle.net/10191/22764
http://hdl.handle.net/10191/22764
a5f9188a-45a5-42d1-8897-40ec51ebb53f
名前 / ファイル ライセンス アクション
NS_37(1)_31-35.pdf NS_37(1)_31-35.pdf (364.8 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2013-07-24
タイトル
タイトル 下唇への自傷行為を認めたLesch-Nyhan syndromeの1例
タイトル
言語 en
タイトル 下唇への自傷行為を認めたLesch-Nyhan syndromeの1例
言語
言語 jpn
キーワード
主題Scheme Other
主題 Lesch-Nyhan syndrome (Lesch-Nyhan 症候群)
キーワード
主題Scheme Other
主題 self-mutilation (自傷行為)
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
その他のタイトル
その他のタイトル A case of oral self-mutilation in Lesch-Nyhan syndrome
著者 新美, 奏恵

× 新美, 奏恵

WEKO 150559

新美, 奏恵

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芳澤, 享子

× 芳澤, 享子

WEKO 150560

芳澤, 享子

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泉, 直也

× 泉, 直也

WEKO 150561

泉, 直也

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高田, 佳之

× 高田, 佳之

WEKO 150562

高田, 佳之

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富沢, 美惠子

× 富沢, 美惠子

WEKO 150563

富沢, 美惠子

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齊藤, 力

× 齊藤, 力

WEKO 150564

齊藤, 力

Search repository
著者別名
識別子 150565
識別子Scheme WEKO
姓名 Niimi, Kanae
著者別名
識別子 150566
識別子Scheme WEKO
姓名 Yoshizawa, Michiko
著者別名
識別子 150567
識別子Scheme WEKO
姓名 Izumi, Naoya
著者別名
識別子 150568
識別子Scheme WEKO
姓名 Takata, Yoshiyuki
著者別名
識別子 150569
識別子Scheme WEKO
姓名 Tomizawa, Mieko
著者別名
識別子 150570
識別子Scheme WEKO
姓名 Saito, Chikara
抄録
内容記述タイプ Abstract
内容記述 Lesch-Nyhan syndrome is a rare inborn error of purine metabolism caused of lack of hypoxanthine-guanine phosphoribosyl transferase (HGPRT), and is characterized by involuntary moments, mental retardation, cerebral palsy, and self-injurious behavior. Self-mutilation to lips and fingers are often observed, and prevention of self-mutilation and treatment to the destruction raise significant difficulties. We treated an 8 year-old boy with Lesch-Nyhan syndrome who had severe lower lip injuries with self-mutilation. The patient's central and lateral lower incisors were covered by resin at his first visit, and then treated by crown amputation and pulpectomy under general anesthesia. We also corrected form of his lower lip which was deeply wounded with self-mutilation. His self-injurious behavior is not seen for ten months after the treatment, but more follow-up examination is needed, as there are some reports that self-mutilation had restarted after the treatment.
抄録
内容記述タイプ Abstract
内容記述 Lesch-Nyhan症候群はhypoxanthine-guanine phosphoribosyl transferase (HGPRT) の欠損によりプリン体代謝の異常をきたす稀な先天性の疾患であり, 小児期に発症し, 不随意運動, 精神発達遅滞, 脳性麻痺, 自傷行為などの特徴的な臨床像を呈する疾患である。自傷行為は口唇や手指に多くみられ, その予防や治療には難渋することが多い。我々は今回下唇に自傷行為による深い潰瘍の見られた8歳のLesch-Nyhan症候群の男児に対し, 治療を行ったので報告する。初診時に下顎中切歯と側切歯をレジンで被覆し, その後全身麻酔下に下顎前歯の歯冠の削除と抜髄,下唇の形態修正を行った。術後10か月の間に自傷行為の再発は認めず, これらの治療法を組み合わせたことが自傷行為防止に有効であったと考えられた。しかしながら, さまざまな処置後に自傷行為の再発を認めたとの報告もあり, 引き続き注意深い経過観察が必要であると思われる。
書誌情報 新潟歯学会雑誌
en : 新潟歯学会雑誌

巻 37, 号 1, p. 31-35, 発行日 2007-07
出版者
出版者 新潟歯学会
ISSN
収録物識別子タイプ ISSN
収録物識別子 03850153
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN0018300X
著者版フラグ
値 publisher
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