遺伝性血管神経性浮腫患者の抜歯経験

• 渡邉 賀子

  浜松医科大学医学部歯科口腔外科学講座

• 加藤 文度

  浜松医科大学医学部歯科口腔外科学講座

• 大浦 健宏

  浜松医科大学医学部歯科口腔外科学講座

• 田中 秀生

  浜松医科大学医学部歯科口腔外科学講座

• 松下 文彦

  浜松医科大学医学部歯科口腔外科学講座

• 橋本 賢二

  浜松医科大学医学部歯科口腔外科学講座

書誌事項

タイトル別名

• Experience with teeth extractions in a patient who had hereditary angioneurotic edema
• ショウレイ ホウコク イデンセイ ケッカン シンケイセイ フシュ カンジャ ノ バッシ ケイケン

抄録

Hereditary angioneurotic edema (HANE) is a rare disease caused by functional disorder or reduction of Cl inhibitor. The disease is characterized by episodic localized edema of subcutaneous tissues or gastrointestinal or laryngeal mucosa caused by physical or mental stress. Fatal laryngeal edemamay be caused by dental treatment.<BR>We report the case of a patient with HANE who required teeth extraction.<BR>A female patient had edema of unknown origin of the extremities and face, and abdominal colic since she was in junior high school. In addition, she hadhad laryngeal edema after tooth extraction. Her son also manifested the symptoms. HANE was diagnosed on further examination.<BR>To prevent angioedema, we injected tranexamic acid and a C1 esterase inhibitor before teeth extraction. Treatment was done after endotracheal intubation and tracheostomy. No angioedema was caused by teeth extraction.<BR>Teeth extraction was safely performed in a patient with HANE who was given tranexamic acid and a C1 esterase inhibitor to prevent angioedema.

収録刊行物

• 日本口腔外科学会雑誌

  日本口腔外科学会雑誌 53 (1), 38-41, 2007

  社団法人 日本口腔外科学会

キーワード

• 遺伝性血管神経性浮腫
• 抜歯
• トラネキサム酸
• C1-INH製剤

詳細情報

• CRID: 1390001206531918080
• NII論文ID: 10018858613
• NII書誌ID: AN00189163
• DOI: 10.5794/jjoms.53.38
• ISSN: 21861579
• ISSN: 00215163
• NDL書誌ID: 8659365
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8659365
• Web Site: https://search.jamas.or.jp/link/ui/2007099877
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可