遺伝性血管神経浮腫を有する患者の歯科治療経験 Experience with dental treatment in a patient with hereditary angioneurotic edema (HANE)

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著者

    • 西川 久美子 NISHIKAWA Kumiko
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral and Maxillofacial Surgery, Dentistry and Orthodontics, University of Tokyo Hospital
    • 森 良之 MORI Yoshiyuki
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral and Maxillofacial Surgery, Dentistry and Orthodontics, University of Tokyo Hospital
    • 高戸 毅 TAKATO Tsuyoshi
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral and Maxillofacial Surgery, Dentistry and Orthodontics, University of Tokyo Hospital

抄録

The surgical treatment of a patient with hereditary angioneurotic edema (BANE) is described in the present report. HANE is an autosomal dominant hereditary disease that causes acute and local submucocutaneous edema. It is a very rare disease in Japan and has been reported in only 20 femilies.<BR>The subject was a 24-year-old woman with right upper pericoronitis who had been given a diagnosis of HANE at the age of 13 years. Patients with HANE often have fatal laryngeal edema during dental treatment such as extraction of teeth. Therefore, our patient received ginigivectomy after being hospitalized. Postoperatively, she had mild respiratory distress, but it was controlled by intravenous drip infusion of C 1 esterase inhibitor. When treating patients with HANE, we should take sufficient measures to avoid the development of edema, even when treatment is minimally invasive. Furthermore, sufficient preparation for urgent tracheotomy is necessary owing to the risk of laryngeal edema.

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 49(7), 470-473, 2003-07-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  18件中 1-18件 を表示

被引用文献:  4件中 1-4件 を表示

各種コード

  • NII論文ID(NAID)
    10012629737
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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