慢性特発性好中球減少症。歯周病専門医の診断

Chronic idiopathic neutropenia: A periodontist's diagnosis.

• Subash Chandra Raj
• Annuroopa Mahapatra
• Poonam Agrawal
• Kaushik Patnaik
• Shib Shankar Pradhan

抄録

2ヶ月前から右頬部の腫脹、歯の可動性亢進、歯茎からの出血を主訴に歯周病外来を受診した10歳の少年の歯周病所見を報告することを目的とした。4歳の頃から発熱を繰り返し、顔面に腫れと癤ができていました。いくつかの血液学的および免疫学的調査の後、彼は慢性特発性好中球減少症と診断されました。慢性特発性好中球減少症と診断され，組換え顆粒球コロニー刺激因子150μgを1日1回，8日間皮下注射した．口腔内の炎症を抑えるために、グルコン酸クロルヘキシジン（0.12%）15mlの口腔洗浄液を1日2回投与し、評価、維持、および急性炎症の再燃を避けるために、3～4週間ごとの定期的な歯周病検診を勧められました。

Our aim is to report the periodontal findings of a 10-year-old boy who visited the outpatient department of periodontology, with the chief complaint of swelling in the right cheek region for the last 2 months, increasing mobility of the teeth, and frequent bleeding from the gums. Since the age of 4 years, he suffered from recurrent febrile episodes, with boils and furuncles on the face. After several hematological and immunological investigations, he was diagnosed with chronic idiopathic neutropenia. He was prescribed a 150 μg subcutaneous injection of recombinant granulocyte colony-stimulating factor, once daily for 8 days. For reducing oral inflammation, he was advised an oral rinse of 15 ml of chlorhexidine gluconate (0.12%) twice daily and advised for a routine periodontal checkup, every 3-4 weeks for evaluation, maintenance, and avoiding any acute inflammatory flare-ups.

Copyright: © 2020 Journal of Indian Society of Periodontology.