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Dental Management in a Patient with Congenital Insensitivity to Pain with Anhidrosis : A Case Report

대한소아치과학회지 2019년 46권 4호 p.416 ~ 421
KMID : 0358920190460040416
 ( Bae Cheol-Hyeon ) - Jeonbuk National University Dental Hospital Department of Pediatric Dentistry

 ( Lee Dae-Woo ) - Jeonbuk National University Dental Hospital Department of Pediatric Dentistry
 ( Kim Jae-Gon ) - Jeonbuk National University Dental Hospital Department of Pediatric Dentistry
양연미 ( Yang Yeon-Mi ) - Jeonbuk National University Dental Hospital Department of Pediatric Dentistry

Abstract

Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, autosomal recessive disorder; affected patients are characterized by inability to feel pain and to sweat over the entire body, as well as by mental retardation. Because, in the oral examination, no specific findings on soft or hard tissue may be found except possible lesions due to selfmutilation, early recognition and diagnosis are essential for these patients. Pediatric dentists must be aware of the clinical manifestations and treatment considerations related to uncontrolled body temperature, tactile hyperesthesia and lack of pain reflex. In this case report, dental management of CIPA was suggested by presenting a 6-year follow-up of young patient.
KeyWords

CIPA, Pain insensitivity, Anhidrosis, Self-mutilation
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