신성 골이영양증의 구강내 증상으로 나타난 하악골의 국소적 증대 -1례 보고-
Localized Jaw Enlargement as Oral Manifestation in Renal Osteodystrophy - Report of a case and review of the literature -
유미현, 김현실, 지유진, 송현철, 김진,
소속 상세정보
유미현 ( Ryu Mi-Heon ) - 남서울대학교 치위생학과
김현실 ( Kim Hyun-Sil ) - 연세대학교 치과대학 구강종양연구소
지유진 ( Jee Yu-Jin ) - 경희대학교 동서신의학병원 치대병원 구강악안면외과
송현철 ( Song Hyun-Chul ) - 가톨릭대학교 성빈센트병원 치과 구강악안면외과
김진 ( Kim Jin ) - 연세대학교 치과대학 구강병리학교실
KMID : 0829220090330020097
Abstract
Renal osteodystrophy is the complex disease of the skeleton that occurs in patients with chronic renal failure. A 29-year-old female with chronic renal failure and a history of hemodialysis during 10 years showed localized jaw enlargement in the anterior mandible. She also revealed increased serum PTH level, osteosclerosis in her skull base and facial bone, chronic pain in the both knee joint, and gastrointestinal disorder which are symptoms of renal osteodystrophy. The patient was diagnosed hyperparathyroidism associated with chronic renal failure. Parathyroidectomy was performed, however, serum PTH level increased again after the parathyroidectomy, the affected area of the mandible was enlarged as the serum PTH level increased. The enlarged area seemed like as peripheral lesion clinically. We reported a case of localized jaw enlargement as oral manifestation in renal osteodystrophy.
키워드
Renal osteodystrophy;Hyperparathyroidism;Chronic renal failure;Oral manifestation;Brown tumor;Osteitis fibrosa
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