CATCH 22 증후군을 가진 어린이의 치과치료
Dental Treatment of Children with CATCH 22 Syndrome: Case Report
김미선, 이수언, 안효정, 박재홍, 최성철,
소속 상세정보
김미선 ( Kim Mi-Sun ) - 경희대학교 치의학전문대학원 소아치과학교실
이수언 ( Lee Soo-Eon ) - 경희대학교 치의학전문대학원 소아치과학교실
안효정 ( Ahn Hyo-Jung ) - 경희대학교 치의학전문대학원 소아치과학교실
박재홍 ( Park Jae-Hong ) - 경희대학교 치의학전문대학원 소아치과학교실
최성철 ( Choi Sung-Chul ) - 경희대학교 치의학전문대학원 소아치과학교실
KMID : 0980220130130010013
Abstract
CATCH 22 syndrome is a one of the most common chromosome microdeletion syndrome with multiple organ anomalies in humans, with an incidence of approximately 1:4,000 to 1:5,000 live births. It is caused by a microdeletion of 1.5 to 3.0 megabases on the long arm of chromosome 22. The phenotypic spectrum of this disorder is wide and various. A 19-year-old patient who showed delayed growth and development (Height; 110 cm, Weight; 18 kg) was referred to our department for the treatment of dental cavities. She was diagnosed as CATCH 22 syndrome in 2004. Physical examination revealed hypertelorism, a short philtrum, thick reflected lips and a small mouth. She underwent cleft palate surgery at 1 year of age and heart valve surgery due to the cardiovascular abnormality at 13 years of age. Convulsive seizures had persisted until 5 years ago but are well controlled at present. Oral examination showed poor oral hygiene, crowding, prolonged retention on #65, 75 and dental cavities on #16, 21, 65, 26, 36, and 46. Cavity treatment and prophylaxis were performed under general anesthesia. Also continuous follow-up checks have been carrying out with the periodic prophylaxis and dental home education. Problems with numerous cavities and gingivitis which can lead to specific risks are common for CATCH 22 syndrome patients. It is therefore of great importance that these patients are referred to foremost physician and dental specialist for the oral care. In addition, preventive treatment targeting the risk of dental cavities and gingivitis is especially important and, as the syndrome involves many different medical problems, the dental treatment should be carried out in collaboration with the patient’s physician.
키워드
CATCH 22 syndrome; DiGeorge syndrome; Chromosome deletion syndrome
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