급성림프모구성 백혈병의 조기진단 시 구강병변 양상을 통한 감별의 중요성
Differential Diagnosis of Oral Lesions for the Initial Diagnosis of Acute Lymphoblastic Leukemia
서미현, 하지영, 허경회, 조영아, 김성민, 최진영,
소속 상세정보
서미현 ( Seo Mi-Hyun ) - 서울대학교 치의학대학원 구강악안면외과학교실
하지영 ( Ha Ji-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
허경회 ( Huh Kyung-Hoi ) - 서울대학교 치의학대학원 구강악안면방사선학교실
조영아 ( Cho Yeong-Ah ) - 서울대학교 치의학대학원 구강병리학교실
김성민 ( Kim Soung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
최진영 ( Choi Jin-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 1036320130350020107
Abstract
Careful examination of the oral cavity may reveal findings indicative of an underlying systemic condition, and allow for early diagnosis and treatment. Examination should include evaluation for mucosal changes, periodontal inflammation and bleeding, and general condition of the teeth. A 12-year-old man visited for molar pain during 3 months. He was diagnosed with having a possibility of hematopoietic malignancy, showing the loss of lamina dura, destruction of bony crypt, and high attenuation in the bone marrow. He was referred to department of pediatrics, additional study, including peripheral cell morphology and bone marrow exam, were performed, and diagnosed as acute lymphoblastic anemia. Despite chemotherapy to cure leukemia, he was expired 8 months after initial diagnosis. The purpose of this report is to promote and evoke the awareness regarding an initial examination of the dentist to make an effort to acquire accurate knowledge and information about life-threatening disease in usual dental practice.
키워드
Acute leukemia;Dentists;Early diagnosis;Life-threatening disease
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