Thursday, April 22, 2010

Features of Severe Periodontal Disease in a Teenage with Chediak-Higashi Syndrome

Reviewed by Kris

Features of Severe Periodontal Disease in a Teenage With Chediak-Higashi Syndrome
I couldn't tell which journal this was from, but it was done in October 1999.
Authors: Delcourt-Debruyne, Boutigny, Hildebrand

Case report of a 14yr old pt with Chediak-Higashi (C-HS)

Chediak-Higashi: defect of neutrophil function. The syndrome includes oculocutaneous albinism, photophobia, neurologic features, enterocolitis and recurrent infections.

Oral findings can include severe periodontal disease. Often traditional treatment modalities are unsuccessful.

This patient had a history of early loss of deciduous teeth and early onset periodontal disease. The kid had mobility in all of his teeth. There was so much pain that debridement was difficult.

Take Home:
If you see a young kid with this level of periodontal disease, refer for immunological work-up, because there is likely a systemic cause.


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