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J Korean Acad Pediatr Dent. 2013;40(2): 133-140.
ORAL FINDINGS AND TREATMENT OF A PATIENT WITH CYCLIC NEUTROPENIA
Eun-Joo Kang Eun-Joo Kang, Nam-Ki Choi Nam-Ki Choi, Seon-Mi Kim Seon-Mi Kim
Department of Pediatric Dentistry, School of Dentistry, Chonnam National University
Corresponding Author: Seon-Mi Kim Seon-Mi Kim ,Tel: 062-530-5668, Email: Impedo@jnu.ac.kr
Received: December 22, 2012;  Accepted: May 14, 2013.
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ABSTRACT
Cyclic neutropenia is a hematologic disorder characterized by a marked decrease in the number of circulating neutrophils occurring at regular intervals and after this period, the level of neutrophils usually recovers to a normal range. The clinical symptoms of cyclic neutropenia include fever, malaise, headaches and oral findings associated with painful soft tissue ulceration where lips, tongue and gingiva are typically involved. A 4 year 1 month old boy was presented to the hospital. His chief complaint was mobility of his teeth and swollen gums. The patient had suffered from cyclic neutropenia. Clinical examination revealed evident decay on all primary teeth except for the mandibular anterior teeth and localized alveolar bone loss around mandibullar right and left first primary molars which have mobility was notable. The patient was diagnosed with multiple dental caries, gingivitis and localized periodontitis associated with cyclic neutropenia and treated based on it. The dental treatment, including regular tooth care and appropriate treatment of dental caries or gingivitis, is essential for patients suffering cyclic neutropenia. Especially, proper care at an early stage is needed for young patients to minimize the unwanted consequences for permanent teeth development.
Keywords: Cyclic neutropenia | Gingivitis | Alveolar bone loss | Oral management
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