| HYPOPHOSPHATEMIC RICKETS : CASE REPORT |
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| 저인산혈증성 구루병 환아의 증례 보고 |
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박윤희, 최병재, 이종갑 |
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연세대학교 치과대학 소아치과학교실 |
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| Abstract |
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Hypophosphatemic rickets is lack of reponse to physiologic doses of vitamin D, different from the vitamin D-dependent rickets. It is inherited in an X-linked dominant fashion. The prime features of this disorder are lowered serum phosphate levels, elevated serum alkaline phosphatase and normal serum calcium levels. The dental manifestation often include apical radiolucencies, abscess and fistulas of clinically sound teeth. Dental radiographs show ricketic bone trabeculations, abscent or abnormal lamina dura and abnormal cementum. This case which was diagnosed to hypophosphatemic rickets, showed multiple spontaneous periapical abscess and gingival fistula enlarged pulp chambers, extension of the pulp horns into the cusp tips and delayed eruption. |
| Key Words:
Hypophosphatemia, Hypophosphatemic rickets, Multiple gingival fistula, Vitamin D-resistant rickets |
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