괴사성 치은구내염환아의 증례보고
Necrotizing gingivostomatitis : case report
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괴사성 치은염(Necrotizing ulcerative gingivitis, NUG), 괴사성 치주염(necrotizing ulcerative periodontitis, NUP), 괴사성 구내염(necrotizing stomatits, NS), 그리고 수암(noma, cancrum oris)은 급속도로 파괴적이며 쇠약하게 하는 잠재성이 큰 구강감염으로 질환의 같은 진행과정에 대해 다른 임상단계로 간주되기도 하나 집합적으로 Vincent's infection, infectious oral necrosis 또는 괴사성 치은구내염(Necrotizing gingivostomati- tis, NG)라고 한다. 이러한 necrotizing gingivostomatitis(NG)의 발생율은 0.19-0.5%이며 2-6세에 가장 높은 발병율을 보인다. Necrotizing gingivostomatitis는 치명적인 바이러스 감염과 면역체계가 약화된 경우 발생할 수 있으며 주 진단학적 증상으로 동통, 치간유두 부위의 궤양이나 괴사, 치은출혈이 있으며 이차적인 증상은 위막 등이 있다. 이에 본원 소아과에서 의뢰되어 necrotizing gingivostomatitis로 진단받은 환아의 구강내 소견 및 치료경과에 대해 보고하고자 한다.
Abstract
Necrotizing ulcerative gingivitis(NUG), necrotizing ulcerative periodontitis(NUP), necrotizing stomatitis(NS), and Noma(cnacrum oris) are rapidly destructive, debilitating , and potentially serious oral infection which considered to be different clinical stages of the same process. These have been collectively referred to as: Vincents infection, infectious oral necrosis, or necrotizing gingivostomatitis(NG). Prevalence of necrotizing gingivostomatitis is 0.19～0.5% and peak incidence is 2-6 years of age. The etiology and pathogenesis of necrotizing gingivostomatitis have been associated with virulent bacteria and impaired host defense and the primary diagnostic signs are pain, interdental ulceration or necrosis, and gingival bleeding. Secondary diagnostic sign is pseudomembrane. This case report was about oral conditions and treatment of the patient who referred from the Dept. of PED and diagnosed a necorotizing gingivostomatitis.
참고문헌 (12)
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