색소실조증 환아의 치험례

INCONTINENTIA PIGMENTI : CASE REPORTS

  • 신혜성 (전남대학교 치의학전문대학원 소아치과학교실, 치의학연구소 및 2단계 BK21) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실, 치의학연구소 및 2단계 BK21) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실, 치의학연구소 및 2단계 BK21) ;
  • 양규호 (전남대학교 치의학전문대학원 소아치과학교실, 치의학연구소 및 2단계 BK21)
  • Shin, Hye-Sung (Department of pediatric dentistry, Chonnam national university school of dentistry, Dental Research Institute and Second stage of BK21) ;
  • Kim, Seon-Mi (Department of pediatric dentistry, Chonnam national university school of dentistry, Dental Research Institute and Second stage of BK21) ;
  • Choi, Nam-Ki (Department of pediatric dentistry, Chonnam national university school of dentistry, Dental Research Institute and Second stage of BK21) ;
  • Yang, Kyu-Ho (Department of pediatric dentistry, Chonnam national university school of dentistry, Dental Research Institute and Second stage of BK21)
  • 발행 : 2009.11.30

초록

색소실조증(Incontinentia pigmenti)은 반성우성으로 유전되며, 대부분 여아에서 발생하고 여아 4만 명 중 한 명에서 발생하는 드문 질환이다. 증상으로는 색소침착, 수포형성, 안구 증상, 치아 이상, 골격계 이상, 신경계 이상 등을 동반할 수 있다. 본 증례는 의과적으로 색소실조증으로 진단받고, 치아 결손을 주소로 내원한 5세 여아와, 4세 여아이다. 이들은 가늘고 성긴 머리카락을 나타내었으며, 구강 내 증상으로는 다수 유치와 영구치의 결손, 과잉교두, 원뿔형 치관형태 등을 나타내었다. 이에 구강 증상 및 치료 경과를 보고하는 바이다.

Incontinentia pigmenti(Bloch-Sulzberger syndrome) is a sex-linked hereditary disorder so girls are almost exclusively affected. The frequency rate is approximately 1:40,000 among girls. It is associated with skin, ocular, dental, skeletal and central nervous deformities. We reported 2 cases of medically diagnosed IP patients who were 4 and 5 years old girls. They had thin and sparse hair, and represented congenital missing of multiple primary and permanent teeth, accessory cusps and cone-shaped crowns. Therefore we report the dental manifestations and treatment progress.

키워드

참고문헌

  1. Berlin AL, Paller AS, Chan LS : Incontinentia pigmenti: a review and update on the molecular basis of pathophysiology. J Am Acad Dermatol, 47:169-187, 2002. https://doi.org/10.1067/mjd.2002.125949
  2. Carney RG : Incontinentia pigmenti: a world statistical analysis. Arch Dermatol, 112:535-542. 1976. https://doi.org/10.1001/archderm.112.4.535
  3. Curth RG Jr. : Incontinentia Pigmenti-A World Statistical Analysis. Arch Dermatol, 92: 229-235, 1965. https://doi.org/10.1001/archderm.1965.01600150019003
  4. Takashi Y, Koichi N, Kenji T : Case repor tOrthodontic treatment of dental problems in incontinentia pigmenti. Angle Orthod, 68:281-284, 1998.
  5. Wiklund DA, Weston WL : Incontinentia pigmenti: A four-generation study. Arch Dermatol, 116:701-703, 1980. https://doi.org/10.1001/archderm.116.6.701
  6. Kim BJ, Shin HS, Won CH, et al. : Incontinentia pigmenti: Clinical Observation of 40 Korean Cases. J Korean Med Sci, 21:474-477, 2006. https://doi.org/10.3346/jkms.2006.21.3.474
  7. Moss C, Inco P : Anhidrotic and achromians lesions in incontinentia pigmenti. Br J Dermatol, 116:839-849, 1987. https://doi.org/10.1111/j.1365-2133.1987.tb04903.x
  8. Nazzaro V, Brusasco A, Gelmetti C, et al. : Hypochromic reticulated streaks in incontinentia pigmenti: an immunohistochemical and ultrastructural study. Pediatr Dermatol, 7: 174-178, 1990. https://doi.org/10.1111/j.1525-1470.1990.tb00276.x
  9. Scott JG : Ocular changes in the Bloch-Sulzberger Syndrome (Incontinentia Pigmenti). Br J Ophalmol, 39:276-282, 1955. https://doi.org/10.1136/bjo.39.5.276
  10. Snezana M, Gerd EKN, Dusan T, et al. : Clinical features of incontinentia pigmenti with emphasis on oral and dental abnormalities. Clin Oral Invest, 10:343-347, 2006. https://doi.org/10.1007/s00784-006-0066-z
  11. 이상엽, 이광희, 김대업 : 색소실조증 환아의 증례보고. 대한소아치과학회지, 32:682-686, 2005.
  12. Dominguez-Reyes A, Aznar-Martin T. Cabrera-Suarea E : General and dental characteristics of Bloch-Sulzberger syndrome. Review of literature and presentation of a case report. Med Oral. 7:293-297, 2002.
  13. Gurevitch AW, Farrell W, Horlick S. et al. : lncontinentia Pigmenti- A systemic genodermatosis with striking cutaneous findings. Clinical Pediatrics, 12:396-401, 1973. https://doi.org/10.1177/000992287301200806
  14. Macey-Dare LV, Goodman JR : Incontinentia Pigmenti: seven cases with dental manifestations. lnt J Pediatr Dent, 9:293-297, 1999. https://doi.org/10.1111/j.1365-263X.1999.00148.x
  15. Russell DL, Finn SB : lncontinentia Pigmenti : A case report with emphasis on dental manifestations. J Dent Children, 34:494-500, 1967.
  16. Godin RJ, Pindborg JJ : Textbook of syndromes of the Head and Neck, McGraw-Hill Book Company Inc., New York, 319, 1969.
  17. 김순주, 손홍규 : 외배엽 이형성증의 증례보고. 대한소아치과학회지, 11:255-259. 1984.
  18. Clayton JM : Congenital dental anomalies in 3557 children. J Dent Children, 23:206-208, 1956.
  19. Garcia-Bravo B, Rodriguez-Pichardo A. Camacho-Martinez F : Incontinentia pigmenti, Study of 3 families. Ann Dermatol Venereol. 113:301-308, 1986.
  20. 대한피부과학회 : 피부과학 4판, 여문각, 서울. 107-108, 2001.