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KMID : 0358920190460040416
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Journal of the Korean Academy of Pedodontics
2019 Volume.46 No. 4 p.416 ~ p.421
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Dental Management in a Patient with Congenital Insensitivity to Pain with Anhidrosis : A Case Report
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Bae Cheol-Hyeon
Lee Dae-Woo
Kim Jae-Gon
Yang Yeon-Mi
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Abstract
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Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, autosomal recessive disorder; affected patients are characterized by inability to feel pain and to sweat over the entire body, as well as by mental retardation. Because, in the oral examination, no specific findings on soft or hard tissue may be found except possible lesions due to selfmutilation, early recognition and diagnosis are essential for these patients. Pediatric dentists must be aware of the clinical manifestations and treatment considerations related to uncontrolled body temperature, tactile hyperesthesia and lack of pain reflex. In this case report, dental management of CIPA was suggested by presenting a 6-year follow-up of young patient.
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KEYWORD
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CIPA, Pain insensitivity, Anhidrosis, Self-mutilation
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