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作者报告1例成年人多发性组织细胞增生症X。患者男性,29岁,因牙周病反复发作而求治,查左下颌后牙牙龈弥漫性肿胀、发炎。患者左下磨牙区慢性钝痛及牙龈肿胀2年,曾行常规牙周治疗无效,拔除67。系统病史:患者因甲状腺功能低下治疗约1年,近来出现多饮,多尿。X线示45牙槽骨广泛吸收。87及87牙槽骨轻度吸收,活检确诊为韩—薛—柯氏病,颅骨片示垂体受累。治疗:应用垂体加压素控制尿崩症,并给予考的松;拔除受累牙,切除及深刮口腔病损。牙周病仍继续发展,在2年内全口牙拔除。3年后患者诉腭部钝
The authors report 1 adult multiple histiocytosis X. Male patient, 29 years old, due to repeated episodes of periodontal disease seeking treatment, check the left mandibular gingival gum after the swelling, inflammation. Patients with chronic dull lower left lower molars and swollen gums 2 years, had conventional periodontal treatment ineffective, removal of 67. System history: patients with hypothyroidism for about 1 year treatment, the recent emergence of polydipsia, polyuria. X-ray showed 45 widely absorbed alveolar bone. 87 and 87 alveolar bone absorption, biopsy diagnosed as Han - Xue - Koch's disease, skull showed pituitary involvement. Treatment: Application of pituitary vasopressin control of diabetes insipidus, and give test cortisone; removal of involved teeth, resection and deep scrape oral lesions. Periodontal disease continues to develop, complete removal of the oral cavity in 2 years. Patient v. Palate blunt after 3 years