MULTİPLE MYELOMALI HASTADA DENTAL YAKLAŞIM: OLGU SUNUMU

Abstract

ÖZET

Multipl myeloma (MM), plazma hücrelerinin kemik iliğinde anormal immunoglobulin (Ig) üretmeleri ile karakterize malign bir hastalıktır. Klinik olarak, tekrarlayan bakteriyel enfeksiyonlar, anemi, böbrek yetmezliği ve kemik iliğinde litik lezyonlar görülmekte- dir. MM olgularının %5-30’unda çenelerde belirtiler rapor edilmiştir. Bu nedenle MM hastalarında dental yaklaşım oldukça önemlidir.

Bu vaka raporunun amacı, kemik iliği transp- lantasyonu (KİT) ve kemoterapi planlanan MM tanılı 30 yaşında bir erkek hastanın teşhisinde kullanılan görün- tüleme yöntemlerinin ve tedavisinin sunulmasıdır.

MM hastalarında kemik iliği transplantasyon- larının başarısı, fokal enfeksiyon odakları ile ilişkili olabilmektedir. Dolayısıyla, bu hastalar kemik iliği transplan- tasyonu öncesi dental açıdan dikkatli bir şekilde değerlendirilmelidirler.

Anahtar Kelimeler: Multipl Myeloma, Fokal Enfeksiyon

DENTAL MANAGEMENT OF A MULTIPLE MYELOMA PATIENT: A CASE REPORT

ABSTRACT

Multiple myeloma (MM) is a malign disease characterized by production of abnormal immunoglobulin (Ig) in the bone marrow. Clinical features include recurrent bacterial infections, anemia, renal failure and osteolytic bone lesions. 5-30% of myeloma patients have been reported with jaw involvement. Therefore, the dental management of MMs has obvious clinical importance.

The aim of this case report is to present diagnostic imaging techniques and treatment of a 30-year-old man diagnosed with MM who is considering bone marrow transplantation (BMT) and chemotherapy.

The success of bone marrow transplantation in MM patients may be associated with dental foci, therefore this patient must be carefully evaluated orally before bone marrow transplantation.

Keywords: Multiple Myeloma, Focal Infection

Keywords

• Multipl Myeloma, Fokal Enfeksiyon

DENTAL MANAGEMENT OF A MULTIPLE MYELOMA PATIENT: A CASE REPORT

Abstract

Multiple myeloma (MM) is a malign disease production characterized immunoglobulin (Ig) in the bone marrow. Clinical features include recurrent bacterial infections, anemia, renal failure and osteolytic bone lesions. 5-30% of myeloma patients have been reported with jaw involvement. Therefore, the dental management of MMs has obvious clinical importance

Keywords

• Multiple Myeloma, Focal Infection

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