Chronic idiopathic neutropenia: A periodontist's diagnosis

Our aim is to report the periodontal findings of a 10-year-old boy who visited the outpatient department of periodontology, with the chief complaint of swelling in the right cheek region for the last 2 months, increasing mobility of the teeth, and frequent bleeding from the gums. Since the age of 4...

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Bibliographic Details
Published inJournal of Indian Society of Periodontology Vol. 24; no. 2; pp. 173 - 177
Main Authors Raj, Subash, Mahapatra, Annuroopa, Agrawal, Poonam, Patnaik, Kaushik, Pradhan, Shib
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer India Pvt. Ltd 01.03.2020
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Anemia
Bone marrow
Case Report
Cheek
Chlorhexidine
Colony-stimulating factor
Ear diseases
Furuncles
gingival hyperplasia
Granulocyte colony-stimulating factor
Hematology
Immunoglobulins
Inflammation
Leukocytes (granulocytic)
Neutropenia
neutrophil biology
Neutrophils
pathology-oral
Teeth
Toothbrushing
pathology-oral
Gingival hyperplasia
neutrophil biology
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Summary:Our aim is to report the periodontal findings of a 10-year-old boy who visited the outpatient department of periodontology, with the chief complaint of swelling in the right cheek region for the last 2 months, increasing mobility of the teeth, and frequent bleeding from the gums. Since the age of 4 years, he suffered from recurrent febrile episodes, with boils and furuncles on the face. After several hematological and immunological investigations, he was diagnosed with chronic idiopathic neutropenia. He was prescribed a 150 μg subcutaneous injection of recombinant granulocyte colony-stimulating factor, once daily for 8 days. For reducing oral inflammation, he was advised an oral rinse of 15 ml of chlorhexidine gluconate (0.12%) twice daily and advised for a routine periodontal checkup, every 3-4 weeks for evaluation, maintenance, and avoiding any acute inflammatory flare-ups.
ISSN:0972-124X
0975-1580
DOI:10.4103/jisp.jisp_149_19