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Hypohidrotic ectodermal dysplasia: a multidisciplinary approach.
[oligodontia]
Hypohidrotic
ectodermal
dysplasia
(
HED
;
Christ-
Siemens
-
Touraine
syndrome
)
is
a
genetic
disorder
characterized
by
sparse
hair
,
oligodontia
with
peg-shaped
teeth
,
reduced
sweating
,
and
defects
in
a
number
of
other
ectodermal
organs
.
A
partial
or
complete
absence
of
eccrine
glands
can
lead
to
recurrent
severe
overheating
that
may
cause
seizures
and
neurological
deficits
.
This
clinical
report
presents
a
14
-
year
-old
male
patient
with
hypohidrotic
ectodermal
dysplasia
,
including
the
clinical
and
radiographic
findings
,
and
multidisciplinary
treatment
.
The
Schedule
for
Affective
Disorders
and
Schizophrenia
for
School
Aged
Children-
Present
and
Lifetime
Version
(
K-SADS-PL
)
was
administered
to
patient
along
with
mother
to
assess
for
any
psychiatric
disorders
.
The
screening
and
rating
scales
completed
by
mother
and
two
teachers
to
evaluate
the
severity
of
attention
deficit
hyperactivity
disorder
(
ADHD
)
symptoms
,
and
other
behavioral
problems
.
Patient
's
academic
performance
,
adaptive
functioning
,
and
problem
behavior
was
evaluated
using
.
The
Teacher
Report
Form
.
Mental
capacity
was
assessed
with
the
Wechsler
Intelligence
Scale
for
Children
(
WISC-R
)
.
Illness
Perception
Questionnaire
Revised
was
used
to
systematically
assess
illness
representation
attributes
and
emotional
representations
of
illness
.
On
the
psychiatric
diagnosis
assessment
using
K-SADS-PL
sub-threshold
attention
deficits
and
anxiety
symptoms
were
determined
.
In
this
case
we
established
a
multidisciplinary
approach
in
his
treatment
with
pediatric
,
dermatological
,
and
dental
examinations
,
beside
his
psychiatric
evaluation
.
The
prosthetic
rehabilitation
included
restoring
upper
teeth
with
copings
and
fabrication
of
upper
and
lower
complete
dentures
.
Metal
framework
was
not
incorporated
in
the
partial
denture
design
allowing
modifications
as
the
oral
and
maxillofacial
development
continued
.
Removable
complete
or
partial
dentures
without
metal
framework
is
a
treatment
of
choice
until
the
completion
of
facial
growth
at
which
definitive
treatment
is
considered
.
Diseases
Validation
Diseases presenting
"schizophrenia"
symptom
22q11.2 deletion syndrome
achondroplasia
alexander disease
cadasil
child syndrome
congenital toxoplasmosis
kabuki syndrome
kallmann syndrome
krabbe disease
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
zellweger syndrome
This symptom has already been validated