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Peripheral giant cell granuloma in a child with ectrodactyly-ectodermal dysplasia-cleft lip/palate syndrome: a case
Aman Kumar1, Vinay Kumar Srivastava2, Sannu Sonal2
1Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India. aman.aman.kumar44@gmail.com.
Insights
Ectrodactyly-ectodermal dysplasia-cleft lip/palate (EEC) syndrome can present with oral lesions like peripheral giant cell granuloma. Early dental intervention and surgical excision are key for successful management in affected children.
Area of Science:
- Oral pathology
- Pediatric dentistry
- Clinical genetics
Background:
- Ectrodactyly-ectodermal dysplasia-cleft lip/palate (EEC) syndrome is a rare genetic disorder affecting ectodermal and mesodermal tissues.
- Manifestations include split hands/feet, ectodermal dysplasia, and orofacial clefting, necessitating multidisciplinary care.
- Dentists are crucial for identifying and managing oral conditions associated with EEC syndrome.
Observation:
- A case report details a pediatric patient with EEC syndrome presenting with peripheral giant cell granuloma (PGCG) in the anterior mandible.
- Diagnosis involved thorough medical/family history and clinical examination.
- The PGCG lesion was surgically excised under local anesthesia.
Findings:
- Surgical excision of the peripheral giant cell granuloma was performed successfully.
- The patient experienced no recurrence of the lesion during a 24-month follow-up period.
- This case underscores the importance of dental surveillance in children with EEC syndrome.
Implications:
- Highlights the significant role of dentists in managing complex oral conditions in patients with EEC syndrome.
- Demonstrates the effectiveness of surgical intervention for PGCG in this patient population.
- Emphasizes the need for continued monitoring and early dental care for individuals with EEC syndrome to ensure optimal oral health outcomes.
Background:
Ectrodactyly-ectodermal dysplasia-cleft lip/palate (EEC) syndrome mainly affects ectodermal and mesodermal tissues. It is usually manifested as split hands and feet, ectodermal dysplasia, and orofacial clefting, along with other signs and symptoms. A multidisciplinary approach to treatment is required, in which dentists play an important role in identifying and treating various oral conditions that may be genetically linked to or may be the result of EEC syndrome.
Case Presentation:
The present case describes the oral condition of a young child suffering from EEC syndrome and presenting with peripheral giant cell granuloma (PGCG) in the mandibular anterior region. After obtaining a thorough medical and family history and a clinical examination, the lesion was surgically excised under local anesthesia. The patient was followed up at periodic intervals for the next twenty four months, during which no recurrence of the lesion was observed.
Conclusion:
This report highlights the role of a dentist in the management of the oral conditions of patients suffering from EEC syndrome.
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