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Assistência multiprofissional em unidade de terapia intensiva ao paciente portador de síndrome de Prader-Willi: um enfoque odontológico

DOI: 10.1590/S0103-507X2012000100016

Keywords: prader-willi syndrome, herpes simplex, dental care for person with disabilities, morbid obesity, intellectual disability, intensive care, case reports.

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Abstract:

prader-willi syndrome is a genetic neurobehavioral disease affecting children's development and resulting in obesity, reduced height, hypotonia, endocrine disorders and cognitive deficits, which may impair oral integrity. this study aims to report on a case involving a white male 15-year-old patient with prader-willi syndrome whose oral examination revealed bacterial plaque, gingivitis, poor occlusion, viscous salivation and multiple lip, jugal mucosa, inserted gum and tongue ulcerations. an excision biopsy revealed oral ulcerations typical of herpes, which were considered to be likely to correlate with herpes encephalitis. this result demonstrates that a large portion of the deleterious effects of prader-willi syndrome can be attenuated by appropriate diagnosis and early therapeutic intervention, highlighting the role of an integrated multidisciplinary team in the development of therapeutic protocols for prader-willi syndrome patients.

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