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   Oral hemorrhage in a 3-year-old boy caused by self-mutilating behavior  
   
نویسنده uy j.l.y. ,lapeña j.f.f.
منبع pakistan journal of medical sciences - 2016 - دوره : 32 - شماره : 6 - صفحه:1583 -1585
چکیده    A 3-year-old boy referred for persistent tongue bleeding was diagnosed with a rare self-mutilating disease that had also affected his lip and fingers. he underwent multiple odontectomy and partial glossectomy and continues to undergo behavior therapy and on-demand splints and restraints. he has stopped self-biting and has gained appetite and weight. lesch-nyhan syndrome can cause significant morbidity including selfinflicted oral hemorrhage and emergent measures are not easily decided. the long-term management of its neurobehavioral symptoms is problematic and multidisciplinary,and health providers remain challenged to find the best treatment,prolong lifespan and improve quality of life within their respective contexts. © 2016,professional medical publications. all rights reserved.
کلیدواژه Hypoxanthine-guanine phosphoribosyl transferase 1 deficiency; Lesch-Nyhan syndrome; Oral hemorrhage; Self-injurious behavior; Self-mutilation
آدرس department of otorhinolaryngology,philippine general hospital,university of the philippines manila, Philippines, jr.,department of otorhinolaryngology,college of medicine,philippine general hospital,university of the philippines manila, Philippines
 
     
   
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