Abstract
4/2018
vol. 14
Case report
Incontinentia pigmenti – a description of three cases
- Zakład Ortodoncji Warszawskiego Uniwersytetu Medycznego Department of Orthodontics, Medical University of Warsaw
- Zakład Ortodoncji, Szpital Kliniczny Dzieciątka Jezus w Warszawie Department of Orthodontics, Infant Jesus Teaching Hospital
Forum Ortod 2018; 14: 321-332
Online publish date: 2019/07/16
Incontinentia pigmenti (IP) or the Bloch-Sulzberger syndrome
is a rare genetic dermatosis that occurs in females, which is
classified as an ectodermal dysplasia. Papulovesicular eruptions
appear on the skin in the first days of a patient’s life and then,
with the lapse of time they become verrucous and
hyperpigmentation lesions evolving into incontinentia pigmenti
achromians. Apart from such characteristic cutaneous lesions,
female patients suffering from incontinentia pigmenti may
also present other cutaneous symptoms, as well as motor
system and ophthalmological dysfunctions. In 54 per cent of
patients dental symptoms are observed, those including mainly
hypodontia, pegged teeth and delayed tooth eruption. Aim.
The aim of this study was to describe three cases of female
patients diagnosed with the IP syndrome who were being treated in the Department of Orthodontics of the Medical
University of Warsaw. Case descriptions. Descriptions of
three cases of female patients with diagnosed IP were
presented. The patients had cutaneous lesions typical for IP.
Medical interviews and physical examinations were conducted
with them all; radiographs were performed and diagnostic
casts were made. Class III malocclusions were diagnosed as
well as dental abnormalities characteristic for IP (hypodontia,
malformation of teeth). Conclusions. An early diagnosis allows
for a child to receive a multispecialist medical and dental care.
An interdisciplinary approach makes it possible to reach,
functionally and esthetically, satisfactory results in the
treatment and maintain patients’ teeth in good health until
the period of adultness thus ensuring that the physical and
mental state of female patients affected by the syndrome
improves. (Laskowska M, Dąbkowska M, Szpinda-
Barczyńska A, Witanowska J, Zadurska M. Incontinentia
pigmenti – a description of three cases. Orthod Forum
2018; 14: 321-32).
is a rare genetic dermatosis that occurs in females, which is
classified as an ectodermal dysplasia. Papulovesicular eruptions
appear on the skin in the first days of a patient’s life and then,
with the lapse of time they become verrucous and
hyperpigmentation lesions evolving into incontinentia pigmenti
achromians. Apart from such characteristic cutaneous lesions,
female patients suffering from incontinentia pigmenti may
also present other cutaneous symptoms, as well as motor
system and ophthalmological dysfunctions. In 54 per cent of
patients dental symptoms are observed, those including mainly
hypodontia, pegged teeth and delayed tooth eruption. Aim.
The aim of this study was to describe three cases of female
patients diagnosed with the IP syndrome who were being treated in the Department of Orthodontics of the Medical
University of Warsaw. Case descriptions. Descriptions of
three cases of female patients with diagnosed IP were
presented. The patients had cutaneous lesions typical for IP.
Medical interviews and physical examinations were conducted
with them all; radiographs were performed and diagnostic
casts were made. Class III malocclusions were diagnosed as
well as dental abnormalities characteristic for IP (hypodontia,
malformation of teeth). Conclusions. An early diagnosis allows
for a child to receive a multispecialist medical and dental care.
An interdisciplinary approach makes it possible to reach,
functionally and esthetically, satisfactory results in the
treatment and maintain patients’ teeth in good health until
the period of adultness thus ensuring that the physical and
mental state of female patients affected by the syndrome
improves. (Laskowska M, Dąbkowska M, Szpinda-
Barczyńska A, Witanowska J, Zadurska M. Incontinentia
pigmenti – a description of three cases. Orthod Forum
2018; 14: 321-32).
Keywords
hypodontia, incontinentia pigmenti, dental abnormalities
Integrated with
