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Revista Brasileira de Terapia Intensiva
versión impresa ISSN 0103-507X
SETTI, Juliana Santiago et al. Multidisciplinary care in the intensive care unit for a patient with Prader-Willi syndrome: a dental approach. Rev. bras. ter. intensiva [online]. 2012, vol.24, n.1, pp.106-110. ISSN 0103-507X. http://dx.doi.org/10.1590/S0103-507X2012000100016.
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.
Palabras clave : Prader-Willi syndrome; Herpes simplex; Dental care for person with disabilities; Morbid obesity; Intellectual disability; Intensive care; Case reports.