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Case Reports
. 2016 Dec;35(10-12):524-528.
doi: 10.1080/15257770.2016.1184276.

Development of new forms of self-injurious behavior following total dental extraction in Lesch-Nyhan disease

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Case Reports

Development of new forms of self-injurious behavior following total dental extraction in Lesch-Nyhan disease

Livia Gisbert de la Cuadra et al. Nucleosides Nucleotides Nucleic Acids. 2016 Dec.

Abstract

We report two Lesch-Nyhan Disease (LND) patients who developed new forms of self-injurious behavior following total dental extraction. Patients 1 and 2 were submitted to total teeth extraction at the age of 13 and 8 years, respectively, due to continuous self-biting, not prevented by mouth guards. Severity of dystonia was markedly reduced and quality of life improved. After 12 and 17 months, respectively, patient 1 started rubbing one foot against other and scratching toenails with his hands, and patient 2 stuck his legs and feet against hard objects. These forms of self-injury behavior could be easily prevented with protective materials, according to the mothers.

Keywords: HPRT; Lesch Nyhan; SIB.

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