Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2020  |  Volume : 24  |  Issue : 2  |  Page : 173-177

Chronic idiopathic neutropenia: A periodontist's diagnosis

Department of Periodontics, SCB Dental College and Hospital, Cuttack, Odisha, India

Correspondence Address:
Dr. Subash Chandra Raj
Department of Periodontics, SCB Dental College and Hospital, Cuttack - 753 007, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_149_19

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Our aim is to report the periodontal findings of a 10-year-old boy who visited the outpatient department of periodontology, with the chief complaint of swelling in the right cheek region for the last 2 months, increasing mobility of the teeth, and frequent bleeding from the gums. Since the age of 4 years, he suffered from recurrent febrile episodes, with boils and furuncles on the face. After several hematological and immunological investigations, he was diagnosed with chronic idiopathic neutropenia. He was prescribed a 150 μg subcutaneous injection of recombinant granulocyte colony-stimulating factor, once daily for 8 days. For reducing oral inflammation, he was advised an oral rinse of 15 ml of chlorhexidine gluconate (0.12%) twice daily and advised for a routine periodontal checkup, every 3–4 weeks for evaluation, maintenance, and avoiding any acute inflammatory flare-ups.

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