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Having Multiple Renal Cysts in a Young Adult is Not Always a Sign of Polycystic Kidney Disease

K Kaynar

K Kaynar

Department of Nephrology, Faculty of Medicine, Karadeniz Technical UniversityTrabzon, Turkey
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Kaynar, K
, 
S Kayıpmaz

S Kayıpmaz

Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Karadeniz Technical UniversityTrabzon, Turkey
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Kayıpmaz, S
, 
AH Çebi

AH Çebi

Department of Medical Genetics, Faculty of Medicine, Karadeniz Technical UniversityTrabzon, Turkey
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Çebi, AH
 et 
Ş Hüseynova

Ş Hüseynova

Department of Internal Medicine, Faculty of Medicine, Karadeniz Technical UniversityTrabzon, Turkey
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Hüseynova, Ş
  
05 juin 2022
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Catégorie d'article: Case Report
Publié en ligne: 05 juin 2022
Pages: 83 - 87
DOI: https://doi.org/10.2478/bjmg-2021-0016
Mots clés
© 2021 K Kaynar et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Figure 1

Intraoral features of the patient are: (a) malocclusion, screwdriver shape crowns (teeth 11, 21) (note that upper central teeth do not have central lobe), mandibular anterior diastema, microdontia (teeth 31, 41, 42) (the teeth were numbered by the FDI system), calculus formation, periodontitis, and tooth exfoliation (tooth 32) in the mandibular anterior region. (b) Multiple dens invaginatus (DI) (white arrows), large pulp chambers (white stars), impacted supernumerary teeth in bilateral mandibular and left maxillary premolar regions (white arrow heads), one erupted supernumerary toot left lower premolar region and hypotaurodontism in the all second molar teeth (black arrows) seen in panaromic image. In periapical and bite-wing images: (c) large pulp chamber in the right upper central (white star), type 2 DI in the right upper lateral, type 3 DI in the right upper canine (white arrows); (d) large pulp chambers in the left upper central and canine (white stars), type 2 DI in the left upper lateral and type 1 DI in the left upper canine (white arrows); (e) DI in the right upper canine and type 1 DI first premolar (white arrows); (f) type 1 DI in the left upper canine and first premolar (white arrows) and a groove on the buccal surface of tooth 24 crown (black arrow); (g) Type 2 DI in the left lower central, type 1 DI right lower central and lateral (white arrows), pulp anomaly (thistle tube appearance) in the mandibular incisors (black arrows) and large pulp chambers in lower canines (white stars) were seen.
Intraoral features of the patient are: (a) malocclusion, screwdriver shape crowns (teeth 11, 21) (note that upper central teeth do not have central lobe), mandibular anterior diastema, microdontia (teeth 31, 41, 42) (the teeth were numbered by the FDI system), calculus formation, periodontitis, and tooth exfoliation (tooth 32) in the mandibular anterior region. (b) Multiple dens invaginatus (DI) (white arrows), large pulp chambers (white stars), impacted supernumerary teeth in bilateral mandibular and left maxillary premolar regions (white arrow heads), one erupted supernumerary toot left lower premolar region and hypotaurodontism in the all second molar teeth (black arrows) seen in panaromic image. In periapical and bite-wing images: (c) large pulp chamber in the right upper central (white star), type 2 DI in the right upper lateral, type 3 DI in the right upper canine (white arrows); (d) large pulp chambers in the left upper central and canine (white stars), type 2 DI in the left upper lateral and type 1 DI in the left upper canine (white arrows); (e) DI in the right upper canine and type 1 DI first premolar (white arrows); (f) type 1 DI in the left upper canine and first premolar (white arrows) and a groove on the buccal surface of tooth 24 crown (black arrow); (g) Type 2 DI in the left lower central, type 1 DI right lower central and lateral (white arrows), pulp anomaly (thistle tube appearance) in the mandibular incisors (black arrows) and large pulp chambers in lower canines (white stars) were seen.

Figure 2

Extraoral features of the patient are: (a) retrognathia inferior and nasal hump; (b) Fordyce granules on lips edges; (c) Sella Turcica bridge was observed in the lateral cephalometric image (black arrow); (d) hand-wrist radiographic image showing slightly small dimension of fourth metacarpal (positive metacarpal sign) (white line). In addition, thick distal phalanx of thumb was revealed.
Extraoral features of the patient are: (a) retrognathia inferior and nasal hump; (b) Fordyce granules on lips edges; (c) Sella Turcica bridge was observed in the lateral cephalometric image (black arrow); (d) hand-wrist radiographic image showing slightly small dimension of fourth metacarpal (positive metacarpal sign) (white line). In addition, thick distal phalanx of thumb was revealed.

Figure 3

(a) Computed tomography coronal section that displays bilateral multiple renal cysts; (b) chest X-ray showing normal ribs and lungs; (c) normal respiratory examination with inspection; (d) no obvious nail and finger deformity was found on inspection of the hands.
(a) Computed tomography coronal section that displays bilateral multiple renal cysts; (b) chest X-ray showing normal ribs and lungs; (c) normal respiratory examination with inspection; (d) no obvious nail and finger deformity was found on inspection of the hands.
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