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Pediatric Nephrology

, Volume 16, Issue 12, pp 993–995 | Cite as

Bilateral mandibular cysts associated with cyclosporine use: a case report

  • A. De Biase
  • L. Ottolenghi
  • A. Polimeni
  • A. Benvenuto
  • R. Lubrano
  • F. M. Magliocca
Brief Report

Abstract.

Cyclosporin A (CsA) is used in the treatment of patients undergoing renal transplantation. There are a number of side effects associated with its use. In particular, the gingival overgrowth represents the most important in the oral cavity. The authors present a case of bilateral mandibular cysts in an 8-year-old boy, treated with CsA after renal transplantation. The genesis of the mandibular cysts might be associated with the combined use of CsA and a calcium channel blocker post-transplantation. CsA-induced gingival overgrowth might contribute to cysts by two mechanisms: interference with control mechanisms that regulate the reabsorption of gingival stromal tissue, allowing progressive dental eruption, and an increase in the gingival connective tissue components. Gingival hypertrophy might mechanically obstruct the eruption of the developing tooth.

Keywords Cyclosporin A Calcium channel blocker Mandibular cysts Renal transplantation Gingival overgrowth 

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Copyright information

© IPNA - International Pediatric Nephrology Association New York, USA 2001

Authors and Affiliations

  • A. De Biase
    • 1
  • L. Ottolenghi
    • 2
  • A. Polimeni
    • 2
  • A. Benvenuto
    • 1
  • R. Lubrano
    • 3
  • F. M. Magliocca
    • 4
  1. 1.Department of Odontostomatologic Diseases, Dental Institute, University of Rome ”La Sapienza”, 00161 Rome, Italy. Albertodebiase@tiscalinet.itIT
  2. 2.Department of Pediatric Dentistry, University of Rome ”La Sapienza”, Rome, ItalyIT
  3. 3.Pediatric Institute, University of Rome ”La Sapienza”, Rome, ItalyIT
  4. 4.Department of Experimental Medicine and Pathology, University of Rome ”La Sapienza”, Rome, ItalyIT

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