猛性龋,国内报道尚不多见,我科在诊治血液病人口疾时,曾遇1例高球蛋白血症病人,在发病十几年后,突然出现进行性龋蚀,不到3年时间即大部分牙齿均“损害”,4年后请我科会诊时,全口牙齿均已成残冠,残根,现报道如下: 患者李×,女,41岁,河南藉人,机关职员,住院号:002024。主诉:下肢出血点17年,肝脾大,贫血10年,牙齿进行性龋坏4年。现病史:患者17年前出现双下肢皮肤出血点,休息或抬高下肢自行消退,如此持续多年,伴有“低热”,全身“关节痛”,直到11年前妊娠时,下肢紫癜加 Severe caries, the domestic reports are rare, our department in the diagnosis and treatment of blood disease stomatitis, had a case of patients with hypergammaglobulinemia, after onset of more than 10 years, the sudden occurrence of progressive caries, less than 3 years Most of the time that the teeth are “damaged”, 4 years after my consultative department, the whole tooth has become the crown, the root, are reported as follows: patients Lee ×, female, 41 years old, Henan borrow people, agencies and staff , Hospital number: 002024. Chief Complaint: Lower extremity bleeding 17 years, hepatosplenomegaly, anemia 10 years, dental caries for 4 years. History of illness: The patient developed a lower extremity skin hemorrhage 17 years ago, rest or raise the lower extremity self-remission, so continued for many years, accompanied by “low fever”, body “joint pain” until 11 years ago, pregnancy, lower extremity purpura