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British Journal of Anaesthesia, 1989, Vol. 63, No. 5 609-611
© 1989 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

LIPOID PROTEINOSIS: URBACH-WIETHE DISEASE

J. E. KELLY, M.B., B.S., M. T. SIMPSON, M.B., B.S., B.D.S., F.F.D.R.C.S., D. JONATHAN, M.B., B.S., F.R.C.S. and T. E. HOLLWAY, B.A., M.B., B.S.

Department of Anaesthetics, St George's Hospital Blackshaw Road, London SW17 0QT
Department of Oral Surgery, St George's Hospital Blackshaw Road, London SW17 0QT
ENT Department, St George's Hospital Blackshaw Road, London SW17 0QT

T.E.H.

An otherwise healthy patient with Urbach-Wiethe disease required surgical removal of two 3rd molar teeth. In this multisystem disorder infiltration of the buccal, pharyngeal and laryngeal mucosa may cause difficulties with tracheal intubation and increase the likelihood of trauma. The anaesthetic implications and management are described.


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