Table 1 A summary of the patient's information organized as a timeline
The event | Timeline |
|---|---|
First clinical presentation (reported by parents) | January 2019 |
First medical consultation | March 17, 2019 |
Referral to the oral medicine clinic, diagnosis of RFD and the start of a primary treatment plan (topical analgesic, antifungal and supportive measures) | March 21, 2019 |
Grinding of deciduous teeth | March 25, 2019 |
Complete healing of ulcers and full restoration of proper breastfeeding | April 18, 2019 |
The appearance of neurological manifestations and self mutilating actions | January 2020 |
Premature loss of primary anterior teeth | From August to October 2020 |
The appearance of an eye ulcer from self mutilation | November 2020 |
Misdiagnosis of LNS | From January 2020 to January 2021 |
Lab investigations (kidney function tests and abdominal ultrasound) and the diagnosis of LNS | January 8 and 13, 2021 |
Presentation to the oral medicine clinic with a nasal ulcer and facial tissue deformity | January 28, 2021 |
Treatment plan for LNS | February 4, 2021 |
Follow-up reporting improvement of self mutilation and neurological manifestations | August 16, 2021 |