1/7. Spontaneous gingival haemorrhage: case report.Clinical observation of our patients forms the basis of the dental examination, along with other more complex diagnostic tests. In this case, the gingival bleeding episode of one patient was initially diagnosed and treated as an acute periodontal episode. When simple therapy failed to resolve the bleeding, a full haematological investigation was ordered. This revealed the presence of a life-threatening disease. The patient was immediately referred for medical management of acute myeloblastic leukaemia, but died some months later. dentists should always be on guard to observe any unusual clinical signs that may lead to the early diagnosis of systemic disease processes.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/7. Dental treatment for children with chronic idiopathic thrombocytopaenic purpura: a report of two cases.Idiopathic thrombocytopaenic purpura (ITP) is the most common acquired bleeding disorder occurring in previously healthy children. The condition is benign and self-limiting, with a high possibility of recovery. Only 15-30% of children with acute ITP develop the chronic form. Clinically, ITP presents with petechiae, ecchymoses, haematomas, epistaxis, haematuria, mucocutaneous bleeding, and occasionally, haemorrhage into tissues. oral manifestations include spontaneous gingival bleeding, petechiae or haematomas of the mucosa, tongue or palate. Two paediatric case reports are described concerning female patients diagnosed with chronic ITP. Oral findings and dental procedures are described. Standard dental treatment was performed with a platelet count higher than 50,000/mm3. The importance of adequate dental plaque control techniques in order to prevent inflammation, potential bleeding and infection in these patients is emphasized. The paediatric dentist must be aware of the clinical appearance of ITP in order to recognize the condition and successfully manage the patient.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
3/7. Acute promyelocytic leukemia: an unusual cause of fatal secondary postpartum hemorrhage.INTRODUCTION: Postpartum haemorrhage can rarely be associated with an underlying coagulation or haematological disorder. We wish to discuss a case of acute promyelocytic leukemia (APL) presenting as secondary postpartum hemorrhage (PPH), its clinical and pathological features and maternal outcome. CASE REPORT: We describe a 28-year-old woman who presented with secondary PPH accompanied by bleeding from gums, marked pallor, hematemesis, ecchymotic and purpuric spots all over the body, 8 days post-partum. Investigations revealed her to be having APL, a diagnosis not suspected by the referring clinic. She was given supportive therapy but died before chemotherapy could be started. CONCLUSION: The case emphasizes the importance of suspecting, investigating and energetically treating uncommon causes such as acute leukemia when an unusually severe clinical picture in a postpartum setting suggests such a possibility. This may prove to be life saving, particularly if the leukemia happens to be APL, a cancer with a very high cure rate.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
4/7. Embolisation of arteriovenous malformation of the maxilla.We describe a 20-year-old male patient who presented with gingival bleeding. physical examination showed gingival swelling of the right maxilla and loosening of the molar teeth. The initial diagnosis of gingivitis was made, but further examination revealed a lytic lesion of the maxilla. On suspicion of fibrous dysplasia, biopsy was attempted but was unsuccessful due to severe haemorrhage. Further evaluation showed palpable and audible bruit on the gingiva, which caused the suspicion of vascular malformation. angiography was performed and demonstrated arteriovenous malformation (AVM). Embolisation therapy with polyvinyl alcohol was performed. Post-embolisation angiogram demonstrated complete obliteration of the lesion.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
5/7. Epstein syndrome: oral lesions in a patient with nephropathy, deafness and thrombocytopenia.Epstein syndrome is a rare dominantly inherited disorder in which the main features are nephritis, deafness and macrothrombocytopathic thrombocytopenia. A case with oral haemorrhage and purpuric lesions is reported. This appears to be the first report of this syndrome in the dental literature.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
6/7. Glanzmann's thrombasthenia in 11 cases of one family.We report here the largest family in bulgaria with Glanzmann's thrombasthenia which is inherited in an autosomal recessive manner. Eleven children in four successive generations were followed up. Clinically, the disease manifested in mucocutaneous haemorrhages. Five of the children died due to severe haemorrhagic episodes. The diagnosis was confirmed by haemostasic investigation; in some of the children the thrombocytes were examined by electron microscopy. Necessity of prenatal diagnosis is suggested.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |
7/7. Acute idiopathic thrombocytopaenic purpura in childhood: report of a case presenting in general dental practice.Acute idiopathic thrombocytopaenic purpura is the most common of the thrombocytopaenias of childhood. Clinically it is associated with petechiae, mucocutaneous bleeding and occasionally haemorrhage into tissues. The oral mucosa is frequently involved. This paper describes a case presenting in general dental practice.- - - - - - - - - - ranking = 0.25keywords = haemorrhage (Clic here for more details about this article) |