Oral manifestations in primary immune thrombocytopenia patients. Case report
DOI:
https://doi.org/10.59334/ROV.v2i33.402Keywords:
Primary immune thrombocytopenia, oral pathology, hematologyAbstract
Introduction: Primary immune thrombocytopenia (ITP) is a disease characterized by accelerated destruction of platelets or inadequate production of platelets. It can be classified according to its etiology in primary and secondary.
Methods: We present the case of a 30-year-old male patient, who comes to the dental emergency service of the Barros Luco Hospital, for oral mucosa hemorrhagic lesions and small red spots on the hands, arms and back, 24 hours of evolution, asymptomatic and without attributable cause. Physical examination corroborates the presence of multiple hemorrhagic vesicles in the oral region and petechiae in the areas described. A presumptive diagnosis of ITP is made and confirmed by obtaining a platelet count (RP) of 2000 uL. He is referred to internal medicine for evaluation and management. The literature describes that confirming this disease requires an exhaustive medical history, ruling out a previous infectious or systemic pathology, and laboratory tests that show normal blood cell counts with marked thrombocytopenia.
Conclusions: The dentist has a significant role in multidisciplinary management in this type of condition, where knowledge of oral manifestations of systemic diseases is of vital importance for the diagnosis, referral and subsequent treatment of these.
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Copyright (c) 2020 Cristóbal Sepúlveda, Francisca Pidal, Leonardo Quezada, Cristian Núñez
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