Unusual case of soft palate and uvula haematoma in a patient on anticoagulant drugs.

Autor:	Farrugia S; Department of Internal Medicine, Mater Dei Hospital, Msida, Malta stephanie.f.farrugia@gov.mt., Sapiano K; Department of Internal Medicine, Mater Dei Hospital, Msida, Malta., Sciberras R; Department of Internal Medicine, Queen Mary University of London Barts and The London School of Medicine and Dentistry, Rabat, Gozo, Malta.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2020 Dec 22; Vol. 13 (12). Date of Electronic Publication: 2020 Dec 22.
DOI:	10.1136/bcr-2020-236513
Abstrakt:	A 91-year-old Caucasian man on warfarin for atrial fibrillation presented in view of sudden-onset haemoptysis with fresh bleeding with clots immediately after having eaten a piping-hot traditional cheesecake (pastizz) and burning the soft-palate of his mouth. The haemoptysis had resolved by the time that the patient had arrived to hospital. On examination, a 2 cm by 2 cm dark red, solitary mass could be seen just anterior to the uvula. This was not causing any pain or discomfort to the patient. Blood results were mostly unremarkable except for a raised international normalised ratio (INR) of 3.53. The patient was administered 5 mg vitamin K orally in attempt to lower the INR level and warfarin was subsequently omitted for 7 days. He was also prescribed oral steroids on discharge. The lesion resolved in 7 days and warfarin was restarted then with no further consequences. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu