| Autor: |
SANTOS-SOUSA, Ana Lívia, de CASTRO, Tamara Fernandes, CORTOPASSI, Gabriel Macedo, BIASOLI, Éder Ricardo, MIYAHARA, Glauco Issamu, BERNABÉ, Daniel Galera, VALENTE, Vítor Bonetti |
| Zdroj: |
Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe241-e242, 2p |
| Abstrakt: |
A 57-year-old woman was referred to our service for the assessment of a nodular lesion in the oral mucosa that exhibited spontaneous bleeding. According to the patient, the lesion had been present for five years. Over the past year, she had experienced multiple episodes of significant bleeding and struggled to control the hemorrhage. Her medical history included episodes of nosebleeds (epistaxis) and spontaneous skin hematomas. During the extraoral examination, petechiae were observed on her face. Upon intraoral examination, a purplish submucosal nodule measuring approximately 1.5 x 1.0 cm was identified in the upper lip mucosa. Following the clinical assessment, hematological tests were ordered. While the red and white blood cell counts were within the normal range, the results revealed a severe thrombocytopenia characterized by a low platelet count. Additionally, reduced prothrombin activity was detected. The patient was subsequently referred to a hematologist, who diagnosed idiopathic thrombocytopenic purpura. After the diagnosis, the patient initiated hematological treatment and is currently under clinical follow-up with our interdisciplinary team. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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