Dental managements in a patient with idiopathic thrombocytopenic purpura

Autor:	Akihide Kamegai, Takahiro Yamagami, Tomihisa Ninomiya, Shuji Kurenuma, Yoshihiro Okamoto, Kuniteru Nagahara
Rok vydání:	1986
Předmět:	medicine.medical_specialty Blood transfusion business.industry medicine.medical_treatment Splenectomy Oral bleeding Mucous membrane of nose medicine.disease Thrombocytopenic purpura Dental care Surgery Platelet transfusion Medicine Platelet business
Zdroj:	Japanese Journal of Oral & Maxillofacial Surgery. 32:1233-1237
ISSN:	2186-1579 0021-5163
DOI:	10.5794/jjoms.32.1233
Popis:	Dental managements in a 17 year old male patient with thrombocytopenia were performed to provide adequate care for post operative bleeding.The patient had been treated with immunosupresive agent therapy and splenectomy, but an elevation of the platete level in the blood did not occur. He had been treated with fresh blood transfusions several times due to spontaneous bleeding from the nasal mucosa and digestive tract.In the present instane, he recieved dental managements for spontaneous oral bleeding. Transfusions of fresh platelet concentrates were carried out intentionally to elevate the count of circulating platelats by at least 50, 000/mm3 for one week after surgical procedures.In the present case, the idiopathic thrombocytopenia patient was reported who sought dental care and who already received splenectomy and prolonged corticosteroid therapy as repoted.It must be considered to produce anti-platelet antibody against fresh platelet concentrates as compared to antibody formations of regular blood transfusion.
Databáze:	OpenAIRE
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