Idiopathic thrombocytopenic purpura presenting as post-extraction hemorrhage

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorHospital Municipal do Tatuapé (HMCC)-
Autor(es): dc.contributorHospital Hellópolis (HOSPHEL)-
Autor(es): dc.creatorMartini, Marcelo Zillo [UNESP]-
Autor(es): dc.creatorLopez Jr., Jesús Saavedra-
Autor(es): dc.creatorGendler, Jesé Luiz Pinto Lima-
Autor(es): dc.creatorDa Fonseca, Eduardo Vasquez-
Autor(es): dc.creatorSoares, Haroldo Arid-
Autor(es): dc.creatorFranzi, Sergio Altini-
Data de aceite: dc.date.accessioned2022-08-04T22:01:40Z-
Data de disponibilização: dc.date.available2022-08-04T22:01:40Z-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2007-01-09-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.5005/jcdp-8-6-43-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/219420-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/219420-
Descrição: dc.descriptionAim: The aim of this article is to present a case of idiopathic thrombocytopenic purpura (ITP) in order to emphasize the importance of the clinical exam since the anamnesis leads to a diagnostic hypothesis of ITP. Background: Acute ITP is considered an autoimmune disease characterized by the production of antibodies against platelets, antigens produced by a viral infection, or a platelet sparing drug combination. These antibodies adhere to platelets and are recognized and destroyed by the reticulo-endothelial system. Consequently, the platelet count gradually diminishes and is insufficient for the maintenance of primary hemostasis. Report: A 77-year-old woman presented with post-extraction intermittent bleeding. The physical examination revealed discoloration of the skin, multiple petechiae, hematomas, ecchymosis of the upper lip, bruises all over the body, gingiva that bled spontaneously, and a malformed blood clot at the extraction site of tooth #44. The hematological exams confirmed the hypothesis of ITP. The patient was immediately hospitalized in the Hematology Department of a local hospital and received platelet replacement, hydration, medication, and general care. After the spontaneous bleeding stopped, the malformed clot was removed using alveolar curettage along with a thorough cleaning of the extraction site with a 0.9% saline solution before suturing the wound and prescribing medication. After the sixth day of hospitalization, the patient presented with the following results: Hb: 12.3 mg/dL, Ht: 36.1%, and PC: 87,000 mm3. The patient was then discharged and was placed under outpatient follow-up care. Summary: The importance of the clinical exam must be emphasized since the anamnesis leads to a diagnostic hypothesis of ITP and provides the dental surgeon with an opportunity to make important systemic alterations to improve the prognosis of a patient with ITP.-
Descrição: dc.descriptionDepartment of Oral Diagnosis School of Dentistry São Paulo State University (FOUSP), São Paulo-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery Hospital Municipal do Tatuapé (HMCC), São Paulo-
Descrição: dc.descriptionDepartment of Oral and Maxillofacial Surgery Hospital Municipal do Tatuapé (HMCC)-
Descrição: dc.descriptionHealth Sciencies Post-graduation Program Hospital Hellópolis (HOSPHEL), São Paulo-
Descrição: dc.descriptionStomatology Division Department of Oral and Maxillofacial Surgery Hospital Municipal do Tatuapé (HMCC), São Paulo-
Descrição: dc.descriptionDepartment of Oral Diagnosis School of Dentistry São Paulo State University (FOUSP), São Paulo-
Formato: dc.format43-49-
Idioma: dc.languageen-
Relação: dc.relationJournal of Contemporary Dental Practice-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectDental surgery-
Palavras-chave: dc.subjectIdiopathic thrombocytopenic purpura-
Palavras-chave: dc.subjectITP-
Palavras-chave: dc.subjectPost-extraction hemorrhage-
Palavras-chave: dc.subjectSystemic alterations-
Título: dc.titleIdiopathic thrombocytopenic purpura presenting as post-extraction hemorrhage-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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