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Metadados | Descrição | Idioma |
---|---|---|
Autor(es): dc.contributor | Universidade Estadual Paulista (UNESP) | - |
Autor(es): dc.contributor | Hospital Municipal do Tatuapé (HMCC) | - |
Autor(es): dc.contributor | Hospital Hellópolis (HOSPHEL) | - |
Autor(es): dc.creator | Martini, Marcelo Zillo [UNESP] | - |
Autor(es): dc.creator | Lopez Jr., Jesús Saavedra | - |
Autor(es): dc.creator | Gendler, Jesé Luiz Pinto Lima | - |
Autor(es): dc.creator | Da Fonseca, Eduardo Vasquez | - |
Autor(es): dc.creator | Soares, Haroldo Arid | - |
Autor(es): dc.creator | Franzi, Sergio Altini | - |
Data de aceite: dc.date.accessioned | 2022-08-04T22:01:40Z | - |
Data de disponibilização: dc.date.available | 2022-08-04T22:01:40Z | - |
Data de envio: dc.date.issued | 2022-04-28 | - |
Data de envio: dc.date.issued | 2022-04-28 | - |
Data de envio: dc.date.issued | 2007-01-09 | - |
Fonte completa do material: dc.identifier | http://dx.doi.org/10.5005/jcdp-8-6-43 | - |
Fonte completa do material: dc.identifier | http://hdl.handle.net/11449/219420 | - |
Fonte: dc.identifier.uri | http://educapes.capes.gov.br/handle/11449/219420 | - |
Descrição: dc.description | Aim: 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.description | Department of Oral Diagnosis School of Dentistry São Paulo State University (FOUSP), São Paulo | - |
Descrição: dc.description | Department of Oral and Maxillofacial Surgery Hospital Municipal do Tatuapé (HMCC), São Paulo | - |
Descrição: dc.description | Department of Oral and Maxillofacial Surgery Hospital Municipal do Tatuapé (HMCC) | - |
Descrição: dc.description | Health Sciencies Post-graduation Program Hospital Hellópolis (HOSPHEL), São Paulo | - |
Descrição: dc.description | Stomatology Division Department of Oral and Maxillofacial Surgery Hospital Municipal do Tatuapé (HMCC), São Paulo | - |
Descrição: dc.description | Department of Oral Diagnosis School of Dentistry São Paulo State University (FOUSP), São Paulo | - |
Formato: dc.format | 43-49 | - |
Idioma: dc.language | en | - |
Relação: dc.relation | Journal of Contemporary Dental Practice | - |
???dc.source???: dc.source | Scopus | - |
Palavras-chave: dc.subject | Dental surgery | - |
Palavras-chave: dc.subject | Idiopathic thrombocytopenic purpura | - |
Palavras-chave: dc.subject | ITP | - |
Palavras-chave: dc.subject | Post-extraction hemorrhage | - |
Palavras-chave: dc.subject | Systemic alterations | - |
Título: dc.title | Idiopathic thrombocytopenic purpura presenting as post-extraction hemorrhage | - |
Tipo de arquivo: dc.type | livro digital | - |
Aparece nas coleções: | Repositório Institucional - Unesp |
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