Oral manifestations of thrombocytopaenia

The appearance in the mouth of haemorrhagic petechiae, ecchymoses or blood blisters with spontaneous bleeding is suggestive of a haemorrhagic disorder that may be caused either by functional impairment of platelets or of blood vessel walls, by an abnormal decrease in the number of circulating platel...

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Main Authors: R.A.G. Khammissa, J. Fourie, A. Masilana, S. Lawrence, J. Lemmer, L. Feller
Format: Article
Language:English
Published: Springer 2018-01-01
Series:Saudi Dental Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905217300627
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author R.A.G. Khammissa
J. Fourie
A. Masilana
S. Lawrence
J. Lemmer
L. Feller
author_facet R.A.G. Khammissa
J. Fourie
A. Masilana
S. Lawrence
J. Lemmer
L. Feller
author_sort R.A.G. Khammissa
collection DOAJ
description The appearance in the mouth of haemorrhagic petechiae, ecchymoses or blood blisters with spontaneous bleeding is suggestive of a haemorrhagic disorder that may be caused either by functional impairment of platelets or of blood vessel walls, by an abnormal decrease in the number of circulating platelets (thrombocytopaenia), or by defects in the blood clotting mechanism. Thrombocytopaenia from decreased production or increased destruction of platelets may be caused by multiple factors including immune mediated mechanisms, drugs or infections.A diagnosis of thrombocytopaenic purpura can be made when any other disease entity that might be causing the purpura is excluded on the basis of the medical history, the physical examination, a complete blood count and a peripheral blood smear.In this paper, we outline the clinical features of oral thrombocytopaenic purpura and briefly discuss some aspects of its aetiopathogenesis and treatment. Keywords: Ecchymosis, Petechiae, Haemorrhagic blister, Immune mediated thrombocytopaenia
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issn 1013-9052
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publisher Springer
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series Saudi Dental Journal
spelling doaj-art-cb1675c54ce449deb3e324663cb6f6db2025-08-20T03:23:38ZengSpringerSaudi Dental Journal1013-90522018-01-01301192510.1016/j.sdentj.2017.08.004Oral manifestations of thrombocytopaeniaR.A.G. Khammissa0J. Fourie1A. Masilana2S. Lawrence3J. Lemmer4L. Feller5Department of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Periodontology and Oral Medicine, University of the Western Cape, Cape Town, South AfricaDepartment of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Periodontology and Oral Medicine, Sefako Makgatho Health Sciences University, Pretoria, South Africa; Corresponding author at: Dept. Periodontology and Oral Medicine, Box D26 School of Dentistry, Sefako Makgatho Health Sciences University, Medunsa 0204, South Africa.The appearance in the mouth of haemorrhagic petechiae, ecchymoses or blood blisters with spontaneous bleeding is suggestive of a haemorrhagic disorder that may be caused either by functional impairment of platelets or of blood vessel walls, by an abnormal decrease in the number of circulating platelets (thrombocytopaenia), or by defects in the blood clotting mechanism. Thrombocytopaenia from decreased production or increased destruction of platelets may be caused by multiple factors including immune mediated mechanisms, drugs or infections.A diagnosis of thrombocytopaenic purpura can be made when any other disease entity that might be causing the purpura is excluded on the basis of the medical history, the physical examination, a complete blood count and a peripheral blood smear.In this paper, we outline the clinical features of oral thrombocytopaenic purpura and briefly discuss some aspects of its aetiopathogenesis and treatment. Keywords: Ecchymosis, Petechiae, Haemorrhagic blister, Immune mediated thrombocytopaeniahttp://www.sciencedirect.com/science/article/pii/S1013905217300627
spellingShingle R.A.G. Khammissa
J. Fourie
A. Masilana
S. Lawrence
J. Lemmer
L. Feller
Oral manifestations of thrombocytopaenia
Saudi Dental Journal
title Oral manifestations of thrombocytopaenia
title_full Oral manifestations of thrombocytopaenia
title_fullStr Oral manifestations of thrombocytopaenia
title_full_unstemmed Oral manifestations of thrombocytopaenia
title_short Oral manifestations of thrombocytopaenia
title_sort oral manifestations of thrombocytopaenia
url http://www.sciencedirect.com/science/article/pii/S1013905217300627
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AT lfeller oralmanifestationsofthrombocytopaenia