Abstract

ISLAS GRANADOS, Ma. del Refugio; TEJA ANGELES, Eduardo de la  and  HINOJOSA AGUIRRE, Alejandro. Stomatological treatment of patients afflicted with idopathic thrombocytopenic purpura: Case report. Rev. Odont. Mex [online]. 2012, vol.16, n.1, pp.53-57. ISSN 1870-199X.

Idiopathic thrombocytopenic purpura (ITP) is the most common acquired hemorrhagic alteration occurring in apparently healthy children who have suffered viral diseases, after application of common vaccines, having been medicated with drugs or received transfusions. ITP undergoes a sudden onset, with a rapid, life threatening development of bleeding (hemorrhage). 90% of cases experience spontaneous remission, or remission after a 3 to 4 week treatment. General clinical manifestations are: petechiae, ecchymosis, hematoma, epistaxis, mucocutaneous hemorrhage, hematuria. Objective: To describe oral manifestations and stomatological management of ITP patients. The present study reports the case of a 4 year old female ITP patient presenting a purpuric condition with more than 100,000 platelets. The case subsides spontaneously without treatment. The patient presents diagnosis of early infancy childhood caries. The case is treated in the conventional manner, with absence of clinical signs and symptoms. Hemostatic measures were taken such as placement of Gelfoam^® (oxidized gelatin sponge) and sutures in the extraction sites. The patient evolved favorably.

Keywords : Idiopathic thrombocytopenic purpura (ITP); gingivorragia (bleeding gums); petechiae; ecchymosis.

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