NUMERO: #20231034

Título: The role of the dentist in the hospital in diagnosis and management of hematologically based disorders.

Nome do Apresentador: Marcos Altyeres Coelho VASCONCELOS

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Odontologia hospitalar

Resumo: The dental surgeon who acts in a hospital setting has an important hole in the aid of diagnostic
and management of oral manifestation of hematologic disorders, such as Immune
Thrombocytopenic Purpura (ITP). A 23-year-old woman sought care in the Emergency
Department of a University Hospital due to a gingival bleeding condition. The bleeding started
after a scaling procedure performed a month ago by the Primary Health Care (PHC) dentist. On
physical examination, swelling and widespread purplish gingival hematoma was observed, as
well as actively bleeding in free and attached gingiva. Local hemostasis was achieved with
tranexamic acid rinses. The hematological examination (HCT 16%; Hb 4,9% and PLT 2000)
suggested iTTP, an autoimmune disease, characterized by low platelet count, but which usually
has self-limited bleeding. The differential diagnosis with leukemic infiltrate was considered. The
dental surgeon can contribute to the diagnosis and treatment of the oral manifestations of
ITP.

Autor 1:  Marcos Altyeres Coelho VASCONCELOS

E-mail 1:  [email protected]

Autor 2:   Alessandra Rodrigues de CAMARGO

E-mail 2: 

Autor 3 :  Liliane Janete GRANDO

E-mail 3: 

Autor 4:  Marcos Phelipe Araújo Andrade ALVES

E-mail 4: 

Autor 5:  Everton Thiago LUZ

E-mail 5: 

Autor 6:  Maria Victória Feijó ECHEVENGUÁ

E-mail 6: 

Autor 7:  Mariah Luz LISBOA

E-mail 7: