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Article: Volume 31 Number 2 Page 92 - March 2004

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  Dent Update 2004; 31: 92-96

Oral medicine:  Acute Idiopathic Thrombocytopenic Purpura: A Case Report

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Abstract: This paper presents a case report of a patient who showed severe oral and skin manifestations of acute idiopathic thrombocytopenic purpura,followed by a discussion of the approach to its differential diagnosis and management in the context of the dental setting.

Clinical relevance: Acute idiopathic thrombocytopenia is one of several haemorrhagic disorders that may manifest in the oral cavity.Patients may initially complain of bleeding gums and the dentist,being the first person to be consulted,may fail to suspect that this could be a serious disease of the haemopoietic system that could have a potentially fatal outcome.

Author notes: Ekaterini Themistocleous ,BDS,House Officer,Central Manchester and Manchester Children ’s University NHS Trust,Senathirajah Ariyaratnam,BDS,MDS,FDS RCS,Clinical Teacher (PT),Specialist in Oral Medicine and A.John Duxbury ,BDS,MSc,PhD,DDS,FDS RCPS,FDS RCS,Consultant,Honorary Senior Lecturer in Oral Medicine,Unit of Oral Medicine, University Dental Hospital,Manchester.

Objective: To discuss a patient who presented with severe oral and skin manifestations of acute thrombocytopenic purpura.


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