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Órgano oficial de la Facultad de Odontología, UNAM

2008, Number 1

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Rev Odont Mex 2008; 12 (1)

Aneurysmatic lesions as orofacial markers in patients with hemostatic defects. Literature review and case report

Durán GLA, Téllez RJ

Language: Spanish
References: 20
Page: 40-45
PDF size: 216.86 Kb.


ABSTRACT

Among the patients with sanguine discrasya, specifically hemostatic defects, there are orofacial markers that reveal the existence of coagulation problems and they are known as: petechiaes, ecchimoses, gingival bleeding, however, there are other markers, not as common, such as aneurysmal lesions with fresh hematic content that will make the clinician suspect about the existence of a sanguine discrasya. The case of a 2.6 year-old male patient is reported, he was presented to the service of pediatric dentistry in the Instituto Nacional de Pediatria, with a post-traumatic osseus aneurysmal lesion in the mandible, conventional laboratory tests did not suggest sanguine discrasya, even though the patient was operated without complications to remove the aneurysmal lesion, but in the second surgical act the patient presented severe coagulation problems that made the clinicians to sent him to the intensive care unit, the aneurysmal lesion was diagnosed later like a Pseudotumor of the hemophilia, consequent of Hemophilia B moderate in the patient, that is why we consider important to highlight that any osseouss aneurysmal lesion with fresh hematic content, could be an orofacial marker of some sanguine discrasya.


REFERENCES

  1. Walsh PN, Rizza CR, Evans BE, Aledort LM. The therapeutic role of epsilon aminocaproic acid for dental extractions in hemophilias. Ann NY Acad Sci 1975; 240: 267-76.

  2. Jonson TW, Leary JM. Management of dental patients with bleeding disorders: Review and update. Oral Surg Oral Med Oral Pathol 1998; 66: 297-303.

  3. Saari JT. Periodontic/endodontic treatment. In: Powell D, ed. Recent advances in dental care for the hemophiliacs. Los Angeles: Hemophilia Foundation of Southern California. 1979: 61-2.

  4. Hastings CA, Lubin BH. La sangre. En: Rudolph AM. Kamei RK Editores. Pediatria 3ra. ed. Madrid; MARBAN; 2004: 559-64.

  5. Goldsmith JC. Medical management of dental patients with bleeding disorders. J Iowa Med Soc 1981; 1: 291-7.

  6. Evans BE, Aledort LM. Hemophilia and the dental retreatment. J Am Dent Assoc 1978; 96: 827-34.

  7. Carrillo-Esper R, Vázquez-García JA, Martínez-Molina O, Ishikawa-Ichikawa A, Aguilar-Ramírez MP. Pseudotumor hemofílico en el paciente pediátrico. Gac Med Mex 2000; 136(1): 61-4.

  8. Brant EE, Jordan HH. Radiologic aspects of hemophilic pseudotumors in bone. Am J Roentgenol 1972; 115: 525-39.

  9. Geyskens W, Vanhoenacker FM, Van der Zijden T, Peerlinck K. MR imaging of intra-osseous hemophilic pseudotumor: case report and review of the literature. JBR-BTR 2004; 87(6): 289-93.

  10. Park JS, Ryu KN. Hemophilic pseudotumor involving the musculoskeletal system: spectrum of radiologic findings. AJR Am J Roentgenol 2004; 183(1): 55-61.6.-

  11. Ozbek N, Unsal M, Kara A, Gumruk F, Gurgey A. Treatment of hemophilic pseudotumor with low-dose radiotherapy. Turk J Pediatr 1996; 38(1): 91-4.

  12. Grady WB, Robert GT. Hemophilic pseudotumor of the mandibule. Oral Surg Oral Med Oral Pathol 1990; 69: 550-3.

  13. Marquez JL et al. Hemophilic pseudotumor of the inferior maxila. Oral Surg Oral Med Oral Pathol 1982; 53: 347-50.

  14. de Sousa SO, de Piratininga J, Pinto Junior DS, de Araujo N. Hemophilic pseudotumor of the jaws: report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79(2): 216-9.

  15. Steele NP, Myssiorek D, Zahtz GD, Diamond A. Pediatric hemophilic pseudotumor of the paranasal sinus. Laryngoscope 2004; 114(10): 1761-3.

  16. Brook AH, Bedi R, Chan LWY. Hemophilic pseudotumors of the mandibule: report a case in a one-year-old child. Br J Oral Maxilofacial Surg 1985; 23: 47-52.

  17. Issaivanan M, Shrikande MP, Mahapatra M, Choudhry VP. Management of hemophilic pseudotumor of thumb in a child. J Pediatr Hematol Oncol 2004; 26(2): 128-32.

  18. Kang JO, Cho YJ, Yoo MC, Hong SE. Hemophilic pseudotumor of the ulna treated with low dose radiation therapy: a case report. J Korean Med Sci 2000; 15(5): 601-3.

  19. Mulkey TF. Hemophilic pseudotumor of the mandibule J Oral Surg 1977; 35: 561-68.

  20. Buchowski JM, Cascio BM, Streiff MB, Frassica FJ. Resection and reconstruction of a massive femoral hemophilic pseudotumor. Clin Orthop Relat Res 2005; (430): 237-42.




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