Alayón RCS, Rodríguez GYC, González REZ, de León HRE, Ayala SN

Language: Spanish
References: 23
Page: 384-392
PDF size: 508.71 Kb.

ABSTRACT

Background: leukemia is considered a malignant neoplasm that is developed in the marrow bone. In this entity the inflammatory response in the presence of local irritants is higher and the defensive capacity is diminished. The specific diagnosis of leukemia demands a good interrogation, complete physical exam and detailed hematological studies.
Objective: to present a case of acute myeloid leukemia which developed periodontal manifestations and to describe the treatment of leukemias.
Clinical case: it is presented the case of a patient with loss of the generalized gingival morphology of spongy consistency, hipercolored, with a no painful increase in volume and that in some places covered the full crown of the teeth, ulcerated lesions, halitosis and submandibular lymphadenopathy. It was decided through the questioning and the periodontal clinical manifestations analysis, the remission of the patient to the Clinical Hematology Service, where laboratory tests were carried out, in addition it was confirmed the presence of acute myeloid leukemia and the patient was attended until he died.
Conclusions: the dentists should know the periodontal manifestations of leukemia to carry out the convenient remission of the patient to a Service of Clinical Hematology, and to eliminate the local factors, the meticulous control of dental plaque, the regular professional cleaning and rinses with chlorhexidine with the purpose to alleviate the lesions in the mouth. The patient's physician should always be consulted before carrying out any treatment.

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