Stomatological treatment of patients afflicted with Idopathic Thrombocytopenic Purpura

Abstract

Idiopathic thrombocytopenic purpura (ITP)is the most commonacquired 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  (expressions) 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.