NUMERO: #20240952

Título: SCREENING OF ERYTHEMATOUS PETECHIAE AND MACULES AS INDICATORS OF SYSTEMIC DISEASES: A CASE REPORT

Nome do Apresentador: Nara Rúbia Pereira de SIQUEIRA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: Oral mucosa alterations can be part of screening for various diseases. A 39-year-old white woman, with lower lip erythematous macules for five years, worsting in two months with bleeding upon minimal trauma and healing delay. History of 10 years of working sun overexposure, treated anemia, no chronic medication. Current blood tests within normal limits. Labial mucosa, gingiva, dorsum of the tongue, buccal mucosa, and fingertips presented erythematous petechiae. Lower lip incisional biopsy reported capillary hemangioma. Clinical diagnosis pointed towards hereditary hemorrhagic telangiectasia, as the patient reported recurrent spontaneous epistaxis and her 18-year-old daughter exhibited similar symptoms. Differential diagnosis was considered for CREST syndrome. She was referred to a physician to investigate possible arteriovenous malformations involving the lungs, liver, or central nervous system. Lip lesions were successfully treated with ethanolamine. The dentist can play a decisive role in the diagnosis of systemic diseases if he thoroughly explores the whole patients history.

Autor 1:  Nara Rúbia Pereira de SIQUEIRA

E-mail 1:  [email protected]

Autor 2:   Filipe Moreira BIOKINO

E-mail 2:  [email protected]

Autor 3 :  Vanessa MILANI

E-mail 3:  [email protected]

Autor 4:  Douglas Rangel GOULART

E-mail 4:  [email protected]

Autor 5:  Diego Antonio Costa ARANTES

E-mail 5:  [email protected]

Autor 6:  Elismauro Francisco de MENDONÇA

E-mail 6:  [email protected]

Autor 7:  Rejane Faria RIBEIRO-ROTTA

E-mail 7:  [email protected]