Oral manifestations of leukemia as part of early diagnosis

Introduction: The oral cavity can present the first clinical manifestations of leukemia, therefore; it is important to recognize their principal characteristics. Objective: To identify oral manifestations as the first clinical signs of leukemia. Methods: This is an integrative review, that gathered...

Full description

Bibliographic Details
Main Authors: Reyna Aguilar Quispe, Elizabeth Marques Aguiar, Claudia Teresa de Oliveira, Ana Cristina Xavier Neves, Paulo Sérgio da Silva Santos
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Hematology, Transfusion and Cell Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2531137921013092
_version_ 1828407037645553664
author Reyna Aguilar Quispe
Elizabeth Marques Aguiar
Claudia Teresa de Oliveira
Ana Cristina Xavier Neves
Paulo Sérgio da Silva Santos
author_facet Reyna Aguilar Quispe
Elizabeth Marques Aguiar
Claudia Teresa de Oliveira
Ana Cristina Xavier Neves
Paulo Sérgio da Silva Santos
author_sort Reyna Aguilar Quispe
collection DOAJ
description Introduction: The oral cavity can present the first clinical manifestations of leukemia, therefore; it is important to recognize their principal characteristics. Objective: To identify oral manifestations as the first clinical signs of leukemia. Methods: This is an integrative review, that gathered data from articles with oral manifestations of leukemia as part of its first clinical features. The were included case reports, case series, clinical research, or reviews with case reports. The variables that were considered relevant: age, sex, sites of the oral lesions, characteristics of the oral lesions, medical history and physical examination, time of evolution, radiographic examination, blood test results, initial diagnosis, differential diagnosis and final diagnosis. Results: A total of 31 studies were included, with a total of 33 individuals identified. There were 19 (57.57%) males and 14 (42.42%) females. The age range was from 1.6 to 74 years. Acute myeloid leukemia (72.72%) and acute lymphoid leukemia (18.18%) presented more oral manifestations as the first clinical signs of the disease. All individuals with leukemia presented lesions, such as ulcer, erosion, bleeding, ecchymosis, color change of the bluish or pale mucous membranes and areas of tissue necrosis. Hard tissue lesions were less frequent, being 6 (18.18%). Conclusion: The first clinical manifestations of leukemia can be present in the oral cavity, mainly in acute myeloid leukemia. The principal oral tissues affected were gingival tissue, buccal mucosa and hard and/or soft palate. When hard tissues, such as the maxilla bone or mandible bone were affected, dental mobility was the principal clinical sign.
first_indexed 2024-12-10T11:19:50Z
format Article
id doaj.art-c4002b6b3074459fb886a30378359949
institution Directory Open Access Journal
issn 2531-1379
language English
last_indexed 2024-12-10T11:19:50Z
publishDate 2022-07-01
publisher Elsevier
record_format Article
series Hematology, Transfusion and Cell Therapy
spelling doaj.art-c4002b6b3074459fb886a303783599492022-12-22T01:51:01ZengElsevierHematology, Transfusion and Cell Therapy2531-13792022-07-01443392401Oral manifestations of leukemia as part of early diagnosisReyna Aguilar Quispe0Elizabeth Marques Aguiar1Claudia Teresa de Oliveira2Ana Cristina Xavier Neves3Paulo Sérgio da Silva Santos4Faculdade de Odontologia de Bauru da Universidade de São Paulo (FOB USP), Bauru, SP, Brazil; Corresponding author at: Department of Surgery, Stomatology, Pathology and Radiology, Alameda Dr. Otávio Pinheiro Brisola, 9-75, PC: 17012-901. Bauru, São Paulo, Brazil.Faculdade de Odontologia de Bauru da Universidade de São Paulo (FOB USP), Bauru, SP, BrazilHospital Estadual Bauru (HEB) Arnaldo Prado Curvelo, Bauru, SP, BrazilHospital Estadual Bauru (HEB) Arnaldo Prado Curvelo, Bauru, SP, BrazilFaculdade de Odontologia de Bauru da Universidade de São Paulo (FOB USP), Bauru, SP, BrazilIntroduction: The oral cavity can present the first clinical manifestations of leukemia, therefore; it is important to recognize their principal characteristics. Objective: To identify oral manifestations as the first clinical signs of leukemia. Methods: This is an integrative review, that gathered data from articles with oral manifestations of leukemia as part of its first clinical features. The were included case reports, case series, clinical research, or reviews with case reports. The variables that were considered relevant: age, sex, sites of the oral lesions, characteristics of the oral lesions, medical history and physical examination, time of evolution, radiographic examination, blood test results, initial diagnosis, differential diagnosis and final diagnosis. Results: A total of 31 studies were included, with a total of 33 individuals identified. There were 19 (57.57%) males and 14 (42.42%) females. The age range was from 1.6 to 74 years. Acute myeloid leukemia (72.72%) and acute lymphoid leukemia (18.18%) presented more oral manifestations as the first clinical signs of the disease. All individuals with leukemia presented lesions, such as ulcer, erosion, bleeding, ecchymosis, color change of the bluish or pale mucous membranes and areas of tissue necrosis. Hard tissue lesions were less frequent, being 6 (18.18%). Conclusion: The first clinical manifestations of leukemia can be present in the oral cavity, mainly in acute myeloid leukemia. The principal oral tissues affected were gingival tissue, buccal mucosa and hard and/or soft palate. When hard tissues, such as the maxilla bone or mandible bone were affected, dental mobility was the principal clinical sign.http://www.sciencedirect.com/science/article/pii/S2531137921013092LeukemiaDiagnosisOralMouthOral manifestations
spellingShingle Reyna Aguilar Quispe
Elizabeth Marques Aguiar
Claudia Teresa de Oliveira
Ana Cristina Xavier Neves
Paulo Sérgio da Silva Santos
Oral manifestations of leukemia as part of early diagnosis
Hematology, Transfusion and Cell Therapy
Leukemia
Diagnosis
Oral
Mouth
Oral manifestations
title Oral manifestations of leukemia as part of early diagnosis
title_full Oral manifestations of leukemia as part of early diagnosis
title_fullStr Oral manifestations of leukemia as part of early diagnosis
title_full_unstemmed Oral manifestations of leukemia as part of early diagnosis
title_short Oral manifestations of leukemia as part of early diagnosis
title_sort oral manifestations of leukemia as part of early diagnosis
topic Leukemia
Diagnosis
Oral
Mouth
Oral manifestations
url http://www.sciencedirect.com/science/article/pii/S2531137921013092
work_keys_str_mv AT reynaaguilarquispe oralmanifestationsofleukemiaaspartofearlydiagnosis
AT elizabethmarquesaguiar oralmanifestationsofleukemiaaspartofearlydiagnosis
AT claudiateresadeoliveira oralmanifestationsofleukemiaaspartofearlydiagnosis
AT anacristinaxavierneves oralmanifestationsofleukemiaaspartofearlydiagnosis
AT paulosergiodasilvasantos oralmanifestationsofleukemiaaspartofearlydiagnosis