Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic Leukemia
Acute myeloid leukemia is an aggressive malignant neoplasm occurring mainly in elderly, with the median age of 65 years. Oral manifestations, mainly spontaneous bleeding, are a common finding in acute myelocytic leukemia and may represent the initial evidence of the disease. This report describes a...
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| Format: | Article |
| Language: | English |
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University of Zagreb. School of Dental Medicine
2018-01-01
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| Series: | Acta Stomatologica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/312160 |
| _version_ | 1827282787578675200 |
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| author | Bianca Piscinato Piedade Rosa Fábio Augusto Ito Fausto Celso Trigo Lauro Toyoshi Mizuno Ademar Takahama Junior |
| author_facet | Bianca Piscinato Piedade Rosa Fábio Augusto Ito Fausto Celso Trigo Lauro Toyoshi Mizuno Ademar Takahama Junior |
| author_sort | Bianca Piscinato Piedade Rosa |
| collection | DOAJ |
| description | Acute myeloid leukemia is an aggressive malignant neoplasm occurring mainly in elderly, with the median age of 65 years. Oral manifestations, mainly spontaneous bleeding, are a common finding in acute myelocytic leukemia and may represent the initial evidence of the disease. This report describes a case of a 47-year-old man with a one-month history of spontaneous oral bleeding. The patient had already been consulted by two professionals but he remained undiagnosed. The physical examination revealed paleness, fever, epistaxis and ecchymoses in the oral mucosa. The complete blood count revealed anemia, severe thrombocytopenia and leukocytosis with blasts predominance, reinforcing the diagnosis hypothesis of an acute leukemia. The patient was immediately referred to the Hospital and despite having received a quick intervention, he died 3 days after the admission due to diffuse pulmonary alveolar hemorrhage. According to the peripheral blood immunophenotyping the diagnosis of hypogranular variant of acute promyelocytic leukemia was established. The delay in the diagnosis may have influenced the unfavorable outcome. Early diagnosis and management are indispensable for survival of leukemia patients. In this way, dentists may be responsible for an early detection of oral manifestations of leukemia and for a fast referral to an adequate professional. |
| first_indexed | 2024-04-24T09:25:07Z |
| format | Article |
| id | doaj.art-d784e787b7b54202b73fd7f9f4a73840 |
| institution | Directory Open Access Journal |
| issn | 0001-7019 1846-0410 |
| language | English |
| last_indexed | 2024-04-24T09:25:07Z |
| publishDate | 2018-01-01 |
| publisher | University of Zagreb. School of Dental Medicine |
| record_format | Article |
| series | Acta Stomatologica Croatica |
| spelling | doaj.art-d784e787b7b54202b73fd7f9f4a738402024-04-15T15:14:23ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102018-01-0152435836210.15644/asc52/4/10Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic LeukemiaBianca Piscinato Piedade Rosa0Fábio Augusto Ito1Fausto Celso Trigo2Lauro Toyoshi Mizuno3Ademar Takahama Junior4Department of Oral Medicine University Estadual de Londrina. Rua Pernambuco 540, Londrina-PR. BrasilDepartment of Oral Medicine University Estadual de Londrina. Rua Pernambuco 540, Londrina-PR. BrasilDepartamento de Clínica Médica – Universidade Estadual de Londrina. Av. Robert Koch 60, Londrian-PR. BrasilDepartment of Oral Medicine University Estadual de Londrina. Rua Pernambuco 540, Londrina-PR. BrasilDepartment of Oral Medicine University Estadual de Londrina. Rua Pernambuco 540, Londrina-PR. BrasilAcute myeloid leukemia is an aggressive malignant neoplasm occurring mainly in elderly, with the median age of 65 years. Oral manifestations, mainly spontaneous bleeding, are a common finding in acute myelocytic leukemia and may represent the initial evidence of the disease. This report describes a case of a 47-year-old man with a one-month history of spontaneous oral bleeding. The patient had already been consulted by two professionals but he remained undiagnosed. The physical examination revealed paleness, fever, epistaxis and ecchymoses in the oral mucosa. The complete blood count revealed anemia, severe thrombocytopenia and leukocytosis with blasts predominance, reinforcing the diagnosis hypothesis of an acute leukemia. The patient was immediately referred to the Hospital and despite having received a quick intervention, he died 3 days after the admission due to diffuse pulmonary alveolar hemorrhage. According to the peripheral blood immunophenotyping the diagnosis of hypogranular variant of acute promyelocytic leukemia was established. The delay in the diagnosis may have influenced the unfavorable outcome. Early diagnosis and management are indispensable for survival of leukemia patients. In this way, dentists may be responsible for an early detection of oral manifestations of leukemia and for a fast referral to an adequate professional.https://hrcak.srce.hr/file/312160Leukemia, Promyelocytic, AcuteOral ManifestationsOral HemorrhageDelayed Diagnosis |
| spellingShingle | Bianca Piscinato Piedade Rosa Fábio Augusto Ito Fausto Celso Trigo Lauro Toyoshi Mizuno Ademar Takahama Junior Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic Leukemia Acta Stomatologica Croatica Leukemia, Promyelocytic, Acute Oral Manifestations Oral Hemorrhage Delayed Diagnosis |
| title | Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic Leukemia |
| title_full | Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic Leukemia |
| title_fullStr | Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic Leukemia |
| title_full_unstemmed | Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic Leukemia |
| title_short | Oral Manifestation as the Main Sign of an Advanced Stage Acute promyelocytic Leukemia |
| title_sort | oral manifestation as the main sign of an advanced stage acute promyelocytic leukemia |
| topic | Leukemia, Promyelocytic, Acute Oral Manifestations Oral Hemorrhage Delayed Diagnosis |
| url | https://hrcak.srce.hr/file/312160 |
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