牙齦異常出血與特發性血小板減少紫斑症－病例報告

Gingival Bleeding Disorders and Idiopathic Thrombocytopenic Purpura: Case Report

林益弘(Yi-Hung Lin) ； 蔡國陽(Kuo-Yang Tsai) ； 陳佳菁(Chia-Ching Chen) ； 許仁信(Jen-Hsin Hsu) ； 盧俊泰(Chun-Tai Lu)

《臺灣牙周病醫學會雜誌》 13卷4期 (2008/12) Pp. 291-299

摘要

臨床上遇到牙齦異常出血的病人，除了觀察口腔內部情形外，也應考慮到全身性的疾病，特別是血液方面的問題，是否爲造成牙齦異常出血的主因。一旦懷疑與血液方面的問題有關，需藉由抽血檢查與會診該疾病相關科別，以確定診斷來找出異常出血原因。此病例爲特發性血小板減少紫斑症(idiopathic thrombocytopenic purpura)所造成的牙齦異常出血，患者除了口腔內的病徵外，在臉部與四肢的皮膚均出現小紫斑點，抽血檢查結果發現血小板只有13,000/μL，經過血液腫瘤科醫師以藥物治療後，血小板已回複至正常值範圍內，且牙齦也不再有異常出血情形。

關鍵字

牙齦異常出血 ； 特發性血小板減少紫班症 ； 血小板減少症

並列摘要

Clinically, we need to exam the oral condition of patients with gingival bleeding disorders. Otherwise, we should consider their systemic diseases, especially the problems of hemostasis which is the major cause of gingival bleeding disorders. Once disorders of hemostasis was suspected, we need to arrange blood tests and consult relative specialists to make sure our diagnosis. The case was idiopathic thrombocytopenic purpura which caused gingival bleeding. Except the patient's oral symptoms, patechiae was noted on the skin of face and extremity, and the platelet count was only 13,000/μL. After the treatment with steroid prescribed by the hemo-oncologist, the platelet count increased to normal range, and gingival bleeding disorders also disappeared.

並列關鍵字

gingival bleeding disorders ； idiopathic thrombocytopenic purpura ； thrombocytopenia