Yeager D A
J Am Dent Assoc. 1975 Mar;90(3):640-3. doi: 10.14219/jada.archive.1975.0132.
A patient with classic symptoms of blood dyscrasia, specifically idiopathic thrombocytopenic purpura, failed to receive laboratory tests because the condition had gone undetected by a dentist and a physician. However, after the patient was given a provisional diagnosis supported by laboratory test results, one of the general treatment procedures for idiopathic thrombocytopenic purpura that consisted of a regimen of corticosteroids was instituted and was proved successful. More radical procedures, such as transfusions of fresh whole blood or of fresh platelets, or a splenectomy, were unnecessary. The responsibility of a dentist to detect oral changes that are not of dental origin is emphasized.
一名患有典型血液系统疾病症状，具体为特发性血小板减少性紫癜的患者，由于牙医和医生均未察觉该病情，未能接受实验室检查。然而，在根据实验室检查结果给出初步诊断后，针对特发性血小板减少性紫癜启动了一种由皮质类固醇疗法组成的常规治疗程序，并被证明是成功的。更激进的程序，如输注新鲜全血或新鲜血小板，或进行脾切除术，则没有必要。强调了牙医发现非牙科源性口腔变化的责任。
