未确诊的多发性骨髓瘤导致广泛牙龈出血：病例报告及文献复习

Undiagnosed multiple myeloma causing extensive dental bleeding: report of a case and review.

作者信息

Mozaffari Eisa, Mupparapu Muralidhar, Otis Linda

机构信息

Department of Oral Medicine, University of Pennsylvania, School of Dental Medicine, Philadelphia, 19104, USA.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Oct;94(4):448-53. doi: 10.1067/moe.2002.125201.

DOI:10.1067/moe.2002.125201

PMID:12374918

Abstract

A case of multiple myeloma causing profuse bleeding during a minor dental surgical procedure is presented. The value of dental radiography in detection of bone changes associated with an undiagnosed case of multiple myeloma is highlighted. We show that the extensive bleeding during the dental procedure could have been prevented if the panoramic radiograph had been evaluated carefully before initiation of the treatment. In addition, we briefly discuss the etiologic factors responsible for the formation of hemostatic abnormalities in multiple myeloma and the value of imaging methods used in diagnostic assessment of the disease.

摘要

本文介绍了一例多发性骨髓瘤患者在进行小型牙科手术时发生大量出血的病例。强调了牙科X线摄影在检测与未确诊的多发性骨髓瘤相关的骨骼变化中的价值。我们表明，如果在治疗开始前仔细评估全景X线片，牙科手术期间的大量出血本可避免。此外，我们简要讨论了多发性骨髓瘤中导致止血异常形成的病因因素以及用于该疾病诊断评估的成像方法的价值。