Faverani Leonardo Perez, Gaetti-Jardim Ellen Cristina, Ramalho-Ferreira Gabriel, Gulinelli Jessica Lemos, Queiroz Thallita Pereira, Garcia Júnior Idelmo Rangel
Araçatuba Dental School, Univ. Estadual Paulista, Araçatuba, SP, Brazil.
Braz Dent J. 2011;22(5):435-8. doi: 10.1590/s0103-64402011000500015.
The von Willebrand disease (vWD) is a hereditary coagulopathy. There is no gender predilection. Clinically characterized by mucocutaneous bleeding, especially nose bleeding, menorrhagia and bleeding after trauma. This article reports a case of a 52-year-old Caucasian male patient with vWD, who presented with extensive bleeding in the tongue after a lacerating injury caused by accidental biting, and describes some clinical, pathological and treatment aspects of vWD. After repeated attempts to suture the wound and replace clotting factors, a decision was made to perform the ligature of the external carotid artery ipsilateral to the injury. There was favorable resolution of the case, with a good aspect of the scar 2 months after ligation. This case reinforces that it is extremely important to make a thorough review of medical history of all patients, searching for possible bleeding disorders or previous family history.
血管性血友病（vWD）是一种遗传性凝血障碍疾病。该病无性别倾向。临床特征为皮肤黏膜出血，尤其是鼻出血、月经过多及外伤后出血。本文报道了一例52岁的白种男性血管性血友病患者，其因意外咬伤导致舌部撕裂伤后出现广泛出血，并描述了血管性血友病的一些临床、病理及治疗方面的情况。在反复尝试缝合伤口及补充凝血因子后，决定对损伤同侧的颈外动脉进行结扎。该病例预后良好，结扎术后2个月瘢痕外观良好。该病例强调了全面回顾所有患者的病史以寻找可能的出血性疾病或既往家族史的极端重要性。
