Patigaroo Suhail Amin, Sarah Mehrukh, Nafees Rezwana, Showkat Showkat A
Postgraduate Department of ENT and HNS, Government Medical College Srinagar, Srinagar, JK India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2293-2297. doi: 10.1007/s12070-023-03618-3. Epub 2023 Feb 25.
Angina bullosa haemorrhagica (ABH) is characterized by the recurrent appearance of haemorrhagic bullae on the oropharyngeal mucosa which rupture spontaneously leading to complete recovery within a weeks' time without any scarring. We report the clinical features of six cases of ABH. A cross-sectional observational study was performed. A total of six cases of ABH fulfilling the Ordioni et. al. criteria for diagnosis of ABH were enrolled.The age of our patients were 65, 25, 20, 35, 55 and 48 years. Four of them were females (67%), whereas two were males (33%).Retromolar trigone involvement was most common.The chief complaint in all was reddish bulla(e) in the oral cavity of 1 day duration. Five of the patients had solitary lesions, while one had multiple lesions. The lesions measured from 1 to 3 cm in diameter. Complete blood counts and clotting factors were normal in all patients. All cases healed within a week's time. ABH is not a very common disorder encountered by ENT surgeons, dermatologists, general practitioners, and the lack of knowledge of its normal presentation can lead to unnecessary anxiety and incorrect treatment. The typical hemorrhagic bulla(e) usually erupt after eating hard, hot, or spicy food. These lesions heal spontaneously and treatment is not necessary except for reassurance and mild anxiololytics.
出血性大疱性咽峡炎（ABH）的特征是口咽黏膜反复出现出血性大疱，这些大疱会自发破裂，在一周内完全恢复且不留任何疤痕。我们报告6例ABH的临床特征。进行了一项横断面观察性研究。共纳入6例符合奥尔迪尼等人ABH诊断标准的病例。我们患者的年龄分别为65岁、25岁、20岁、35岁、55岁和48岁。其中4例为女性（67%），2例为男性（33%）。磨牙后三角受累最为常见。所有人的主要主诉均为口腔内出现持续1天的红色大疱。5例患者有单个病灶，1例有多个病灶。病灶直径为1至3厘米。所有患者的全血细胞计数和凝血因子均正常。所有病例均在一周内愈合。ABH并非耳鼻喉科医生、皮肤科医生、全科医生经常遇到的疾病，对其正常表现缺乏了解可能会导致不必要的焦虑和错误的治疗。典型的出血性大疱通常在食用硬的、热的或辛辣食物后出现。这些病灶会自发愈合，除了给予安慰和使用轻度抗焦虑药外，无需治疗。
