James W D, Guiry C C, Grote W R
Oral Surg Oral Med Oral Pathol. 1984 Feb;57(2):149-51. doi: 10.1016/0030-4220(84)90202-0.
A 35-year-old man had hemorrhagic bullae of the buccal and sublingual mucosa as the first sign of acute idiopathic thrombocytopenic purpura. Twenty-four hours later the more typical cutaneous manifestations of petechiae of the lower extremities were present. Although it is unusual for the initial symptoms of this disease to be limited to the oral region, the physician and dentist should be keenly aware of the clinical appearance described in this article, as it may be the only clue of an underlying systemic disease.
一名35岁男性，颊部和舌下黏膜出现出血性大疱，这是急性特发性血小板减少性紫癜的首发症状。24小时后，出现了更为典型的下肢瘀点皮肤表现。虽然该病的初始症状局限于口腔区域并不常见，但医生和牙医应敏锐地意识到本文所描述的临床表现，因为它可能是潜在全身性疾病的唯一线索。
