Oral Findings in Anaemias

Popovska, Mirjana and Petrovski, Mihajlo and Atanasovska-Stojanovska, Aneta and Antovska, Zorica and Djurcevski, Jordan (2010) Oral Findings in Anaemias. Balkan Journal of Stomatology, 12 (3). pp. 145-148. ISSN 1107-1141

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Abstract

With intention to contribute to clinical findings at children with haematology disorders, we formed the aim of our project - to notice the oral signs and symptoms at patients diagnosed with anaemia and acute leucosis, depending of disease’s duration, in order to realize similarities and differences between them. 40 children at age of 1-12 year, hospitalized at the Paediatric Clinic, Department of Haematology and Oncology, were examined. Anaemia wasdiagnosed in 15, and acute leucosis in 25 patients. Clinical examination consisted of inspection and palpation. Subjective parameters (pain,burning, indefinite taste, xerostomia) and objective signs (oral mucosa colour, bleeding, mucosal and lip changes and loss of tongue papillae) were evidenced in all patients. The results showed that patients with anaemia (the disease was diagnosed at least 15 days previously) had exceptionally pale oral mucosa, evident loss of tongue papillae, angular cheillitis, glossodynia and glossopirosis. If the duration of the disease was at least 2 years, glossodinia and glossopirosis were discreet and weakly expressed, and cheillitis sicca was objectively present. Subjects with acute leucosis had comparatively much more prominent signs: burning pain and swelling were evident and strong, mouth opening limited, and there was a diffuse erythema throughout the oral cavity (the oral cavity was coloured red). Gingivitis with spontaneous bleeding, cheillitis exfolliativa exudativa and pale face were also present regardless time when the disease was diagnosed. It was concluded that differences in oral clinical signs were due to bone marrow insufficiency in patients with leucosis, which influences all blood cells, and is manifested by disruption local immunity, in comparison with primary hypo-oxygenation present in patients with anaemias. Keywords: Blood Disorders; Anaemia; Leucosis; Bleeding, oral

Item Type: Article
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Mihajlo Petrovski
Date Deposited: 05 Mar 2018 13:10
Last Modified: 05 Mar 2018 13:10
URI: http://eprints.ugd.edu.mk/id/eprint/19688

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