European Journal of Biomedical and Pharmaceutical Sciences

IDIOPATHIC THROMBOCYTOPENIC PURPURA: A CASE REPORT AND REVIEW

*Dr. Anitha Raghunathan and Dr. Divya Raghunathan

ABSTRACT

Hemopathies are categorized in three large groups, according to the nature of the altered hematologic component. Thus, they are divided into disorders that affect erythrocytes (red blood cells), leucocytes (white blood cells) and hemorrhagic disorders, among which are included platelet and coagulation factor alterations2. The oral manifestations of haematological diseases may be the initial clinical sign that serves to inform the clinician for a detailed assessment. Idiopathic thrombocytopenic purpura is an acquired platelet disorder reported to have spontaneous hemorrhagic gingiva as one of the earliest manifestations, sometimes as a presenting symptom. It is very important for general dentists to be aware of such conditions as prolonged bleeding may occur as a life-threatening complication during and post treatment of such patients. The bleeding in ITP is mucocutaneous, manifesting as pete¬chiae, purpura, easy bruising, epistaxis, gingival bleeding, and menorrhagia. However ITP remains as a diagnosis of exclusion.

Keywords: hemorrhagic disorders, idiopathic thrombocytopenia, gingiva, purpura.