Abstract

BENITO, Marisol et al. Manejo odontológico de pacientes con enfermedades hemorrágicas y terapia anticoagulante: Revisión bibliográfica. Acta odontol. venez [online]. 2004, vol.42, n.2, pp.138-145. ISSN 0001-6365.

The clinical history has a great significance in the management of any patient, symptoms and signs suggesting bleeding disease can be mainly of two types: the most frequently observed in the alterations of the factors of clotting and those, the commonest in disturbances of primary hemostasis, platelet or vascular, known as purpura or purpuric syndrome. Petechiae - small pointform capillary bleeding; they are common in cases of purpuric syndrome, and they can be more intense or confluent in sites of pressure. Ecchymosis is the infiltration on the skin or mucoses of extravasated blood (purpure lesion), they are usually associated with petechiae in the purpuric syndrome; however, they can be seen in large size in clotting disturbances and hiperfibrinolytic syndromes. Hematoma - collection of extravasated blood in muscles or deep tissues are frequent in clotting system defects, as well as hemarthrosis. It is an intra joint hemorrhage almost pathognomonic of severe inherit clotting disturbance (Hemophilia A and B). The purpuric bleeding is characterized by mococutaneous hemorrhages, (petechiae, ecchymosis, menorrhages, hematuria or bleeding of the digestive system). Usually, they are multiples, and sometimes they appear after superficial injuries, the bleeding start, shortly after the vascular rupture. All those clinical manifestations are important for the dentist Knowledge to avoid non desirable complications

Keywords : Hemostasis; Clotting; Bleeding; Hemophilia; Purpura; Petechiae; Ecchymosis; Hematoma; Management in Dentistry.