Angina bullosa haemorrhagica (ABH) is a condition of the mucous membranes characterized by the sudden appearance of one or more blood blisters within the . Angina bullosa hemorrhagica (ABH) is an enigmatic oral disorder Angina bullosa haemorrhagica (ABH) is an uncommon and benign. Angina bullosa haemorrhagica. Authoritative facts about the skin from DermNet New Zealand.

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We describe a case of ABH where a rapidly expanding bulla caused obstruction of the oropharynx. Mouth problems Other haemorrhagixa Cocaine induced coronary vasoconstriction. Other conditions which may need consideration include mucous membrane pemphigoidbullous pemphigoidlichen planusepidermolysis bullosadermatitis herpetiformislinear IgA disease and oral amyloidosis.

The main clinical characteristics that differentiate these entities are shown in Table 2. This is an open access article distributed under the terms of the Creative Commons Attribution Licencewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The most important differential diagnosis for bbullosa with an ABH ulcer is, without a doubt, pemphigus vulgaris. It may also follow trauma caused by eating, hot drinks, dental procedures or shouting.

Consent Written informed consent was obtained from the patient for publication of his clinical details and images.

This is a case of acute airway obstruction caused by an extensive haemorrhagic blister in the oropharynx. Only sometimes do they become artefactual problems, burns and posttraumatic mucosal lesions.

Angina Bullosa Hemorrhagica: Report of Two Cases

Linear IgA disease[ 40 ]. It is also noteworthy that mastication significantly increases the blood flow rate in the soft palate via parasympathetic reflex vasodilatation, and hard or crispy may injure the palate, which leads to ABH. Deblauwe BM, van der Waal I: Track an article to receive email alerts on any updates to this article. Angina bullosa haemorrhagica rare cause of upper airway obstruction. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.


It is important for the dentist to acknowledge this condition as to differentiate it from other oral vesicular processes with a poorer prognosis such as Pemphigus Vulgaris, Mucous Membrane Pemphigoid or certain hematological diseases. Trauma by sharp cusp of adjacent tooth and metal crown were identified as aetiological factors in this case. You registered with F via Facebook, so we cannot reset your password.

Atypical lesion on soft palate: Published online Feb 8. Characteristically, the ABH blisters are acute and are located on the lining mucosa, more frequently on the soft palate.

Although our patient suffered from SLE, which may cause oral ulceration, no vasculitis was evident on histopathology, making SLE an unlikely cause.

Email address not valid, please try again. In14 patients were presented, and inthe clinical and histological features were detailed and documented.

Angina bullosa haemorrhagica

He suspected that hot drinks and crispy food were the cause. The patient was able to protrude the mandible normally Calder Class A 1and the thyromental distance was greater than 6. Patients with bleeding disorders thrombocytopenia and von Willebrand’s disease can present with intraoral blood-filled lesions but a haemostatic function test will distinguish between these conditions. The cause of ABH is still unclear. The management of a patient presenting with oral blood-filled bullae should start with a detailed medical history and careful examination to differentiate ABH from other more serious diseases.

Approved with reservations Key revisions are required to address specific details and make the paper fully scientifically sound. Angina bullosa haemorrhagica is the term used to describe benign subepithelial oral mucosal blisters filled with haemorrhagicq that are not attributable to a systemic disorder or haemostatic defect. Angina bullosa hemorrhagic ABH describes the acute and sometimes painful onset of oral blood-filled vesicles and bullae, not attributable to blood dyscrasia, vesiculobullous disorders, systemic diseases or other known causes.

Consider the following examples, but note that this is not an exhaustive list:. Bullous amyloidosis[ 42 ]. Angina bullosa hemorrhagica of soft palate: This diagnosis must be kept in mind in oral mucosal pathologies.


Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures Cementicle Cementoblastoma Buloosa Cementoma Eruption cyst Epulis Pyogenic granuloma Congenital epulis Gingival enlargement Gingival cyst of the adult Gingival cyst of the newborn Gingivitis Desquamative Granulomatous Plasma cell Hereditary gingival fibromatosis Hypercementosis Hypocementosis Linear gingival erythema Necrotizing periodontal diseases Acute necrotizing ulcerative gingivitis Pericoronitis Peri-implantitis Haemorrhagicx abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething.

The soft palate is the most common site. In cases of solitary lesions showing the typical characteristics of ABH acute onset and associated to a traumatic event a biopsy is often unnecessary[ 17 ].

Angina Bullosa Hemorrhagica: Report of Two Cases

ajgina A 43 year-old male patient was admitted to our dermatology and venereology outpatient clinic with a complaint of a dark red, oral blister. On examination of the skin, there was nothing but a few seborrheic keratoses. When comparing the incidence of ABH, lesions were present only in the group using steroids If a biopsy is taken in angina bullosa haemorrhagica, a blister will be found under the mucosa lining of the mouth.

Nasopalatine duct Median mandibular Median palatal Traumatic bone Osteoma Osteomyelitis Osteonecrosis Bisphosphonate-associated Neuralgia-inducing cavitational osteonecrosis Osteoradionecrosis Osteoporotic bone marrow defect Paget’s disease of bone Periapical abscess Phoenix abscess Periapical periodontitis Stafne defect Haemorrrhagica mandibularis.

Angina bullosa hemorrhagica an enigmatic oral disease

It is possible that considering that both entities share the same age range and that diabetes has a high incidence among adults, it could be a coincidental buloosa and not a direct pathological association. Benign hemorrhagic bullous stomatitis]. Basal cell adenoma Canalicular adenoma Ductal papilloma Monomorphic adenoma Myoepithelioma Oncocytoma Papillary cystadenoma lymphomatosum Pleomorphic adenoma Sebaceous adenoma Malignant: Authors discard other common cause of these bullae that is the thrombocytopenic purpura.