O uso de anticoagulante induzindo o sangramento bucal

dc.contributor.authorCosta, Victor [UNESP]
dc.contributor.authorKaminagakura, Estela [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2018-12-11T16:50:20Z
dc.date.available2018-12-11T16:50:20Z
dc.date.issued2017-07-01
dc.description.abstractWarfarin is an anticoagulant used to prevent thrombosis, cardiac arrhythmias, atrial fibrillation, and recurrence of pulmonary embolism. A 69-year-old male patient reported episodes of four heart attacks, stroke, pulmonary emphysema, varicose veins, thyroid dysfunction, and a history of angioplasty. They use daily dose of 5 mg. Intraoral clinical examination revealed a bleeding nodular lesion of purple color with irregular borders and a smooth surface. The prothrombin time was 68.9 seconds, activity was 10%, and the international normalized ratio (INR) was 8.26. Based on these results, the patient received a single dose of 2.5 mg vitamin K via subcutaneous route. The final diagnosis was oral anticoagulant-induced lesions. Clinicians should be familiar with the side effects of anticoagulants, which are rare in the oral cavity, but can be life-threatening if diagnosed late or inaccurately, especially in older patients that often use many drugs.en
dc.description.affiliationSão Paulo State University (Unesp) Institute of Science and Technology Department of Biosciences and Oral Diagnosis
dc.description.affiliationUnespSão Paulo State University (Unesp) Institute of Science and Technology Department of Biosciences and Oral Diagnosis
dc.format.extent158-160
dc.identifierhttp://dx.doi.org/10.14295/bds.2017.v20i3.1379
dc.identifier.citationBrazilian Dental Science, v. 20, n. 3, p. 158-160, 2017.
dc.identifier.doi10.14295/bds.2017.v20i3.1379
dc.identifier.issn2178-6011
dc.identifier.scopus2-s2.0-85032710231
dc.identifier.urihttp://hdl.handle.net/11449/170336
dc.language.isoeng
dc.relation.ispartofBrazilian Dental Science
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectAnticoagulant
dc.subjectHemorrhage
dc.subjectMouth
dc.subjectWarfarin
dc.titleO uso de anticoagulante induzindo o sangramento bucalpt
dc.title.alternativeAnticoagulant-induced oral bleedingen
dc.typeArtigo

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