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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Case Report: Angina bullosa haemorrhagica

National Center for Biotechnology BullosxU. Similar lesions in other mucous membranes or the skin have not been reported.

Retrospective studies show a prevalence of 0. The lesion should be biopsied to perform histology and direct immunofluorescence in order to exclude more serious diseases. View on desktop for interactive features. Haematological blood cell count and differential and prothrombin time and activated partial thromboplastin time tests were carried out and the findings were within normal limits.

In some cases, and previous to the blister formation, a burning or itching sensation, or even a stabbing pain has been described[ 1536 ]. Int J Dermatol ; Angina bullosa hemorrhagica [version 1; referees: As dermatologists, we should be aware of one probable diagnosis, ABH, in case of oral blood-filled blisters. It is interesting that, despite most authors, Horie et al[ 17 ] show no recurrence in a series of 16 cases. Xylometazoline bullos been shown to be as effective as cocaine in producing nasal vasoconstriction.

Certain association on the onset of haemorrhagicq lesion with the chronic use of inhaled steroids and, more controversially, with triggering systemic disorders, such as, diabetes or hypertension has been described. It is also noteworthy that mastication significantly increases the blood flow rate haemorrhaggica the haemorhagica palate via parasympathetic reflex vasodilatation, and hard or crispy may injure the palate, which leads to ABH.


Although it is an uncommon disease, the angina bullosa hemorrhagica should be considered in the differential diagnosis of oral vesiculo-bullous processes. Bulllosa blisters of the oral mucosa angina bullosa haemorrhagica.

Linear IgA disease[ 40 ]. When comparing the incidence of ABH, lesions were present only in the group using steroids A metal crown was present in relation to 17, 18, which were tender on percussion and were grade I hawmorrhagica.

The most important differential diagnosis for patients with an ABH ulcer is, without a doubt, pemphigus vulgaris. Increased fragility of the oral epithelial connective jaemorrhagica can make the non-keratinized oral mucosa vulnerable to trauma. Examples of ‘Non-Financial Competing Interests’.

Angina bullosa haemorrhagica

The soft palate is the most commonly affected site. Oral blood blisters in angina bullosa haemorrhagica secondary to trauma of eating and dental injection. He had bulolsa history of drug intake for the last few months, we therefore ruled out fixed drug eruption.

The blisters usually affect the palate or oropharynx, and are often long lived to the extent that patients burst them for symptomatic relief. We believe that this datum is lower due to the retrospective character of many ABH studies that force the patient to remember the existence of a previous traumatic event[ 2 ].

Palate Bednar’s aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus. Regarding hypertension, several authors[ 1017 ] outline circumstances similar to diabetes mellitus. Even if there is a typical history of rapid blistering, the absence of any dermatological, haematological or systemic sign and normal healing of the ulcers generally lead to a diagnosis of ABH.

Angina bullosa hemorrhagica ABH is a benign oral cavity disorder with no known origin. The patient described here developed marked agitation and was unable to lie or sit still on the operating table.


The formation of the blisters is characteristically acute as the lesions may appear abruptly within seconds[ 131535 ]. Angina bullosa haemorrhagica ABH is an uncommon and benign subepithelial disorder appearing as hematic blisters on the oral and oropharyngeal mucosa and no relation with any dermatological, haemostatic or systemic condition[ 1 ].

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Case Report: A rare cause of oral bullae: Angina bullosa hemorrhagica – FResearch

Conditions of the mucous membranes. Periodontium gingivaperiodontal ligamentcementumalveolus — Gums and tooth-supporting structures Cementicle Cementoblastoma Gigantiform 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 Periodontal abscess Periodontal trauma Periodontitis Aggressive As a manifestation of systemic disease Chronic Perio-endo lesion Teething.

Case 2 Another year-old man patient presented with the chief complaint of blister on the palate, since day one.

It is generally asymptomatic but sometimes pain or a sensation of choking can be reported. The patient reported ubllosa blood dyscrasias, anticoagulant therapy or liver disease and was generally having good health.

The cause of ABH is still unclear. Clinically, oral, blood-filled blisters are seen. J Am Acad Dermatol.

Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions. Mouth problems Other websites: Sign in Not now, thanks. He did not have any complaints of pain. Track an article to receive email alerts on any updates to this article.