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 aim to present this case in order to emphasize this rare cause of oral bullae which is necessary to be differentiated from many serious dermatological and hematological disorders. Occasionally, neutrophils may be seen.

Benign hemorrhagic bullous stomatitis]. Isolated cases of ABH from other traumatisms have been described, including intubations or endoscopies[ 126 ], or even after coughing or sneezing roughly[ 1115 ].

Epidermolysis bullosa acquisita[ 41 ].

Hopkins R, Walker DM: A rare cause of oral bullae: Subepithelial blister and a few inflammatory cells seen in routine hematoxylin and eosin section 10x. How to jaemorrhagica this article. He suspected that hot drinks and crispy food were the cause. Martini et al [ 19 ].

High, indescribed the relationship between the chronic inhalation of steroids and ABH. In these cases, the prolonged contact of the steroid with the oral mucosa xngina cause epithelial atrophy and may alter the distribution of the chorionic elastic fibers, which would weaken the epithelium-connective tissue junction, and would favor the onset of a subepithelial blister in a local traumatic event[ 192829 ].


Blood blisters of the oral mucosa angina bullosa haemorrhagica J Am Acad Dermatol. Later, other synonyms like localized oral purpura and stomatopompholyx hemorrhagica were also used 2. The connective tissue disorders. Consider the following examples, but note that this is not an exhaustive list:.

Some patients report burning just before the blister onset, but pain and burning disappear after the bursting of the bullae 3. Write to the Help Desk.

Authors discard other common cause of these bullae that is the thrombocytopenic purpura. Despite most authors, Rosa et al[ 10 ], in their study on 47 patients, observed that most lesions measured less than 1 cm in diameter. There were a few inflammatory cells and the subepithelial space was filled with erythrocytes Figure 2.

A 43 year-old male patient was admitted to our dermatology and venereology outpatient clinic with a complaint of a dark red, oral blister.

Competing interests No competing interests were disclosed.

Investigations The patient reported no blood dyscrasias, anticoagulant therapy or liver disease and was generally having good health. Open in a separate window. The size of the bulla and free blood in the airway hindered visualization of haemorrhhagica larynx and intubation of the trachea by either fibreoptic endoscopy or direct laryngoscopy.

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

Angina bullosa haemorrhagica presenting as acute upper airway obstruction. The differential diagnosis should consider all oral vesiculo-bullous disorders with hematic content, including mucocutaneos, hematological or cystic pathology. Studies with direct immunofluorescence may be useful to rule out other oral vesiculo-bullous diseases of an immunological basis and with a poorer prognosis, such as Pempighus Vulgaris or Mucous Membrane Pemphigoid[ 14 ].


On dermatological examination we observed a tense, blood-filled bullae on his tongue with no additional dermatologic finding Figure 1. J Eur Acad Dermatology Venereol. Over the next 2 days there was a continuous ooze of blood from the oral lesions. None are usually needed unless the above conditions need to be excluded.

Angina bullosa haemorrhagica

January 12, Published online: Angina bullosa hemorrhagica ABH is a benign disorder of the oral cavity. With this in mind, we elected firstly not to advance the fibrescope beyond the nasopharynx blindly into the narrowed airway containing blood and secretions, and secondly to make only one attempt. He had visited a few physicians but had not been able to get a proper diagnosis and because the blisters healed spontaneously he did not seek medical advice about his condition.

Serra et al [ 31 ].

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Management of these lesions should be symptomatic. Clinical and laboratory features in 30 patients.