Oral Manifestations of Hemolytic Anemia: A Case Report

Hemolytic anemia is a condition when there is a decreased number of erythrocyte in the circulation due to premature destruction. Mucosal pallor, jaundice, and paresthesia may appear as the oral manifestations of hemolytic anemia. Case presentation: A 48-year-old man came to oral medicine clinic with complaint of discomfort and spontaneous bleeding from a bump on the left of his tongue. Bruises were noticed on arms and legs. Intraoral examinations showed pallor of the palatal and gingival mucosa, red black colored blood clot with spontaneous bleeding seen on the left lateral of his tongue and on the buccal mucosa. Complete blood count examination revealed blood disorders. Patient then was referred to the Internal Medicine Department who diagnosed him to have the warm type autoimmune hemolytic anemia with immune-mediated thrombocytopenia. Management of patient’s systemic condition by Internal Medicine Department had given a significant progress of general health and oral manifestations Conclusion: Dentist might be the first health professional who recognize oral conditions that usually reflect the early signs of systemic conditions. It is important for dentists to perform a complete examination to establish diagnosis and proper comprehensive treatment planning. Case Report (J Int Dent Med Res 2016; 9: (Special Issue), pp. 403-407)