Oral Manifestations of Bicytopenia: A Case Report

Abstract

Cytopenia’s are frequently seen haematological disorders encountered in daily clinical practice. Bicytopenia is defined as a decrease in any of the two cell lines of the blood i.e., Red Blood Cells (RBC), White Blood Cells (WBC), or platelets. Though bleeding gums is a common complaint in dental practice, bleeding of gums as a result of systemic diseases is rare. The author presents a case of a 65-year-old male patient who reported spontaneous bleeding of the gums. The patient was diagnosed with gingival bleeding secondary to bicytopenia. Gingival bleeding was treated with local styptic agents and systemic platelet infusion as recommended by a haematologist. The patient was also prescribed antifibrinolytics and antibiotics for further dental management. This case reports highlights the concerns about the oral manifestations and the dentist’s responsibility to be familiar with the recognition and customised management of patients with Bicytopenia by analysing the clinical and haematological profiles of patients.

Keywords

• bleeding disorder
• gingival bleeding
• haemorrhage