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Multiple Mandibular Idiopathic Bone Cavities in a Patient with Immune Thrombocytopenia : A Case Report

J Korean Dent Assoc > Volume 51(1); 2013 > Article
The Journal of The Korean Dental Association 2013;51(1):25-32.
Published online January 31, 2013.
면역성혈소판감소증 환자의 하악골에 발생한 다발성 특발성골강 : 증례보고
백영재1, 금동호2, 이정한3, 김성희4, 안경용5, 김욱규6
1부산대학교 치의학전문대학원 구강외과학교실
2부산대학교 치의학전문대학원 구강외과학교실
3부산대학교 치의학전문대학원 구강외과학교실
4부산대학교 치의학전문대학원 구강외과학교실
5부산대학교 치의학전문대학원 구강외과학교실
6부산대학교 치의학전문대학원 구강외과학교실
Multiple Mandibular Idiopathic Bone Cavities in a Patient with Immune Thrombocytopenia : A Case Report
Young-Jae Baek1, Dong-Ho Geum2, Jung-Han Lee3, Sung-Hee Kim4, Kyung-Yong Ahn5, Uk-Kyu Kim6
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University
2Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University
3Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University
4Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University
5Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University
6Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University
Abstract
The immune thrombocytopenia(ITP) is defined as a platelet count of less than 100,000/µL. It is gene rally known as characterized by the bleeding manifestations of skin and/or mucosa like ecchymosis due to low platelet count, but reports of the related intraosseous lesions are not common. The idiopathic bone cavity(IBC) is an empty space of the bone, which occurs mainly in the long bones. It is found predominantly in the mandible in case of the maxillofacial area. In general, it appears as an isolated unilocular lesion without the correlation of the teeth. Although the cause of the IBC is supposed to be associated with hemostatic problems, the etiology is unclear and it was not disclosed the relevance of specific systemic disease. In this present case, IBCs that occurred in mandible of patient who has IPT was treated by curettage with platelet transfusion.
Key Words: idiopathic bone cavity;immune thrombocytopenia;platelet transfusion;
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