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VOL. 10, ISSUE 1 (2025)
Angina bullosa hemorrhagica: A case study of two patients with unusual presentations
Authors
Dr. N Tharana Shamim, Dr. Valarmathi
Abstract
Angina Bullosa Hemorrhagica (ABH) is a rare
but benign oral mucosal disorder characterized by spontaneous, blood-filled
blisters that rupture within hours, leaving behind shallow ulcers that heal
without scarring. This case study presents two patients a 52 and 25-year-old
male both experiencing recurrent episodes of ABH with no systemic disease or
predisposing factors. The 52-year-old patient exhibited a large hemorrhagic
blister on the soft palate, whereas the 25-year-old patient presented with a
smaller lesion at the junction of the hard and soft palate. Both patients
underwent clinical and laboratory evaluations, including complete blood count
and coagulation profiles, which were within normal limits. The diagnosis of ABH
was confirmed based on clinical findings and exclusion of autoimmune and
hematologic disorders. This report highlights the diagnostic challenges and the
importance of differentiating ABH from other vesiculobullous and hemorrhagic
conditions such as pemphigus, thrombocytopenia, and vascular abnormalities. The
cases reaffirm the self-limiting nature of ABH and emphasize the need for
increased clinical awareness to prevent unnecessary investigations and patient
anxiety.
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Pages:16-18
How to cite this article:
Dr. N Tharana Shamim, Dr. Valarmathi "Angina bullosa hemorrhagica: A case study of two patients with unusual presentations". International Journal of Medicine Research, Vol 10, Issue 1, 2025, Pages 16-18
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