Tag: #iron deficiency anemia #anemia #haematology #pathology

Blood Diseases.

aditishenoym2 Comments

Blood diseases are some of the most common questions throughout dental career. Especially in the first three years. I have complied the classification and Oral Manifestations of certain common symptoms.

Reference:
  1. Shaffer’s text book of Oral Pathology. South Asian Edition.7th edition
  2. Textbook of Clinical Medicine for dental students, Chugh

Plummer Vinson syndrome

Charu LataLeave a comment

Plummer Vinson triad :

  • Postcricoid dysphagia
  • Upper esophageal webs
  • Iron deficiency anemia

High risk of “squamous cell carcinoma”

Risk factors :

  • Race – White and Scandinavian
  • Age – 40-70 years
  • Sex – Females more than males. Especially in postmenopausal women.

Pathophysiology :

  • Iron deficiency anemia
  • Nutritional deficiency
  • Genetic predisposition
  • Autoimmunity causes may include rheumatoid arthritis , pernicious anemia and thyroiditis.

Signs :

  • Angular cheilitis
  • Glossitis (Atrophic bald tongue)
  • Pallor – Palmer pallor and conjunctival pallor
  • Platynychia (Flattened nails)
  • Koilonychia (Spoon shaped nails)
  • Splenomegaly
  • Edentia (loss of teeth due to esophageal reflux)
  • Enlarged nodular thyroid gland
  • Gastritis with acholorhydia
  • Post cricoid webs
  • Picca
  • Beeturia
  • Restless leg syndrome

Symptoms :

  • Dysphagia
  • Odynophagia
  • Choking spells and aspiration due to proximal location of webs
  • Weakness and fatigue
  • Weight loss
  • Hair loss
Treatment

References – Shafer’s textbook of oral pathology , SN Chugh – Textbook of clinical medicine for dental students , slideshare.com

Image reference : Google images.