Angina bullosa haemorrhagica: Clinical and laboratory features in 30 patients

Stephenson, Patricia; Pj, Lamey; Scully, Crispian; Prime, Steven L.

doi:10.1016/0030-4220(87)90228-3

Cited by 50 publications

(61 citation statements)

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“…These data suggest that a lack of support to the small blood vessels in the areas surrounding HBA increases the chances of the development of bleeding in case of trauma. Direct immunofluorescence of the lesion is usually negative, although some authors have demonstrated the presence of inflammatory mediators such as complement component 3 (C3) and immunoglobulin G (IgG) (7)(8)(9)(10)(11).…”

Section: Discussionmentioning

confidence: 99%

“…HBA is not associated with skin lesions; the oral lesions are hemorrhagic, do not leave any residual scarring, and are not associated with desquamative gingivitis. In addition, findings of histopathological and immunofluorescence analysis are frequently unremarkable (3)(4)(5)(6)(7)(8)(9)(10). Furthermore, findings of blood tests (including hemogram, platelet count, and coagulation tests) are usually normal.…”

Section: Discussionmentioning

confidence: 99%

“…When they rupture, the bleeding is self-limited; however, airway patency needs to be secured. Complete remission of the lesions is expected within 10 days (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). It is recommended to use anti-inflammatory or antibacterial solutions as mouthwash (2% chlortetracycline or 0.25% chlorhexidine gluconate) 2 to 3 times a day for 3 days to prevent secondary infection at the site of the lesion (1, 4, 10).…”

Section: Discussionmentioning

confidence: 99%

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Hemorrhagic Bullous Angina: A Case Report and Review of the Literature

Rodrigues¹,

Albrechete²,

Monsanto³

et al. 2016

Turk Arch Otorhinolaryngol

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Hemorrhagic bullous angina (HBA) is described as the sudden onset of one or more bullous lesions in the oral cavity, not attributable to other vesiculobullous diseases, blood dyscrasias, or autoimmune and vascular diseases. These lesions occur almost exclusively in the oral cavity, particularly in the soft palate, and do not affect the masticatory mucosa. Here we present the case of a 57-year-old male who had a spontaneously ruptured hemorrhagic bulging in his soft palate diagnosed as HBA, along with discussion of the literature. In conclusion, HBA is a rare, benign, oral disease with low complication rates. Diagnosis is essentially clinical, and treatment consists of local hygiene and prevention of oral trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Hemorrhagic Bullous Angina: A Case Report and Review of the Literature

Rodrigues¹,

Albrechete²,

Monsanto³

et al. 2016

Turk Arch Otorhinolaryngol

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“…7 Stephenson published a large series of 30 patients, not finding a clear precipitating factor in 47% of the cases.There have been many precipitating factors described: trauma by a sharp cusp or edge of an adjacent tooth or metal crown, masticatory trauma, hot drinks,use of steroids, as well as dental or injection of local anesthesia prior to extraction of teeth or vital crown preparation or root canal treatment. 8 One case of Angina Bullosa Hemmorhagica was reported in a 50 year old chronic renal failure Patient since two years who was on Hemodialysis for 8 months with Hypertension. 9 Differential diagnosis must include pemphigus, bullous pemphigoid, bullous lichen planus, dermatitis herpetiformis , Erythema Multiforme and thrombocytopenia.…”

Section: Discussionmentioning

confidence: 99%

Angina Bullosa Haemmorhagica on the Ventral Surface of the Tongue- a rare case report

Ravi

Mohan

P.T

2016

IRA-JAS

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“…The condition is known as angina bullosa haemorrhagica, a term first used by Badham in 1967 to describe oral blood blisters that could not be attributed to a blood dyscrasia, vesiculobullous disorder, or other known systemic disorder 2. Stephenson et al reviewed the laboratory features of the condition and concluded that, despite the presence of a subepithelial split histologically, there was no evidence of autoimmune mediated damage as with mucous membrane pemphigoid 3. Similarities between angina bullosa haemorrhagica and the acquired form of non-dystrophic epidermolysis bullosa have been suggested 4…”

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confidence: 99%

Oropharyngeal blood blisters are known as angina bullosa haemorrhagica

Gibson

1997

BMJ

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Editor-Five years ago, when we published our research on the discrimination faced by ethnic minority doctors applying for posts as senior house officers, 1 the Department of Health considered using our methodology to monitor progress in tackling discrimination. At a recent BMA conference to discuss racial discrimination in the medical profession several speakers pointed out that racial discrimination was still endemic in the NHS and that direct policy initiatives to tackle specific examples of discrimination-for example, in the shortlisting of job applications for hospital posts-were lacking. 2 We therefore assessed whether the discrimination that we highlighted in 1992 was still prevalent because it would have serious implications for the implementation and assessment of anti-discrimination policies by the General Medical Council and the NHS Management Executive.We repeated our survey in March and April of this year, using exactly the same methods as in 1992, to see whether British trained doctors with Asian names were less likely to be shortlisted for posts as a senior house officer. Matched pairs of applications were sent for 50 advertised posts covering the specialties of paediatrics, general medicine, geriatrics, psychiatry, obstetrics and gynaecology, general surgery, orthopaedics, and vocational training schemes. Table 1 shows the results of the survey. There was again evidence that a lower proportion of Asian than English candidates were shortlisted: 36% v 52% (difference 16%; 95% confidence interval -0.4% to 25%).Our results show that discrimination against ethnic minority candidates is still prevalent five years after we first highlighted the problem and despite numerous public commitments by the profession's leaders and employers to deal with it. The discrimination is being practised by consultants, who are responsible for shortlisting for junior posts. These consultants have a responsibility to maintain the highest ethical and moral standards, and their employers have the added responsibility to ensure that equal opportunity policies are being implemented and monitored. Although the NHS Management Executive specifically requires employing authorities to carry out ethnic monitoring, only five trusts out of 50 sent equal opportunity monitoring forms to our sample.Five years ago we suggested several mechanisms, including standard and anonymised application forms together with strict enforcement and publication of the results of equal opportunity monitoring, as a means of reducing the possibility of discrimination. Sadly, little seems to have changed, and it is an indictment of our profession that we still seem to tolerate a situation in which people's careers and livelihoods are jeopardised simply because they have the wrong name (and hence the wrong colour of skin). The authors are wrong to suggest that the reconstruction of acute hospital services We did pass a range of detailed information to the Community Care Protection Group in Bromley, which I see is acknowledged at the end of the article. It i...

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Angina bullosa haemorrhagica: Clinical and laboratory features in 30 patients

Cited by 50 publications

References 10 publications

Hemorrhagic Bullous Angina: A Case Report and Review of the Literature

Hemorrhagic Bullous Angina: A Case Report and Review of the Literature

Angina Bullosa Haemmorhagica on the Ventral Surface of the Tongue- a rare case report

Oropharyngeal blood blisters are known as angina bullosa haemorrhagica

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