Periodontist an Asset to Systemic Diagnosis — Diagnosing a Case of Acute Myeloid Leukaemia

Somnath Pralhad Pachrupe, M. Phadnaik, Pooja Gupta
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Abstract

Acute Myeloid Leukemia (AML) is a neoplastic disease of bone marrow. AML M3 variant frequently develops swiftly and if not intervened immediately may prove fatal. This report presents a 32-year-old female who reported to dental OPD with complaint of bleeding gums and no previous medical history. On examination suspicious lesions were seen and patients was advised for full blood workup and Peripheral Blood Smear (PBS) investigations which revealed features suggestive of AML M3. The significant findings of this case are just presentation of oral manifestations, quick progression from initial symptoms to end stage and mild increase in WBC count which is uncommon for AML M3 variant. For many types of cancer, finding it early might make it uncomplicated to treat. This report outlines how a periodontist proved to be an asset in diagnosing a case of AML.
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牙周病医生是系统诊断的资产-诊断一例急性髓性白血病
急性髓性白血病(AML)是一种骨髓肿瘤疾病。AML M3变异往往发展迅速,如果不立即干预可能是致命的。本文报告了一位32岁的女性,她到牙科门诊就诊,主诉牙龈出血,无既往病史。在检查中发现可疑病变,建议患者进行全血检查和外周血涂片(PBS)检查,显示提示AML M3的特征。该病例的重要发现仅为口腔表现,从最初症状到终末期进展迅速,白细胞计数轻度增加,这在AML M3变体中并不常见。对于许多类型的癌症,早期发现可能会使其治疗变得简单。本报告概述了如何证明牙周病医生是诊断AML病例的资产。
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