Bleeding gums: Difference between revisions

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__NOTOC__
{{SI}}
{{SI}}
{{CMG}} {{AE}} {{SME}}
{{CMG}} {{AE}} {{SME}},{{JC}}


==Causes==
==Causes==
===Common Causes===
===Common Causes===
*[[Acute myeloid leukemia]]
*[[Acute myeloid leukemia]]
*[[Dental implant]]
*[[Dental implant]]
*[[Gingivitis]]
*[[Gingivitis]]
 
*[[Hemophilia]]
*Haemophillia
 
*[[Heparin Injection ]]
*[[Heparin Injection ]]
*[[Idiopathic thrombocytopenic purpura]]
*[[Idiopathic thrombocytopenic purpura]]
*[[Pregnancy]]
*[[Pregnancy]]
*Rough teeth brushing
*Rough teeth brushing
*[[Scurvy]]
*[[Scurvy]]
*[[Vitamin K deficiency]]
*[[Vitamin K deficiency]]
 
*[[Von Willebrand's disease]]
*Von willebrand 's disease


===Causes by Organ System===
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" |Bothrops venom, hereditary hemorrhagic telangiectasias, [[tuberous sclerosis]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" |Bothrops venom, [[hereditary hemorrhagic telangiectasia]], [[tuberous sclerosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
| '''Chemical / poisoning'''
|bgcolor="Beige"|  
|bgcolor="Beige"|  
[[Radium jaw]], [[arsenic poisoning]], [[lead poisoning]]
[[Radium jaw]], [[arsenic poisoning]], [[lead poisoning]], [[mercury poisoning]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"|  
|bgcolor="Beige"|  
Lichen planus (oral), [[linear immunoglobulin A dermatosis]], [[pemphigus]], hereditary hemorrhagic telangiectasias, [[idiopathic thrombocytopenic purpura]],[[thrombocytopenia]], [[tuberous sclerosis]], bothrops venom, [[scurvy]], haemophillia, systemic lupus erythromatosus, [[kaposi's sarcoma]], [[ebola hemorrhagic fever]]
[[Lichen planus|Lichen planus (oral)]], [[linear immunoglobulin A dermatosis]], [[pemphigus]], [[hereditary hemorrhagic telangiectasia]], [[idiopathic thrombocytopenic purpura]],[[thrombocytopenia]], [[tuberous sclerosis]], bothrops venom, [[scurvy]], [[haemophilia]], [[Systemic lupus erythematosus]], [[kaposi's sarcoma]], [[ebola hemorrhagic fever]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Acitretin ]], [[aspirin]], bevacizumab injection, cholestyramine resin, clofarabine injection, [[co-codamol]], [[colestipol]], [[coumatetralyl]],[[cyclosporine]], cytotoxic chemotherapy, efalizumab injection, heparin injection, [[itraconazole ]], mercury(II) chloride poisoning, [[methotrexate]], [[mycophenolate ]],[[pamidronate injection ]], [[paracetamol]], phenytoin (oral), [[pregabalin ]], [[protiodide]], [[venlafaxine]], zoledronic acid injection
|bgcolor="Beige"| [[Acitretin ]], [[aspirin]], [[Bevacizumab Injection]], [[Cholestyramine Resin]], [[clofarabine injection]], [[co-codamol]], [[colestipol]], [[coumatetralyl]],[[cyclosporine]], [[Chemotherapy|cytotoxic chemotherapy]], [[Efalizumab Injection]], [[Heparin Injection]], [[itraconazole ]], [[Mercury poisoning|mercury(II) chloride poisoning]], [[methotrexate]], [[mycophenolate ]],[[pamidronate injection ]], [[paracetamol]], [[phenytoin (oral)]], [[pregabalin ]], [[protiodide]], [[Trimethadione]], [[venlafaxine]], [[Zoledronic Acid Injection]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
| '''Ear Nose Throat'''
|bgcolor="Beige"| [[Dry mouth]], [[Vincent's angina]], hereditary hemorrhagic telangiectasias
|bgcolor="Beige"| [[Dry mouth]], [[Vincent's angina]], [[hereditary hemorrhagic telangiectasia]]
|-  
|-  
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Cholestyramine resin ]], [[essential thrombocytosis]] , [[ebola hemorrhagic fever]], [[waldenstrom macroglobulinemia]], hereditary hemorrhagic telangiectasias
|bgcolor="Beige"| [[Cholestyramine Resin]], [[essential thrombocytosis]] , [[ebola hemorrhagic fever]], [[waldenstrom macroglobulinemia]], [[hereditary hemorrhagic telangiectasia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"|  
|bgcolor="Beige"| [[Hemophilia]], [[hereditary hemorrhagic telangiectasia]]
Haemophillia, hereditary hemorrhagic telangiectasias
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| [[Aplastic anemia]], [[essential thrombocytosis]], [[idiopathic thrombocytopenic purpura]], [[lead poisoning]], [[thrombocytopenia]], [[vitamin K deficiency]], von willebrand 's disease, [[waldenstrom macroglobulinemia]], [[coumatetralyl]], haemophillia, [[bolivian hemorrhagic fever]], [[ebola hemorrhagic fever]],[[rift valley fever]], [[acute myeloid leukemia]], systemic lupus erythromatosus
|bgcolor="Beige"| [[Aplastic anemia]], [[essential thrombocytosis]], [[idiopathic thrombocytopenic purpura]], [[lead poisoning]], [[thrombocytopenia]], [[vitamin K deficiency]], [[Von Willebrand's disease]], [[waldenstrom macroglobulinemia]], [[coumatetralyl]], [[hemophilia]], [[bolivian hemorrhagic fever]], [[ebola hemorrhagic fever]],[[rift valley fever]], [[acute myeloid leukemia]], [[Systemic lupus erythematosus]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| Systemic lupus erythromatosus
|bgcolor="Beige"| [[Systemic lupus erythematosus]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| [[Pregnancy]], [[progesterone]], von willebrand's disease
|bgcolor="Beige"| [[Pregnancy]], [[progesterone]], [[Von Willebrand's disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Acute myeloid leukemia]], [[kaposi's sarcoma]], [[oral cancer]], cytotoxic chemotherapy
|bgcolor="Beige"| [[Acute myeloid leukemia]], [[kaposi's sarcoma]], [[oral cancer]], [[Chemotherapy|cytotoxic chemotherapy]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
| '''Renal / Electrolyte'''
|bgcolor="Beige"| [[Tuberous sclerosis]], bothrops venom, systemic lupus erythromatosus
|bgcolor="Beige"| [[Tuberous sclerosis]], bothrops venom, [[Systemic lupus erythematosus]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| Systemic lupus erythromatosus, [[linear immunoglobulin A dermatosis]], [[pemphigus]], [[mycophenolate ]], haemophillia
|bgcolor="Beige"| [[Systemic lupus erythematosus]], [[linear immunoglobulin A dermatosis]], [[pemphigus]], [[mycophenolate ]], [[hemophilia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Dental'''
| '''Dental'''
|bgcolor="Beige"| [[Dental implant]], [[epulis]], [[extraction (dental)]], [[gingivitis]], [[Ludwig's angina]], [[periodontitis]], poor oral  hygiene, rough teeth brushing,[[wisdom teeth]], [[radium jaw]], [[lead poisoning]], [[scurvy]]
|bgcolor="Beige"| [[Dental implant]], [[epulis]], [[extraction (dental)]], [[gingivitis]], [[Ludwig's angina]], [[periodontitis]], [[Oral hygiene|poor oral  hygiene]], rough teeth brushing,[[wisdom teeth]], [[radium jaw]], [[lead poisoning]], [[scurvy]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 145: Line 135:


===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
{{MultiCol}}
{{columns-list|
*[[Acitretin ]]
*[[Acitretin ]]
*[[Acute myeloid leukemia]]
*[[Acute myeloid leukemia]]
*[[Aplastic anemia]]
*[[Aplastic anemia]]
*[[Arsenic poisoning]]
*[[Arsenic poisoning]]
*[[Aspirin]]
*[[Aspirin]]
 
*[[Bevacizumab Injection]]
*[[Bevacizumab Injection ]]
 
*[[Body piercing]]
*[[Body piercing]]
*[[Bolivian hemorrhagic fever]]
*[[Bolivian hemorrhagic fever]]
*Bothrops venom
*Bothrops venom
 
*[[Cholestyramine Resin]]
*[[Cholestyramine Resin ]]
 
*[[Chronic alcoholism]]
*[[Chronic alcoholism]]
 
*[[Clofarabine Injection]]
*[[Clofarabine Injection ]]
 
*[[Co-codamol]]
*[[Co-codamol]]
*[[Colestipol ]]
*[[Colestipol ]]
*[[Coumatetralyl]]
*[[Coumatetralyl]]
*[[Cyclosporine]]
*[[Cyclosporine]]
 
*[[Chemotherapy|Cytotoxic chemotherapy]]
*Cytotoxic chemotherapy
 
*[[Dental implant]]
*[[Dental implant]]
*[[Diabetes]]
*[[Diabetes]]
*[[Dry mouth]]
*[[Dry mouth]]
*[[Ebola hemorrhagic fever]]
*[[Ebola hemorrhagic fever]]
*[[Efalizumab Injection]]
*[[Efalizumab Injection]]
*[[Ehrlichiosis (canine)]]
*[[Ehrlichiosis (canine)]]
*[[Epulis]]
*[[Epulis]]
*[[Essential thrombocytosis]]
*[[Essential thrombocytosis]]
*[[Extraction (dental)]]
*[[Extraction (dental)]]
*Fellatio
*Fellatio
*[[Gingivitis]]
*[[Gingivitis]]
 
*[[Hemophilia]]
*Haemophillia
*[[Heparin Injection]]
 
*[[Hereditary hemorrhagic telangiectasia]]
*[[Heparin Injection ]]
 
*Hereditary hemorrhagic telangiectasias
 
*[[Herpes simplex virus]]
*[[Herpes simplex virus]]
*[[Idiopathic thrombocytopenic purpura]]
*[[Idiopathic thrombocytopenic purpura]]
*[[Itraconazole ]]
*[[Itraconazole ]]
*[[Kaposi's sarcoma]]
*[[Kaposi's sarcoma]]
{{ColBreak}}
*[[Lead poisoning]]
*[[Lead poisoning]]
*Lichen planus (oral)
*[[Linear immunoglobulin A dermatosis]]
*[[Linear immunoglobulin A dermatosis]]
*[[Ludwig's angina]]
*[[Ludwig's angina]]
 
*[[Mercury poisoning]]
*Mercury(II) chloride poisoning
 
*[[Methotrexate]]
*[[Methotrexate]]
*[[MMR vaccine]]
*[[MMR vaccine]]
 
*[[Mycophenolate]]
*[[Mycophenolate ]]
 
*[[Oral cancer]]
*[[Oral cancer]]
 
*[[Lichen planus|Oral Lichen planus]]
*[[Pamidronate injection ]]
*[[Pamidronate injection]]
 
*[[Paracetamol]]
*[[Paracetamol]]
*[[Pemphigus]]
*[[Pemphigus]]
*[[Periodontitis]]
*[[Periodontitis]]
 
*[[Phenytoin (oral)]]
*Phenytoin (oral)
*[[Oral hygiene|Poor oral  hygiene]]
 
*Poor oral  hygiene
 
*[[Pregabalin ]]
*[[Pregabalin ]]
*[[Pregnancy]]
*[[Pregnancy]]
*[[Progesterone]]
*[[Progesterone]]
*[[Protiodide]]
*[[Protiodide]]
*[[Radium jaw]]
*[[Radium jaw]]
*[[Rift valley fever]]
*[[Rift valley fever]]
*Rough teeth brushing
*Rough teeth brushing
*[[Scurvy]]
*[[Scurvy]]
*[[Stress]]
*[[Stress]]
 
*[[Systemic lupus erythematosus]]
*Systemic lupus erythromatosus
 
*[[Thrombocytopenia]]
*[[Thrombocytopenia]]
*[[Tuberous sclerosis]]
*[[Tuberous sclerosis]]
*[[Venlafaxine]]
*[[Venlafaxine]]
*[[Vincent's angina]]
*[[Vincent's angina]]
*[[Vitamin K deficiency]]
*[[Vitamin K deficiency]]
 
*[[Von Willebrand's disease]]
*Von willebrand 's disease
 
*[[Waldenstrom macroglobulinemia]]
*[[Waldenstrom macroglobulinemia]]
*[[Wisdom teeth]]
*[[Wisdom teeth]]
 
*[[Zoledronic Acid Injection]]
*[[Zoledronic Acid Injection ]]
}}
 
{{EndMultiCol}}


== Differential Diagnosis ==
== Differential Diagnosis ==
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*[[Coagulopathy]]
*[[Coagulopathy]]
*[[Drugs]]
*[[Epulis]]
*[[Epulis]]
*[[Flossing]]  
*[[Flossing]]  
*[[Gingivitis]]
*[[Hemorrhagic diathesis]]
*[[Hemorrhagic diathesis]]
*Inadequate plaque removal
*Inadequate plaque removal
Line 300: Line 218:
*[[Leukemia]]
*[[Leukemia]]
*New dentures
*New dentures
*Poor oral hygiene
*[[Pregnancy]]
*Tartar
*Tartar
*[[Thrombocytopenia]]
*Toothbrush
*[[Vitamin C deficiency]]
*[[Vitamin K deficiency]]


== References ==
== References ==
{{reflist|2}}
{{Reflist|2}}


== Acknowledgements ==
== Acknowledgements ==
The content on this page was first contributed by {{CMG}}
The content on this page was first contributed by {{CMG}}
List of contributors:
== Suggested Reading and Key General References ==
== Suggested Links and Web Resources ==
== For Patients ==


[[Category:Hematology]]
[[Category:Hematology]]
[[Category:Medical signs]]
[[Category:Signs and symptoms]]
[[Category:Signs and symptoms]]
[[Category:Dentistry]]
[[Category:Dentistry]]
[[Category:Periodontology]]
[[Category:Periodontology]]


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{{WikiDoc Sources}}
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Latest revision as of 20:20, 10 January 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saumya Easaw, M.B.B.S.[2],Jyostna Chouturi, M.B.B.S [3]

Causes

Common Causes

Causes by Organ System

Cardiovascular Bothrops venom, hereditary hemorrhagic telangiectasia, tuberous sclerosis
Chemical / poisoning

Radium jaw, arsenic poisoning, lead poisoning, mercury poisoning

Dermatologic

Lichen planus (oral), linear immunoglobulin A dermatosis, pemphigus, hereditary hemorrhagic telangiectasia, idiopathic thrombocytopenic purpura,thrombocytopenia, tuberous sclerosis, bothrops venom, scurvy, haemophilia, Systemic lupus erythematosus, kaposi's sarcoma, ebola hemorrhagic fever

Drug Side Effect Acitretin , aspirin, Bevacizumab Injection, Cholestyramine Resin, clofarabine injection, co-codamol, colestipol, coumatetralyl,cyclosporine, cytotoxic chemotherapy, Efalizumab Injection, Heparin Injection, itraconazole , mercury(II) chloride poisoning, methotrexate, mycophenolate ,pamidronate injection , paracetamol, phenytoin (oral), pregabalin , protiodide, Trimethadione, venlafaxine, Zoledronic Acid Injection
Ear Nose Throat Dry mouth, Vincent's angina, hereditary hemorrhagic telangiectasia
Endocrine No underlying causes
Environmental Diabetes, progesterone, arsenic poisoning, bothrops venom, radium jaw, lead poisoning
Gastroenterologic Cholestyramine Resin, essential thrombocytosis , ebola hemorrhagic fever, waldenstrom macroglobulinemia, hereditary hemorrhagic telangiectasia
Genetic Hemophilia, hereditary hemorrhagic telangiectasia
Hematologic Aplastic anemia, essential thrombocytosis, idiopathic thrombocytopenic purpura, lead poisoning, thrombocytopenia, vitamin K deficiency, Von Willebrand's disease, waldenstrom macroglobulinemia, coumatetralyl, hemophilia, bolivian hemorrhagic fever, ebola hemorrhagic fever,rift valley fever, acute myeloid leukemia, Systemic lupus erythematosus
Iatrogenic No underlying causes
Infectious Disease Bolivian hemorrhagic fever, ebola hemorrhagic fever, ehrlichiosis (canine), herpes simplex virus, rift valley fever, MMR vaccine
Musculoskeletal / Ortho Systemic lupus erythematosus
Neurologic Tuberous sclerosis, phenytoin (oral), pregabalin , waldenstrom macroglobulinemia, rift valley fever, ebola hemorrhagic fever, bothrops venom
Nutritional / Metabolic Scurvy, diabetes, vitamin K deficiency
Obstetric/Gynecologic Pregnancy, progesterone, Von Willebrand's disease
Oncologic Acute myeloid leukemia, kaposi's sarcoma, oral cancer, cytotoxic chemotherapy
Opthalmologic Rift valley fever
Overdose / Toxicity Chronic alcoholism, arsenic poisoning, lead poisoning
Psychiatric Stress
Pulmonary No underlying causes
Renal / Electrolyte Tuberous sclerosis, bothrops venom, Systemic lupus erythematosus
Rheum / Immune / Allergy Systemic lupus erythematosus, linear immunoglobulin A dermatosis, pemphigus, mycophenolate , hemophilia
Sexual Fellatio, herpes simplex virus, kaposi's sarcoma
Trauma Rough teeth brushing, wisdom teeth
Urologic No underlying causes
Dental Dental implant, epulis, extraction (dental), gingivitis, Ludwig's angina, periodontitis, poor oral hygiene, rough teeth brushing,wisdom teeth, radium jaw, lead poisoning, scurvy
Miscellaneous Body piercing, MMR vaccine, stress

Causes in Alphabetical Order

Differential Diagnosis

In alphabetical order. [1] [2]

References

  1. ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X

Acknowledgements

The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [4]

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