Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Case reports
A case of amyloidosis with massive hematoma of the lower lip and the buccal mucosa
Takahiro YAMASHIROKoji NAKAMATSUAi NAKAMURAMitsuho ONIMARUAkimitsu HIRAKIYu NAKAO
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2009 Volume 56 Issue 12 Pages 705-709

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Abstract
Amyloidosis is characterized by progressive deposition of amyloid substances in various tissues. A 67-year-old man was referred to our department because of a massive hematoma of the lower lip. On examination,another hematoma appeared on the left buccal mucosa. The patient had a history of deep venous thrombosis and had been receiving anticoagulant therapy for about 3 months. A biopsy of the clinically normal buccal mucosa revealed diffuse deposition of amyloid substances in the mucosal and submucosal stroma, excluding the vessel walls. The massive hematomas in this patient were attributed to the frailty of the oral mucosa caused by amyloid deposition, as well as the effect of anticoagulant therapy.
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© 2009 Japanese Society of Oral and Mxillofacial Surgeons
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