1984 年 30 巻 7 号 p. 1017-1024
Thrombotic thrombocytopenic purpura (TTP) is a rare disorder of unknown etiology characterized by fever, hemolyticanemia with erythrocyte fragmentation, hemorrhagic tendency due mainly to thrombocytopenia, fluctuating neurological abnormalities and kidney dysfunction. As far as the literature is reviewed, there is no apparent report of dental or oral surgery in TTP because this disease has rather poor prognosis.
We recently had the opportunity to perform oral surgery such as dental extraction, apicoectomy and cyst extirpation in a 18 year-old male patient with TTP. We described the oral management for hemorrhagic tendency and infection due to immunological dysfunction with the patient during surgical procedure.