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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

September 2004
Volume 35 , Issue 8

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Surgical and clinical management of a patient with Glanzmann thrombasthenia: A case report

Mônica Fernandes Gomes, DDS, MS, PhD/Renata Marques de Melo, DDS/Glauco Plens, MD/Elitânia Marinho Pontes, MD/Marcelo Milone Silva, MD/João Carlos da Rocha, DDS, MS, PhD

Pages: 617-620
PMID: 15366524

A 6-year-old girl with Glanzmann thrombasthenia presented with caries and periapical lesions in the primary mandibular second molars and moderate gingivitis of the maxillary and mandibular anterior teeth. Dental extraction was recommended, and before every surgical intervention, the patient underwent platelet-concentrate transfusion to prevent hemorrhage. Epsilon aminocaproic acid was administered 6 hours before, and 48 hours after every dental procedure to prevent bleeding. In this case, treatment was effective in the prevention of hemorrhagic complications, during the required dental procedures.

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