Oral manifestations of acute leukemia in children: family supernatural beliefs and its contribution to the prognosis of the disease

Dewi Zakiawati, Riani Setiadhi
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引用次数: 2

Abstract

Aim: This case report aims to elaborate on the oral manifestations of acute leukemia in children and the extent to which the family’s supernatural beliefs contributed to the prognosis of the disease. Background: Leukemia is a malignancy of hematopoietic cells, and about 56% of cases are manifest in the oral cavity. In Indonesia, cancer is among diseases often related to a supernatural phenomenon that may hinder the patient from getting medical treatment. Case Description: An 8-year-old girl was referred to the Oral Medicine Department due to swollen and bleeding gums. There was generalized enlargement of the gingiva with a reddish-purple color covered 2/3 of the dental crown and easy to bleed. The patient was diagnosed with gingival enlargement and gum bleeding due to acute leukemia as the suspected underlying disease. The patient was scheduled for a bone marrow aspiration examination to confirm the blood disorder diagnosis, but the family refused it and believed that supernatural power was the cause of the cancer. Conclusion: Gingival enlargement and spontaneous bleeding of the gum are often the first oral signs of acute leukemia. Considering the influence of supernatural beliefs in society regarding cancer is still existing, dentists are required to be more persistent in educating patients and their families to receive definitive therapy to increase patient life expectancy. Clinical Significance: The oral manifestation of leukemia should be treated promptly to support the systemic therapeutic. Delay in diagnosis and treatment will lead to poor outcomes of the disease.
儿童急性白血病的口腔表现:家庭超自然信仰及其对疾病预后的贡献
目的:本病例报告旨在阐述儿童急性白血病的口腔表现,以及家庭超自然信仰对疾病预后的影响程度。背景:白血病是一种造血细胞的恶性肿瘤,约56%的病例表现在口腔。在印度尼西亚,癌症是一种通常与超自然现象有关的疾病,这种现象可能会阻碍患者接受治疗。病例描述:一名8岁女孩因牙龈肿胀出血被转介到口腔内科。牙龈广泛性扩大,呈紫红色,覆盖牙冠2/3,易出血。患者被诊断为急性白血病所致的牙龈肿大和牙龈出血,怀疑是潜在疾病。原计划对患者进行骨髓抽吸检查,以确认血液病的诊断,但家属拒绝接受检查,并认为是超自然力量导致了癌症。结论:牙龈肿大和自发性牙龈出血往往是急性白血病的第一个口腔症状。考虑到社会上超自然信仰对癌症的影响仍然存在,牙医需要更加坚持不懈地教育患者及其家属接受明确的治疗,以延长患者的预期寿命。临床意义:白血病的口腔表现应及时治疗,以支持全身治疗。诊断和治疗的延误将导致疾病的不良后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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