Angina Bullosa Hemorrhagica Treatment & Management

Updated: Dec 15, 2017
  • Author: Kara Melissa T Torres, MD, DPDS; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

No treatment is generally required for angina bullosa hemorrhagica (ABH). Palliative treatment may include benzydamine hydrochloride and chlorhexidine gluconate 0.12%-0.20% mouthwashes to prevent infection and short courses of topical steroids. [6, 18]

Coagulation tests and platelet count may be indicated to rule out a blood dyscrasia.

Any large, intact blood blister should be incised to prevent further enlargement that could cause airway obstruction.

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Prevention

Avoidance of mechanical stimuli (eg, metal crown, dental prosthesis) may prevent trauma. The intake of ascorbic acid/citrus flavonoids (200 mg 1 tab bid) may be helpful in decreasing/preventing recurrence. [23] As an adverse event of inhaled corticosteroid therapy, rinsing the mouth with water after inhalation may be preventive. [9] In patients with systemic diseases, antibiotics and/or nonsteroidal anti-inflammatory drugs have been used to prevent secondary infection. [17]

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