Angina Bullosa Hemorrhagica Treatment & Management

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



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]