<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1659-0775</journal-id>
<journal-title><![CDATA[Odontología Vital]]></journal-title>
<abbrev-journal-title><![CDATA[Odontología Vital]]></abbrev-journal-title>
<issn>1659-0775</issn>
<publisher>
<publisher-name><![CDATA[Universidad Latina de Costa Rica, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1659-07752020000200057</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manifestaciones orales en pacientes con Trombocitopenia inmune primaria.Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Oral manifestations in primary immune thrombocytopenia patients. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sepúlveda]]></surname>
<given-names><![CDATA[Cristóbal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pidal]]></surname>
<given-names><![CDATA[Francisca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quezada]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Juan de Dios  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Asistencial Barros Luco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Complejo Asistencial Barros Luco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Chile Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<numero>33</numero>
<fpage>57</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1659-07752020000200057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1659-07752020000200057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1659-07752020000200057&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La trombocitopenia inmune primaria (PTI) es una enfermedad caracterizada por la destrucción acelerada de plaquetas o la producción inadecuada de estas. Se puede clasificar según su etiología en primaria y secundaria.  Métodos:  Se presenta el caso de un paciente sexo masculino de 30 años de edad, que acude al servicio de urgencia dental del Hospital Barros Luco, por lesiones hemorrágicas mucosa oral y pequeñas manchas rojas en manos, brazos y espalda, de veinticuatro horas de evolución, asintomáticas y sin causa atribuible. Al examen físico se corrobora la presencia de múltiples vesículas hemorrágicas en región bucal y petequias en las zonas descritas. Se realiza diagnóstico presuntivo de PTI que se confirma al obtener un recuento plaquetario (RP) de 2000 uL. Se deriva a medicina interna para evaluación y manejo. La literatura describe que para confirmar esta enfermedad se requiere una historia clínica exhaustiva, descartar una patología sistémica o infecciosa previa y pruebas de laboratorio que evidencien recuento normal de células sanguíneas con una trombocitopenia marcada.  Conclusión:  El odontólogo tiene un rol significativo en el manejo multidisciplinario en este tipo de cuadros donde el conocimiento de manifestaciones orales de enfermedades sistémicas es de vital importancia para el diagnóstico, derivación y posterior tratamiento de estas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Primary immune thrombocytopenia (ITP) is a disease characterized by accelerated destruction of platelets or inadequate production of platelets. It can be classified according to its etiology in primary and secondary.  Methods: We present the case of a 30-year-old male patient, who comes to the dental emergency service of the Barros Luco Hospital, for oral mucosa hemorrhagic lesions and small red spots on the hands, arms and back, 24 hours of evolution, asymptomatic and without attributable cause. Physical examination corroborates the presence of multiple hemorrhagic vesicles in the oral region and petechiae in the areas described. A presumptive diagnosis of ITP is made and confirmed by obtaining a platelet count (RP) of 2000 uL. He is referred to internal medicine for evaluation and management. The literature describes that confirming this disease requires an exhaustive medical history, ruling out a previous infectious or systemic pathology, and laboratory tests that show normal blood cell counts with marked thrombocytopenia.  Conclusions:  The dentist has a significant role in multidisciplinary management in this type of condition, where knowledge of oral manifestations of systemic diseases is of vital importance for the diagnosis, referral and subsequent treatment of these. Oral manifestations in primary immune thrombocytopenia patients. Case report]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trombocitopenia inmune primaria]]></kwd>
<kwd lng="es"><![CDATA[patología oral]]></kwd>
<kwd lng="es"><![CDATA[hematología.]]></kwd>
<kwd lng="en"><![CDATA[Primary immune thrombocytopenia]]></kwd>
<kwd lng="en"><![CDATA[oral pathology]]></kwd>
<kwd lng="en"><![CDATA[hematology.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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