Medical Science
Volume 25, Issue 110, April, 2021
Traumatic extravasation of blood in gingiva and floor of mouth associated with vitamin K deficiency in a patient of oral submucous fibrosis- A case report
Ramhari Sathawane1, Runal Bansod2, Rakhi Chandak3, Ashish Lanjekar4, Romita Gaikwad5, Dhiran Talatule6, Kshtija Bhakte7, Vidyarjan Sukhadeve8
1Professor & Head and PhD Guide, Dept. of Oral Medicine &
Radiology, Swargiya Dadasaheb Kalmegh Smruti Dental
College & Hospital, Nagpur- 441110, Maharashtra, India;
Email: ramhari.sathwane@sdk-dentalcollege.edu.in
2Post graduate student, Dept. of Oral Medicine & Radiology,
Swargiya Dadasaheb Kalmegh Smruti Dental College &
Hospital, Nagpur- 441110, Maharashtra, India; Email:
runalbansod@gmail.com
3Reader, Dept. of Oral Medicine & Radiology, Swargiya
Dadasaheb Kalmegh Smruti Dental College & Hospital,
Nagpur- 441110, Maharashtra, India; Email:
rakhirakhi76@gmail.com
4Reader, Dept. of Oral Medicine & Radiology, Swargiya
Dadasaheb Kalmegh Smruti Dental College & Hospital,
Nagpur- 441110, Maharashtra, India; Email:
ashish.lanjekar@sdk-dentalcollege.edu.in
5Sr. lecturer, Dept. of Oral Medicine & Radiology, Swargiya
Dadasaheb Kalmegh Smruti Dental College & Hospital,
Nagpur – 441110, Maharashtra, India; Email:
romita.gaikwad@sdk-dentalcollege.edu.in
6Sr. lecturer, Dept. of Oral Medicine & Radiology, Swargiya
Dadasaheb Kalmegh Smruti Dental College & Hospital,
Nagpur – 441110, Maharashtra, India; Email:
dhiran.talatule@gmail.com
7Post graduate student, Dept. of Oral Medicine & Radiology,
Swargiya Dadasaheb Kalmegh Smruti Dental College &
Hospital, Nagpur – 441110, Maharashtra, India; Email:
kshitijabhakte1316@gmail.com
8Post graduate student, Dept. of Oral Medicine & Radiology,
Swargiya Dadasaheb Kalmegh Smruti Dental College &
Hospital, Nagpur- 441110, Maharashtra, India; Email:
vidyarjan99@gmail.com
ABSTRACT
Vitamin K, a fat soluble vitamin, is an essential factor for the activation and synthesis of coagulation factors II, VII, IX, X and protein C and S. Vitamin K deficiency can easily develop in patients having chronic debilitating mouth disease such as oral submucous fibrosis (OSMF) due to poor nutritious food intake. We present a case of a 45 years old male patient having grade II OSMF reporting with intermittent bleeding and swollen gingiva with extravasation of blood in gingiva and floor of mouth secondary to local trauma. Patient’s prothrombin time, activated partial prothrombin time and platelets were increased leading to inadequate activity of coagulant factors such as factors resulting in intermittent spontaneous bleeding and extravasation of blood in gingiva and floor of mouth. Patient was treated with injectable Vit K. There was complete resolution of extravasated bleed and edematous gingiva with stoppage of intermittent spontaneous bleeding. Periodontal surgery took care of localised periodontits.
Keywords: traumatic extravasation of blood, gingiva, floor of mouth, vit k
deficiency, oral submucous fibrosis
Medical Science, 2021, 25(110), 846-852
