Vias diagnósticas e terapêuticas de lesão labial em oncohematologia: relato de um caso pediátrico desafiador

Abstract

Introduction: onco Hematological patients have an increased level of thrombosis and bleedings due to the treatment and the disease. Materials e Methods: To describe a case of an acute hemorrhagic edema of childhood discussing the challenge of diagnostic. Male, 8 years old, hospitalized for diagnostic investigation. There were severe anemia associated with fever and thrombosis of the superior and the inferior vena cava when was prescription of enoxaparin. The diagnostic hypothesis was large cell lymphoma. After 20 days of anticoagulant administration the patient developed epistaxis followed by the formation of oral hemorrhagic edema in the upper and lower lip. An specific protocol of oral care envolved the multiprofessional team assessment. Results: there was remission of the wound strengthened with the physical and emotional reestablishment. Conclusion: according individual protocol of care there were reestablishment of the vital function of the oral cavity:chewing, swallowing, digestion, taste, speech, re-imagining the real meaning of the smile; crucial in oncohematological patientes.