title: Undiagnosed multiple myeloma causing extensive dental bleeding: report of a case and review.
abstract: A case of multiple myeloma causing profuse bleeding during a minor dental surgical procedure is presented. The value of dental radiography in detection of bone changes associated with an undiagnosed case of multiple myeloma is highlighted. We show that the extensive bleeding during the dental procedure could have been prevented if the panoramic radiograph had been evaluated carefully before initiation of the treatment. In addition, we briefly discuss the etiologic factors responsible for the formation of hemostatic abnormalities in multiple myeloma and the value of imaging methods used in diagnostic assessment of the disease.
authors.affiliation: Department of Oral Medicine, University of Pennsylvania, School of Dental Medicine, Philadelphia, 19104, USA. eisa@pobox.upenn.edu
authors.forename: Eisa
authors.initials: E
authors.lastname: Mozaffari
authors.forename: Muralidhar
authors.initials: M
authors.lastname: Mupparapu
authors.forename: Linda
authors.initials: L
authors.lastname: Otis
mesh_terms: D000038:Abscess / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000209:etiology*; D008339:Mandibular Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications* / Q000000981:diagnostic imaging; D006472:Oral Hemorrhage / Q000209:etiology*; D019106:Postoperative Hemorrhage / Q000209:etiology*; D011862:Radiography, Panoramic